Burlingame Byron L
AORN J. 2017 Apr;105(4):392-401. doi: 10.1016/j.aorn.2017.02.003.
Lasers have been used in the OR for many years and are essential tools in many different types of procedures. However, laser beams that come into contact with unintended targets directly or via reflection can cause injury to patients or personnel or pose other hazards, such as fires. The new AORN "Guideline for safe use of energy-generating devices" provides guidance on the use of all energy-generating devices in the OR. This article focuses on key points of the guideline that address the safe use of lasers. These include the components of the laser safety program, the responsibilities of the personnel in roles specific to use of a laser, laser safety measures, and documentation of laser use. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.
激光在手术室中已使用多年,是许多不同类型手术中的重要工具。然而,激光束直接或通过反射接触到非预期目标时,可能会对患者或人员造成伤害,或引发其他危险,如火灾。新的美国手术室注册护士协会(AORN)“能量生成设备安全使用指南”为手术室中所有能量生成设备的使用提供了指导。本文重点关注该指南中涉及激光安全使用的要点。这些要点包括激光安全计划的组成部分、特定激光使用角色人员的职责、激光安全措施以及激光使用记录。围手术期注册护士在编写和更新政策与程序时,应查阅完整指南以获取更多信息和指导。