The LSO is chosen by the employer and charged with implementing all the hazard controls, monitoring the adherence to the procedural controls, and documenting training. The LSO position is typically a part time position, so the responsibilities are added to the employee’s normal duties, and include the following:
for administering an ongoing laser safety program, including providing safety
training to new employees. The LSO may
delegate certain tasks, such as evaluation, maintenance and service of HCLS so
long as the individuals performing the tasks are properly trained to do
a Deputy LSO, who can perform the same tasks as the LSO when they are not
available. This is especially applicable
in hospitals with 24-7 schedules.
Laser Safety Site Contacts or Laser Safety Specialists, who supervise the safe
use of the lasers in multiple locations within the broader health care
a hazard evaluation of the laser treatment control areas (LTCA). This is the area in which the HCLS resides,
including all barriers and warning labels surrounding the area in which the
laser treatment is being performed. The
LSO must respond to hazard by immediately informing the operator if there is
any danger from the laser in use.
control measures recommended by the manufacturer, as well as recommend
additional/alternate/substitute control measures where applicable. All control measures should be evaluated on a
periodic and scheduled basis to ensure their proper implementation.
and monitoring procedural controls for the safe use of HCLS, including
installation, operation, maintenance, and service. A startup procedure and operational safety
checklist is recommended.
labeling the laser control area with warning signs indicating the laser
classification. Lasers require Personal Protective Equipment (PPE) for safe
use. There is a responsibility hierarchy
associated with them. The employer must
provide the PPE, ensure proper maintenance by the LSO, and the operator must
wear it when necessary.
and approving of the proper installation of new HCLS and associated
equipment. The installation must comply
with manufacturer recommendations. Any
modifications to the facilities or the laser system itself must be
reviewed. The LSO must perform a new
hazard evaluation after any modifications have been made. The LSO must document the maintenance of the
equipment by trained service personnel.
laser safety training to all health care personnel that may come in proximity
to the laser system, regardless of whether they are exposed to laser
radiation. (Patients undergoing laser
procedures do not need to undergo laser safety training.) The LSO must document the implementation of
the laser safety training program.
records required by federal and state regulations. This includes documenting equipment
maintenance, implementation of the laser safety