Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL
Article 14 - REGISTRATION OF NONIONIZING RADIATION SOURCES AND STANDARDS FOR PROTECTION AGAINST NONIONIZING RADIATION
Appendix C - Health Professional 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 program 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-emitting 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 Exposure (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 program shall cover all of the following medical subjects:
a. Local anesthesia techniques, including ice, EMLA 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 procedures
4. General Laser or IPL device safety. The applicant's training program shall cover the following general safety subjects:
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 troubleshooting
