SEP 2017

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

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JUMPHEAD Esthetics 54 SEPTEMBER 2017 Med | Med 54 SEPTEMBER 2017 Esthetics training, review, retraining and open communication," says Poole. He recommends ongoing safety training and discus- sion that starts with escorting new employees throughout the practice to show them the location and proper use of spill kits, fi rst aid kits, hand and eye wash stations, fi re extinguishers and personal protective equipment. "Providing an extensive onboarding process sets a prec- edent for the importance of workplace safety," says Poole. But to truly create a culture of safety, employees must also be involved in shaping protocols and identifying risks. Poole and Brown encourage practice owners to carve out a few minutes during routine staff meetings to discuss safety concerns and areas for improvement. In addition, implement daily huddles to review any safety-related is- sues that have occurred in the practice during the previous 24 hours. "Through these efforts, employees will recognize that they have helped defi ne and create the company's safety culture, which in turn allows them to become vested in it," says Brown. Creating Accountability There are several ways to track adherence to safety pro– tocols including no-blame reporting on potential risks, daily huddles, inspections by the internal safety offi cer and staff surveys. "If there are complaints or injuries, make sure that owners, managers and, most importantly, employees are involved in the corrective actions," says Bianco. "Reiterate to employees that they are responsible for their own safety in addition to that of their coworkers." Poole recommends including adherence to safety standards as part of performance reviews, and rewarding employees who follow protocols and raise risk concerns. "Additionally, inspecting work areas and providing feed- back holds employees accountable and provides context for what is expected and acceptable within the practice's standards," he says. "Owners and managers need to sup- port employees who increase their safety performance and counsel employees who are not meeting standards." As an employer, you are responsible for the well-being of your employees—as well as your patients'—while they are on your property. In addition to causing harm to the individual, workplace injuries can wreak havoc on your staffi ng, derail morale and undermine patient confi dence. The threat of fi nes and penalties is just one of many reasons why it is in your best interest to develop and rein- force an environment of safety in your workplace. Shelley Moench-Kelly, MBA, is a Vermont-based freelance writer and editor. © GETTY IMAGES SAFETY FIRST ASLMS Laser and Energy Device Plume Safety Guidelines In addition to eye protection, practices that perform laser and energy-based device treat- ments should also be protecting employees and patients against potential pathogens released by vaporized tissue during treatment. In April 2017, the American Society for Laser and Medicine Surgery's Laser Plume Committee released the following safety guidelines. 1. All medical personnel should consider vaporized and ejected tissue plume to be potentially hazardous both in terms of the particulate matter and infectivity. 2. Evacuator suction systems should always be used to collect the plume. 3. The suction should have a high-fl ow volume with fi lter changes being made per manufacturer's recommendations to optimize suction and fi lter capabilities. 4. Filters should be chosen which allow for maximum fi ltering effi ciency. 5. The suction tip must be placed as close to laser impact as possible. 6. For nanosecond and shorter pulsed lasers, physical barriers that capture the ejected debris or smoke evacuators should be used. 7. Evacuator suction tips and physical barri- ers should be handled per manufacturer recommendations after each procedure to eliminate the risk of cross-contamination. 8. Eye protection, masks, gloves, and ap- propriate clothing should be worn during laser use by all laser personnel when vaporized or ejected tissue plume is generated. 9. Eye protection should be of a nature that would protect from splatter (as well as wavelength-specifi c if a laser is used). 10. Masks should fi t well and have highly effective fi ltration down to the smallest particle size available. 11. Non-sterile gloves should be worn.

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