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67 Cards in this Set

  • Front
  • Back

What is included in occupational exposure (Alberta act and regulations)

- scatter and leakage radiation from working with x-ray equipment

how long should dosimetry records be kept, as a provincial standard

5 years

when are people under 18 allowed to access x-ray equipment

when they are students and x-ray is part of their course and they're supervised

who is responsible to provide personal radiation monitors to those occupationally exposed

the employer

registration certificates

- specified for each x-ray unit


- specified time only


- at the Director of the Radiation Health and Advisory Committee's discretion


- must be posted at site or workers notified


- can be suspended by RHAC

what annual limit for whole body of radiation workers is used provincially

50mSv, but we will use 20mSv

what limit for the abdomen of pregnant radiation for the remainder of the pregnancy workers is used provincially

2mSv, we will use 4mSv

which regulation prevails in cases of confict

alberta provincial act and regulation

which should be adhered to in cases of conflict

occupational health and safety act

what right does an employee have if he/she thinks that the radiation equipment used isn't safe

employee doesn't have to use that stuff

what can happen to the registration certificate of an x-ray unit if the unit is used disregarding restrictions placed upon it by the radiation health advisory committee?

certificate can be suspended

how long does a person have to appeal closure or suspension of a registration certificate

30 days

how long from an incident may prosecution occur

2 years

equipment requirements for CT

irradiation control. visual indications, emergency termination, focal spot to skin distance, x-ray beam quality, preview image, light field, motion of patient support

CR imaging plates should have _ visual inspection and _ cleaning following manufacturer recommendation

weekly, monthly

DRL

diagnostic reference levels

DRLs are determined with

standard patient sizes

DRL usefulness

large individual doses may be decreased

fluoro focal spot to skin distance minimums

38cm for stationary, 30cm for mobile, 20cm for special applications

_ and _ radiography gives largest man-made radiation dose to population (905)

dental, medical

reduce dose by (2)

reduce number of images taken and number of people x-rayed

reducing patient dose

effective communication, proper positioning, immobilization, distance, collimation, time of exposure

MMD

mean marrow dose

MMD measures _, not _

dose, effect

MMD is a _ index

somatic

GSD is a _ index

genetic

ESE

higher than absorbed dose

calculating ESE

mR/mAs

three principle ways to specify patient dose

GSD, MMD, ESE

equal or less than 5mm diameter circle lead sheilding for

thyroid or gonad area

at 100 kv, lead drapes must have _ lead eq

0.25mm

at 100kc, bucky slot cover must have _ lead eq

0.5

fluoroscopy uses _ _ and _ _ techniques to reduce dose to patient up to 25-50%

pulsed beam and image hold

requirements and recommendations for operation of radiographic equipment

-operator should stay within shielded control


- must wear protective clothing if staying in room


- must have clear view/communication


- must not hand hold cassette during exposure


operator must stand out of _ _ at least _ away from mobile tube

primary beam, 3m

mobiles should only be used if

patient cannot come to room

what makes informed consent valid

patient must fully understand the procedure with an explanation of the procedure including the risks and benefits

who must all incidents be reported to

supervisor and the incident report must be sent to risk management program to look or changes needed to improve safety

what is the ethical guidlines for a technologist

ACMDTT and CAMRT code of ethics

what are the 5 criteria of the canadian health care act

administration, comprehensiveness, universality, portability, accessibility

CHA

canadian health act

what is the main reason why patient charts are required

provide data about the patients progress and status to other healthcare professionals

who is ultimately responsible for the radaition safety of the facility

the owner

main role of responsible user

monitor and manage the radiation safety program of the facility

responsible user roles

personnel requirements, equipment performance and safety procedures and to communicate program info with the appropriate staff

owner roles

ensure that the equipment and the facilities in whcih such equipment is installed and used meet all applicable radiation safety standards, and that a radiation safety program is developed, implemented and maintained for the facility

responsible user roles

possess qualifications for operating the equipement required by any applicable federal, provincial, or territorial regulations or statutes and be certified according to a recognized standard

responsible user roles

acquire re-qualifications or refresher training according to any applicable federal, prvbincial, or territorial regulations or statues and according to a recognized standard

responsible user roles

ensure that the x-ray equipment, image processing equipment, and auxiliary equipment function correctly and are mainatined properly by implementing and maintaining an effective imaging quality assurance program

goal of radiation protection in radiography

limit human exposure to ionizing radiation so that the benefits outweigh the risks to decrease chance of somatic and genetic effects

goals of radiation protection in radiography

to PREVENT non-stochastic (threshold) effects and to LIMIT stochastic (non-threshold) effects

MPD

max permissible dose

MPD whole body rad worker

20mSv

MPD whole body public

1mSv

MPD lens of eye rad worker

150mSv

MPD lens of eye public

15mSv

MPD skin/hands/all other organs for rad worker

500mSv

MPD skin/hands/all other organs for public

50mSv

if personal radiation badge is accidentally exposed when not worn, tell _

RSO

medical physicist/rso acts as advisor on radiation protection during (3)

initial stages of construction, installation of equipment, equipment operations

the radiation safety specialist who manages a facility's radiation protection program

medical physicist/rso

referring physician/practirioner

is a person authorized to prescribe x-ray prcedures

information system specialist

is a person trained and experienced in maintenance and QC of information technology software and hardware

operators must not hand hold _ during exposure

cassettes

_ gives more radiation than radiography

fluoroscopy

operators working with fluoro must monitor

tube current and voltage

pulsed beam and image hold techniques for fluoro reduces patient dose by

up to 25-50%