NAC449.4516. Equipment and supplies.

     1. The administrator of a facility shall ensure that:

     (a) The facility is adequately equipped;

     (b) Any equipment used in the facility is periodically inspected and, if appropriate, tested, calibrated, serviced or repaired according to the manufacturer’s instructions to ensure that the equipment is functioning properly;

     (c) All equipment and supplies used in the facility are used in accordance with the manufacturer’s instructions;

     (d) Such records are maintained as required to ensure that appropriate inspections and maintenance of all equipment used in the facility are periodically accomplished by an appropriately qualified person;

     (e) Each laser used in the facility meets the requirements of any applicable federal standards set forth in 21 C.F.R. Part 1040; and

     (f) Appropriate evidence of compliance with 21 C.F.R. Part 1040 is maintained for each laser at the facility.

     2. The administrator of the facility shall ensure that policies and procedures are established and implemented for each laser used in the facility which include, without limitation:

     (a) A safety program concerning the use of the laser; and

     (b) Education and training of each person who operates the laser, including, without limitation, requirements that each member of the staff be adequately trained in the use and safety of each laser used in patient care and that the administrator ensure that proof of any required training is maintained at the facility.

     3. The administrator of the facility shall ensure that a safe environment for the use of lasers is provided, including, without limitation, ensuring that:

     (a) Only authorized persons are allowed in treatment areas;

     (b) Door and window coverings are used where appropriate;

     (c) Protective eyewear is used, when appropriate, by persons who operate a laser;

     (d) Laser components which have direct contact with a patient are appropriately disinfected or sterilized;

     (e) Records concerning the maintenance of each laser in the facility are maintained; and

     (f) Each laser in the facility is visually inspected and tested before each use.

     4. The administrator of the facility shall ensure that appropriate fire protection concerning the use of each laser is provided, including, without limitation, the immediate availability of:

     (a) Fire extinguishers which are inspected at least once a year and determined to be appropriate for electrical fires by a person who is certified by the State Fire Marshal to conduct such inspections;

     (b) Water for the protection of the patient; and

     (c) Noncombustible materials, supplies and solutions, as appropriate.

     (Added to NAC by Bd. of Health by R052-02, eff. 7-24-2002)