Home' Clinical Aesthetics : CA issue 6 Contents "Patients and prosecutions lawyers aren't
interested in cakes of course but are very
interested in seeking reparation if you
caused an adverse event that should have
"There will be no excuse when you go to
court to defend yourself if you (or members
of your team) weren't educated, trained and
deemed to be competent, had no standard
operating policies and procedures to inform
your practice and neglected to follow what is
accepted as an industry standard.
"Not following Standards contravenes
workplace health and safety law and is
negligence. It will not be tolerated in a
court of law.
"Imagine, if when building your
house, the builder neglected to follow
the standards for the materials they used
and you had asbestos, leaky pipes and
dangerously thin glass in your windows.
How would that feel?"
WHERE RESPONSIBILITY LIES
Elissa says the responsibility for the safety
of patients and the attending clinician
during the use of lasers falls equally upon
the management of the practice, the
administration, the clinicians using the
equipment, and all staff concerned with its
operation and maintenance.
"It is mandatory for business to have
criteria and policies that are explicit about
the continuing education and training that
will be required for determining that their
technicians are competent," she says.
"Only competent personnel shall be
permitted to operate lasers and laser
systems. Criteria for certification is to be
established by the facility, based on the type
of equipment and its applications, practice
setting and procedure.
"At present there is one national
document regarding safe use of lasers: the
Guide to the Safe use of Lasers in Health
Care AS/NZS 4173:2004.
"It is certain that regulations will
become much more stringent -- and more
"Therefore it is vital for practice ow ners/
managers with these devices that they and
their clinicians are operating them within
existing guidelines, that they are using the
right devices for their level of qualification,
and ensure that they have the appropriate
qualifications and training."
Elissa believes the revised Standard will
clarify certainty around terminology; the
import, sales, ser vicing and staff training
for specific laser and IPL equipment, best
practice for patient care.
She adds: "The reporting of injuries
will also be valuable elements in raising
the standards of cosmetic medicine and
keeping the public safe."
FACE TO FACE
The Cosmetic Physicians College of
Australasia (CPCA) is urging patients
seeking laser and IPL treatments to have
a face-to-face consultation with a doctor
first as the College is gravely concerned
about the lack of regulation in this
The only states that currently have
regulation covering the use of light devices,
such as laser and IPL, are Queensland,
Western Australia and Tasmania.
The most populated states, NSW
and Victoria, have no regulation or
registration mechanisms for either the
devices or the operators.
"Our members are repeatedly called
upon to perform remedial treatment
as a result of 'botched' treatments by
poorly trained providers, often operating
out of beauty clinics," says Brisbane
cosmetic physician Dr Mary Dingley, a
spokesperson for the CPCA.
"Cases have included severe burns,
facial disfigurement and the misdiagnosed
treatment of skin disorders and diseases
such as melanoma.
"If you're interested in non-invasive
treatments like injectables, you should
visit CPCA.NET.AU to find a doctor with an
interest in non-invasive cosmetic medicine."
COVER YOUR BASES
Ensure would-be laser and IPL patients
have had a skin cancer check within the last
6 -12 months.
According to the Royal Australian
College of General Practitioners, there is a
high-risk group who should be doing self-
checks every three months and a 12-monthly
skin check with their doctor.
These are people with red hair,
Fitzpatrick Skin Type 1 aged over 45,
Fitzpatrick Skin Type 2 aged over 65,
family history of melanoma in a first
degree relative in patients older than
15, more than 100 naevi (more than 10
atypical), past history of melanoma or a
past history of non-melanoma skin cancer
or more than 20 solar keratoses.
"As a minimum, laser and/or IPL
technicians will be required to have a
combination of education and skills to be
deemed competent to perform treatments,"
says Elissa O'Keefe.
"They will be required to have
successfully completed an accredited
laser/IPL safety certificate, have an
understanding of how the specific device
they are using works and have had some
super vised practice by a senior mentor to
ensure that they are competent.
"The Standard mandates that the
criteria for certification of competency is
to be established by the facility, based on
the type of equipment and its applications,
practice setting and procedure.
"This means too that you will need
standard operating policy and procedure
(SOPP) documents that are explicit about
how you manage this and other aspects of
laser/IPL use in your workplace and that
these will be kept at each laser use site."
Bravura Education will be offering
a bespoke SOPP service as one of its
consultancy offerings in the near future;
there are about 12 that will be required.
Elissa/Bravura will also be offering
a Laser and IPL Officer Training
Certification at the inaugural
Cosmedicon conference, being held at the
InterContinental Hotel, Double Bay, Sydney,
March 15-18, 2018.
It will involved six hours' face-to -face and
an additional two hours of self-directed study.
An online exam of two hours is required
after ward to achieve course completion.
Assessment is a two-hour, online, open
book exam. The course meets the AHPR A
requirements for continuing professional
This course is designed for practitioners
or technicians currently working, or
planning on working in a cosmetic,
aesthetic or dermatology practice, using
lasers or other light-based technologies.
It will prepare you with the minimum
certification for national uniformity and
regulations that are being implemented in
this industry in the near future.
It is recognised by relevant radiation
health departments as being sufficient
educational preparation to be a Laser
16 | CLINICAL AESTHETICS
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