Implementing the ANSI Z 136.3 laser safety standard in the medical environment

The American National Standards Institute (ANSI) is an organization comprising several committees of expert volunteers who have traditionally determined the industry consensus standards in various fields. The existing federal legislation and the suggested state laser-safety regulation are based on the 1980 ANSI Standard, "For the Safe Use of Lasers." It was quickly recognized that the safety needs of the industrial and medical environments differed sufficiently to prompt the American National Standards Institute to form a committee to write a new set of standards for "Laser Safety in the Health Care Environment" (ANSI Z 136.3). This standard will apply not only to hospitals but also to offices, clinics, and anywhere else that the laser is used for medical purposes. This paper will outline this important laser-safety standard and describe in detail how best to implement it in the environment in which the otolaryngologist--head and neck surgeon practices.