Appendix C. Hair Removal and Other Cosmetic Laser or IPL Operator Training Program

1.        General Considerations. An applicant shall ensure that:

a.         The training program is specific to the medical laser or IPL device in use and the clinical procedures to be performed;

b.        Program content is consistent with facility policy and procedure and applicable federal and state law; and

c.         The training program addresses hazards associated with laser or IPL device use.

2.        Technical Considerations. The applicant’s training pro- gram shall cover all of the following technical subjects:

a.         Laser and IPL device descriptions

b.        Definitions

c.         Laser and IPL device radiation fundamentals

d.        Laser mediums, types of lasers, and other light-emit- ting devices – solid, liquid, gas, and IPL devices

e.         Biological effects of laser or IPL device light

f.         Damage mechanisms

i.         Eye hazard

ii.        Skin  hazard  (includes  information   regarding skin type and skin anatomy)

iii.      Absorption and wavelength effects

iv.       Thermal effects

g.        Photo chemistry

h.        Criteria for setting the Maximum Permissible Expo- sure (MPE) for eye and skin associated hazards

i.         Explosive, electrical, and chemical hazards

j.         Photosensitive medications

k.        Fire,  ionizing  radiation,   cryogenic  hazards,  and other hazards, as applicable

3.        Medical Considerations. The applicant’s training pro- gram shall cover all of the following medical subjects:

a.         Local anesthesia techniques, including ice, EMLAÒ cream, and other applicable topical treatments

b.        Typical  laser   and  IPL  device  settings  for  hair removal and cosmetic procedures

c.         Expected patient response to treatment

d.        Potential adverse reactions to treatment

e.         Anatomy and physiology of skin areas to be treated

f.         Indications and contraindications for use of pigment and vascular-specific lasers for cutaneous proce- dures

4.        General Laser or IPL device safety. The applicant’s train- ing program shall cover the following general safety sub- jects:

a.         Laser and IPL device classifications

b.        Control measures (includes information regarding protective equipment)

c.         Manager and operator responsibilities

d.        Medical surveillance practices

e.         Federal and state legal requirements

f.         Related safety issues

i.         Controlled access

ii.        Plume management

iii.      Equipment testing, aligning, and troubleshoot- ing

Historical Note

New appendix made by final rulemaking at 11 A.A.R.

978, effective April 3, 2005 (Supp. 05-1).