Radiation Protection Education

Quality Management System

Sofia Skyttner, MSc
2018

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Any question = good question!

Ministry of Information Photo Devision Photographer

…radiation protection education planning?
Sofia Skyttner

James Montgomery Flagg

Regarding the radiation protection principles,
staff should have…

• Knowledge
• Skills
  
• Competence
  

Read more: ESR ET AL 2014 Protection No 175
“Guidelines on Radiation Protection Education and Training of Medical Professionals in the European Union”

• Physics of (ionizing) radiation
• Biological effect and risk
• Radiation protection principles: optimization & justification

For example, see presentation

http://www.rpubs.com/sofiaskyttner/radprot_phys

• Atomic structure
• X-ray production and interaction of radiation
• Physical characteristics of X-ray systems
• Fundamentals of radiation detection

Napy1kenobi

• Fundamentals of radiobiology, biological effects of radiation
• Risks of cancer and hereditary disease (incl foetal exposure)
• Risks of deterministic effects
• Radiological quantities and units (incl effective dose)
• Typical doses from diagnostic procedures

Cary Bass

• Operational radiation protection
• Particular patient radiation protection aspects
• Particular staff radiation protection aspects
• Quality control and quality assurance in radiation protection
• National regulations and international standards
• Dose management of pregnant patients, and pregnant staff
• The process of justification of imaging examinations
• Management of accidents/unintentional exposures

B (risk to exceed effective dose 1 mSv/year)

• Nurses & physicians in anesthesia/intensive care
• Surgery nurses & surgeons (C-arm)
• Radiographers & radiologists (CT/conv X-ray)
• Biomedical scientists (pediatric angio)
• Engineers & medical physicists (all modalities)

A (risk to exceed effective dose 6 mSv/year)

• Surgeons/radiologists/nurses (angio-/intervention)

Risk for exposing themselves or others to radiation levels above natural background radiation level is considered negligible

NASA Goddard Space Flight Center

Staff working with X-ray equip

• Radiographers & radiologists
• Non-radiological specialists, e.g. surgeons
• Medical phycisists
• Maintenance engineers/technicians

Not working with X-ray equip

• Non-radiological specialists in anesthesia & intensive care
• Non-radiological nurses in anesthesia & intensive care

Managing…

• …CT/X-ray systems, e.g. diagnostic radiologists and radiographers
• …angio/interventional systems, e.g. interventional radiologists
• …mobile fluoroscopy (C arms) systems, e.g. surgeons and nurses
• …all X-ray systems, e.g. medical physicists & service engineers

Participating…

• …where X-ray is present, e.g. anesthesia and/or intensive care physicians/nurses

…working together ≠ …

• …sharing managers
• …sharing meeting times
• …sharing medical rounds

Robert Scoble

• Every 3rd year
  

Scott Bauer

For convinience:

• Web based introduction in radiation safety
  
• Classroom lecture within a year

Rock1997

Theory

• One hour in classroom

Practice

• One hour lab + no of weeks for “licence”

Zaui/Scott Catron

• Classic one hour lecture (incl time for questions)
• Attendent list for signatures

Ferencz Thuroczy

…intercept radiation protection issues/problems

JasonSWrench

• One hour @ the X-ray equipment
  
• Delegate to radiation agent (strålskyddsombud)
  
• Get involved in the “licence practice”

Francis Stewart

Step 1

• Contact ALL department heads to get…
• …the name of each dep's educational planning person

Step 2

• Yearly contact with these edu.plan. persons
• Prioritize phone calls before e-mails
• Keep record of who/what/when/where

…without councelling the departments…

CSIRO

• …meeting times
• …education sessions
• …medical rounds

Wellcome Images

• Define lecture time and place at the department
• Combine departments that share questions (problems)
• Announce lecture times by e-mail to all edu.planners
• Enable course registration until AFTER lecture

mailer_diablo

Black box = education web portal

Simplifies our work!

• Attendents lists
• Automatic notice when licence expires
• Participation statistics to national authority

opensource.com

• Can a web course replace classroom lectures?
• Refering physician (remittent) dedicated education?
• RALF (Radiologisk Ledningsfunktion) dedicated education?
  
• How to share & develop edu material between hospitals?
  United States Navy, Lilliana Lavende

Anthony Cramp