ANSI Z136.3 - Control Measures

Question 1

List the various administrative (procedural) control MEASURES

Answer 1

1. Policies and Procedures
2. Manufacturer’s procedures
3. Authorized Personnel-Laser Users
4. Maintenance and Service
5. Administrative and Procedural Controls
6. Appointment of an LSO

Question 2

What class of lasers require P&Ps?

Answer 2

Class 3B and 4

Question 3

What are examples of safety items specified for the safe use of an HCLS?

Answer 3

LPE
Warning signs
Adapters
Interlocks
Housings
Connectors
Eye safety filters
Beam shutters

Question 4

Class 3B and 4 HCLSs shall be operated by ________________________________.

Answer 4

Class 3B and 4 HCLSs shall be operated by facility-authorized personnel appropriately trained in the safe use of the HCLS.

Question 5

List the various Administrative and Procedural CONTROLS

Answer 5

1. Adhere to written P&Ps
2. Assigning a dedicated person to operate the controls
3. Maintain a list of authorized laser users and HCP
4. Require storage or disabling of HCLS to prevent unauthorized operation
5. Assure laser operators know location of emergency shutoff
6. Assure laser is kept in safe/standby mode until target tissue is ready for exposure
7. Prevent confusion when using more than one foot pedal.

Question 6

List the various Equipment (Engineering) CONTROLS

Answer 6

1. Guarded switches
2. Accessory equipment compatibility
3. HCLS equipment labels
4. Safety audits

Question 7

List examples of accessory attachments to HCLSs

Answer 7

Handpieces
Endoscopes
Laparoscopes
Fibers
Remote controls
Scanners

Question 8

What classes of lasers require equipment labels?

Answer 8

All classes except class 1

Question 9

The LSO shall ascertain whether changes in ___________________ are required following any service or repair procedure for ___________________ of laser systems.

Answer 9

The LSO shall ascertain whether changes in control measures are required following any service or repair procedure for all classes of laser systems.

Question 10

What are the categories of consideration for the laser use environment?

Answer 10

NHZ
LTCA
Surgical probes and optical fibers
Patient eye protection

Question 11

What are requirements for the LTCA?

Answer 11

1. Posted with appropriate area warning signs
2. Supervised by HCP trained in laser safety
3. Occupied only by patients and appropriately trained HCP
4. Windows/doorways/entries into the NHZ restricted in a manner to reduce the transmitted laser radiation to below the MPE
5. Area/entry safety controls designed to allow rapid egress and admittance under emergency conditions

Question 12

What are various options for patient eye protection?

Answer 12

Spectacles
Goggles
Periorbital goggles
Corneal shields
Wet cloth towels over the ocular area

Question 13

What is a TLCA?

Answer 13

Temporary Laser Controlled Area