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Rad Protection Ch.15
Management of Imaging Personnel Radiation Dose during Diagnostic X-Ray Procedure
| Question | Answer |
|---|---|
| Annual Occupational Effective Dose | 50 mSv or 5 rem. |
| Cumulative Effective Dose | - 10 x the person's age mSv. - Person's age x1 rem. |
| ALARA | As low as reasonably achievable. |
| Dose Reduction Techniques: | - Avoid repeats. - Scattered radiation. - Filtration. - Protective apparel. - Technique. - Image receptor systems. - Repeats in Digital Imaging. - Processing. |
| ____________ is the greatest occupational hazard. | Scatter. |
| To avoid radiation received from the scattering off the patient, stand at a ________________ from the beam. | 90 degree angle. |
| ________ takes out low energy x-ray photons which do not enhance the image quality only produce exposure to patient and worker. | Filtration. |
| ___ apparel should be stored so that it does not get crakes and should be checked periodically. | Lead. |
| Maternity aprons consist of ___________ with an extra 1mm lead protective panel across the width of the apron. Wrap around works | 0.5mm lead. |
| 3 basic principles of rad protection | Time , Distance & Shielding. |
| Limit to______________ for the entire pregnancy. | 5.0mSv or 0.50 rem. |
| Time | Minimize time exposed to radiation. |
| Distance | - Utilize the inverse square law. - Maximize distance from radiation source. |
| For radiation protection purposes what is the relationship between distance and radiation dose? | As distance increases, the radiation does decreases by a factor of the square of the distance. |
| Primary Barriers: | - Prevent primary radiation from reaching personnel or public. - 1/16 inch lead and 7feet high. - when tube is 5 to 7 feet from the wall in question. |
| Control Booth | - 7 feet high and permanently attached to the floor. - X-rays should scatter at least twice before reaching behind this barrier. |
| Lead Window | - 1.5mm lead equivalent. - Not to exceed a maximum allowance of 1mSv per week. |
| Secondary Barrier | - Protects against leakage and secondary radiation. - Are walls that is never struck by the primary x-ray beam. - It should overlap primary ½ inch with 1/32 inch of lead minimum. |
| Control-Booth Barriers: | - Protects radiographer. - Must be 7 feet high and permanently attached to the floor. - X-rays must scatter twice before reaching barrier. |
| Lead Impregnated Glass | - Contains 30% lead. - Shatter resistant. - 2mm lead equivalent. |
| How many times should the x-ray beam scatter before reaching the control panel? | 2 x. |
| Lead Aprons and Gloves | - 0.25 mm lead equivalent minimum. - 0.5 mm lead equivalent most often used. |
| Neck and Thyroid Shields | 0.5 mm lead equivalent. |
| Protective Eyeglasses | - 0.35 mm lead equivalent minimum. - 0.5 mm lead equivalent most often used. |
| Bucky Slot Cover | 0.25 mm equivalent. |
| Protective Curtain | 0.25 mm equivalent. |
| Lenses | 0.35 mm wraparound frame 0.5mm lead equivalency. |
| Neck & Thyroid Shield | 0.5mm lead. |
| Lead Apron | At least 0.25mm lead/ best if 0.5 or 1mm lead equivalent. |
| Scheduling | Technologists should not be scheduled for extended periods of time in one high fluoro area for best personnel protection. |
| Lead Gloves | 0.25 mm lead. |
| Distance during mobile exams | Exposure cord should be at least 6ft. In length. |
| Where should the radiographer stand when exposing a patient for a mobile radiograph? | 90 degrees and at least 6ft from the primary beam. |
| It is best to reverse the C-arm for protection: | - Place the intensifier over the table and the tube under the table. - Less scatter to workers. - Not always possible. |
| Protection During C-Arm Fluoroscopy | - Exposure to the radiographer is caused from scatter from patient. - Dose rate higher on tube side. - Scatter exposure lower on image intensifier side. |
| Protection During C-Arm Fluoroscopy: | - Always, always, always wear protective apparel. - If image hold is available use it instead of making a hard copy film. |
| High Level Control Interventional Procedures | -Have a higher dose so should be used. - Mainly used in Cath Lab. - Extremity monitors should be worn on the hands of those individuals who perform these procedures. |
| Patient Restraint | - Radiographers should never stand in the primary beam. - Use other non-occupationally exposed individuals if possible. - Use restraining devices if possible. Protective garments - Never use pregnant individuals. |
| If a student radiographer has a patient that needs to be physically restrained, who should hold? | Anyone but student. |
| Doors to radiographic rooms | - Never make an exposure with the door open to a radiographic room. - Doors must have a 1/32 inch of lead equivalancy. |
| Primary Radiation | - Comes directly from x-ray tube. - Also called Direct radiation. |
| Scattered Radiation | Comes from radiation passing through matter and moving in an unwanted direction. |
| Leakage Radiation | - From x-ray tube. - Does not exit the collimator opening. - Exits the tube housing. |
| Controlled Area | An area adjacent to a wall of an x-ray room in which is occupied by exposed personnel. |
| Uncontrolled Area | An area adjacent to a wall of an x-ray room in which is occupied by the general public. |
| Uncontrolled area must be kept at a maximum weekly equivalent dose of _____ microsieverts. | 20. |
| Controlled area is ________ microsieverts | 1000. |
| Workload (W) | - Weekly radiation use of a diagnostic unit. - Measured in mA per min or mA per week. |
| Use factor (U) | Portion of the beam on time during the week. |
| Occupancy factor (T) | Modifies shielding requirement for a barrier by considering the workweek. |
| Because rooms are not utilized 24/7 a ___________ calculation must be done. | Workload. |
| New Information | - The items used to calculate primary barriers, secondary barriers and leakage radiation requirements in this text are over 20 years old - NCRP is rewriting standards which are more stringent than this text covers. |
| ________________ must be posted in any room or area where radioactive materials or radiation sources are used or stored. | Caution signs. |