/policies/,/policies/clinical/,/policies/clinical/uwmf-clinical/,/policies/clinical/uwmf-clinical/uwmf-wide/,/policies/clinical/uwmf-clinical/uwmf-wide/clinical-policies-and-procedures/,/policies/clinical/uwmf-clinical/uwmf-wide/clinical-policies-and-procedures/transformations/,

/policies/clinical/uwmf-clinical/uwmf-wide/clinical-policies-and-procedures/transformations/102136.policy

201506175

page

100

UWHC,UWMF,

Policies,Clinical,UWMF Clinical,UWMF-wide,Clinical Policies and Procedures,Transformations

Sciton Laser Policy (102.136)

Sciton Laser Policy (102.136) - Policies, Clinical, UWMF Clinical, UWMF-wide, Clinical Policies and Procedures, Transformations

102.136

6/19/14
Sciton Laser Policy

PURPOSE:

The purpose of this policy is to protect UW Health employees and patients from harmful exposures to light. This
policy is also intended to permit only authorized personnel to operate and care for the Sciton Laser.

DEFINITION:

Authorized personnel means operators who have been trained in the safe use and general operation of the Sciton
Laser.

GENERAL INFORMATION:

The Sciton laser uses specialized hand pieces which filter light from different parts of the visible spectrum for
various purposes including treatment of acne, hair reduction, treatment of vascular lesions, treatment of
pigmented lesions, non-ablative and ablative skin resurfacing and skin tightening. Skin cooling by direct contact is
utilized to minimize pain and the risk of thermal injury to the epidermis.

EQUIPMENT/SUPPLIES:
1. Sciton Laser
2. Clear, colorless gel; Sea Drops de-fogger
3. Wave length-specific safety eyewear
4. Patient goggles
5. Surgical mask if indicated
6. Gloves
7. Plume Evacuator and Honeywell air purifier
8. Chiller
9. Patient treatment supplies (e.g. towels, ice pack, gauze)
10. The unit must be plugged into at least a 208 V outlet
DOCUMENTATION:
1. A written consent for each patient should be completed, signed and scanned into the electronic medical
record.
2. A completed progress note should include the parameters used in the procedure and how the procedure
was tolerated by the patient.
STANDARD OPERATING PROCEDURE:
1. A pre-procedure consult is performed by medical staff prior to scheduling any laser or BBL treatment.
(Attachments A and B are used for laser hair removal)
2. Topical and/or injected anesthesia administered if indicated per MD.
3. Complete the pre-procedure part of the Laser Safety Checklist posted in laser treatment room
(Attachment C).
4. Attach the desired hand piece.
5. Verify that the Sciton laser is plugged into the designated electrical outlet and turn on the power switch.
6. Apply prescribed settings.
7. All persons in the room need to wear protective eyewear prior to beginning a treatment. If indicated, the
chiller should be turned on and available for use.
8. If indicated, apply a 2-3 mm film of clear, colorless gel to the treatment area and press the hand piece
firmly onto the skin. Perform test pulse. Evaluate and continue pulsing as tolerated. Match the trailing
edge of the last pulse to the leading edge of the next. Avoid overlaps and gaps. When the system is
emitting light, an audible tone will signal with every pulse. Patient response should be continually
evaluated throughout the procedure.
9. The smoke evacuator must be on AT ALL TIMES during the procedure. Its suction hose nozzle must be
kept within 2 inches of the procedure site. If the smoke evacuator fails, laser treatments must be stopped
until such repairs are made.

IN AN EMERGENCY, depressing the red Emergency Stop on the top of the unit, will stop the
light emissions immediately.


6/19/14
In addition to the smoke evacuator, the Honeywell air filter should be turned on at the Transformations
site.
10. Patients having laser hair removal are provided with the post care handout (Attachment D) at the time of
the initial consult and it is reviewed at the time of discharge.
SHUT DOWN PROCEDURE:
1. After use, turn the unit off by turning the key counter-clockwise and turning off the power switch. Remove
the key and return it to the designated storage space. Remember to clean the external surfaces of the
laser console, articulate arm and tip of the hand piece used as well as smoke evacuator and chiller nozzle
after each treatment. (Sani-wipes or isopropyl alcohol may be used.) The metal stand off needs to be
soaked in Metrizyme solution for at least 5 minutes. If metal goggles are soiled with blood, they should
also be soaked in Metrizyme for 5 minutes keeping the tie straps out of the solution.
2. Upon exiting laser room, remove the sign and goggles that indicate a treatment is taking place.
3. Clean and inspect the smoke evacuator per manufacturer's instructions. A gauge on the top of the unit
indicates when the smoke filter should be discarded. The entire "Buffalo" filter and tubing may be
discarded in a standard trash bag. The HEPA filter in the Honeywell air filter is changed per manufacturer's
recommendations by the facilities department.
SAFETY PRECAUTIONS:
1. Patients with pacemakers, because of the electromagnetic interference from the laser or intense pulse
light, must consult with their doctor before treatment begins.
2. The beam is capable of igniting combustible materials. Such materials shall be wet down or removed from
the beam path area. No alcohol or alcohol-containing preparations or solutions will be used in or near the
laser impact site. When alcohol is used to clean and disinfect the skin or any part of the hand piece, it
must be allowed to dry before the device is pulsed. Always keep a small basin of water near the patient
and a fire extinguisher should be readily available (found below the sink) for use on the laser if needed.
3. Report any device deficiencies immediately to your manager. The operator is responsible to lockout the
device and remove the key to prevent further operation. Contact Facilities for a Lock-out plug in the event
of a damaged cord. DO NOT OPEN PANELS OR ATTEMPT TO REPAIR EQUIPMENT. Exposure to
harmful levels of radiation and electricity may occur when panels are opened.
REFERENCES:
1. Sciton Laser Manual.
2. American Nationol Standard for the Safe Use of Lasers, ANSI 2136.3.
AUTHOR:
Gail Jahnke, APNP
EDITED:
Stephanie Faucher, APNP