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23 Cards in this Set
- Front
- Back
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Contents of initial TLD request |
A set of TLDs (quantity specified by the activity's RADIAC allowance) Twice the number of card holders as TLDs (one set to wear, and one set to work with when changing out TLDs) Card holder openers Identification stickers for the card holders (optional) Card holder clips (optional) A shipping list (paper and electronic form) |
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REAB |
Radiation Effects Advisory Board |
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5.1.1 Describe the importance of the Radiation Medical Examination |
Establish the presence of abscence of cancer through a focused medical exam. Protect the DOD from lawsuits.
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What is the purpose of a radiation protection program |
Is the sum of all methods, plans, and procedures used to protect human health and the environment from exposure to sources of ionizing radiation. |
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5.1.2 Describe the specified types of RME |
PE: Pre-Placement Exam RE: Re-Examination TE: Termination Exam SE: Situational Exam |
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5.1.2 PE |
Prior to assignment as Radiation Worker. For Re-Entry as Radiation Worker if previously received a TE. Non-Rad Worker (no previous PE) but have exceeded 500mrem in a calendar year. |
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5.1.2 RE |
Continues with routine duties as Rad Worker. q5yr: <50 y/o q2yr: 50-60 y/o qyr: >60 y/o Shall be completed no later than the month after anniversary of previous exam, based on date on block 23 of NAVMED 6470/13 |
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5.1.2 SE |
When exeeded radiation protection standards for Rad Workers. TEDE: 5rem/yr, 3rem/qtr Shallow Dose Eq (extr/skin): 50rem/yr Eye Dose Eq: 15rem/yr Sum of CDE & DDE: 50rem/yr Exceeds 50% ALI Deemed necessary by physician |
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5.1.2 TE |
Upon separation, termination if a previous PE. MUST document Occ exposure, even if TEDE is 00.000 rem. If permanently removed from RadWOrker duties. No earlier than 6 months prior to separation. All rad workers must recieve a TE piror to exiting the program. If not completed: 1) NAVMED 6470/13 will be prepared and completed to the max extent possible, 2) reason why is incomplete will be recorded in Summary of Abnormal Findings (block 14). |
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NAVMED P-5055 |
Radiation Health Protection Manual Ch 2 serves as guiding reference. Sources of amplifying information: -ACNs -NOTEs -REVs |
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Timelines for completion of RME |
within 45 days of RME started, all external information, consultations, results, must be submitted/included in RME. If not completed within 45 days: worker has medical qualification suspended and name added to "Do Not Issue Dosimeter" list. |
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Location of NAVMED 6470/13 in medical records? |
On TOP of all other physical examinations, section 3 of medical record. |
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5.2.2 Who is allowed to conduct RMEs? |
Physicians, Physician Assistants, and Nurse Practitioners who have received BUMED-approved training. If REM not performed by Physician, must be signed by one with BUMED-approved training. IDCs are NOT authorized. |
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5.4.1 Demonstrate the proper entires to be made in each section of the NAVMED 6470/13 and medical record jacket/employee medical file. |
You should review the 6470/13 by yourself. |
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Required info to be entered on the front of the individual's health record? |
Termination Radiation Medical Examination Required |
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5.2.3 Minimum components of RME |
Medical History (blocks 3-10) Physical Examination Special Studies: WBC, Hct, Urinalysis others as indicated: Internal Monitoring, Radiobioassay |
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5.2.1 Describe medical conditions that may be related to ionizing radiation exposure that are emphasized during the RME. |
Exposure to ionizing radiation above table 1 limits (See 5.1.2 SE). hx of CA hx of anemia/hematuria hx of radiation/radiopharmaceutical treatment hx of handling of unsealed sources significant changes/illnesses since last rme, related to CA |
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What are P-5055 Special Studies? |
WBC Hct Urinalysis, microscopic High Power Field DRE, male >40 CBE, females>40 Internal Monitoring Radiobioassay |
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When is Internal Monitoring necessary? |
member exceeds 10% ALI enters radiation program terminates, separates, retires from radiation program deemed necessary by UMO or RHO transfer to non-reporting command |
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What goes on Block 14 of NAVMED 6470/13? |
Summary of Abnormal Findings: e.g. positive results of the medical history; significant results of special studies; results of repeat studies; comments on determination of CD or NCD findings. |
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5.3.1 Describe medical conditions that may be cause for rejection or disqualification. |
hx of cancer or cancer therapy radiation therapy polycythemia vera leukemia abnormal Hct, WBC & UA (>3 RBC/HPF) open lesions/wounds that cannot be protected from contamination. internal exposure >50%ALI in one year
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5.3.2 State the standards for lab values when conducting a RME. |
WBC: anemia according to lab reference values. Repeat labs if abn, focus w/u on Dx of CA. Hematuria: >3 RBC/HPF or Heme + on dipstick. If first microscopic UA is abnormal, repeat a second; |
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Documentation required for the REAB. |
Completed RME Supporting documentation directly relating to condition (special studies, labs, specialty paperwork) Transmittal letter (reason for submittal, total lifetime exposure, summary of duties, current or disqualifying diagnosis) |
