Lasers: the Perioperative Challenge

AORN Journal,  Nov, 2004  by Karen Freeman

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Lasers: The Perioperative Challenge, third edition Kay A. Ball 2004, 475 pp $40 (member)/$50 (nonmember) softcover

Expanding a laser program can be terrifying for a small, rural hospital, but this book helped to dispel the fears of nurses in my hospital. The author guides readers through laser biophysics, systems, and safety with easy-to-understand examples taken from nursing and "civilian" experiences. It is interesting and even fun to read.

Each type of laser system is discussed in the beginning of the book. Carbon dioxide and neodymium:yttrium aluminum garnet (Nd:YAG) laser systems are covered extensively. The argon laser and the potassium titanyl phosphate (KTP) laser also are given adequate coverage. Less used laser systems are reviewed briefly. All systems are covered in later chapters.

The author addresses laser safety throughout the book, but for easy reference, it is highlighted at the beginning of the book in a section that also includes an expert resource list and sample policies and procedures. Safety equipment, including goggles, smoke evacuators, backstops, and specific fire extinguishers, are illustrated, accompanied by instructions for equipment care.

Clinical applications of laser systems follow file introduction. Each surgical specialty is addressed, beginning with a brief overview of anatomy and ending with the appropriate forms of laser therapy for the procedure. The author includes information on types of lasers used in the past and their results. A section on traditional electrosurgery includes an excellent explanation of electrosurgery characteristics and proper use of mid safety measures for electrosurgery units and lasers.

The final section, which covers risk management and hospital administration, is of utmost importance to nurse managers. The author explains the steps necessary to implement a laser program, including forming a laser committee, orienting staff members, credentialing, and educating patients and the community. Sample policies and procedures, job descriptions, credentialing forms, and discharge instructions are provided. Business aspects, including marketing, financing, and legal and liability issues are covered. This book is an excellent resource for any OR using or planning to implement a laser program.

This book is available from AORN, 2170 S Parker Rd, Suite 400, Denver, CO 80231-5711.

KAREN FREEMAN

RN, BSN, CNOR

STAFF NURSE

CORTLAND MEMORIAL HOSPITAL

CORTLAND, NY

COPYRIGHT 2004 Association of Operating Room Nurses, Inc.
COPYRIGHT 2004 Gale Group