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Radiation safety and communication
THE SIM GUIDE
Care has been taken to confirm the accuracy of the information presented to describe generally accepted practices; however, the authors and publisher are not responsible for perceived or actual inaccuracies, omissions or interpretation of the contents of this presentation.
THE SIM GUIDE
Learning Objectives
be oriented to a radiation environment
be able to identify:
• radiation beam on/off sign
• x-ray radiation areas
• radiation warning signs
• sound of radiation being delivered
in a treatment bunker
By the end of this presentation you
will:
know when and how to communicate with
radiation therapists during delivery of patient
treatment
know how to maintain safe conduct in a radiation
area and limit exposure to radiation
able to identify key personal safety requirements
when visiting and working in a radiation
department
By the end of this presentation you
will:
THE SIM GUIDE
be able to identify anxious or aggravated patients
be able to identify strategies for dealing with
these patients
By the end of this presentation you
will:
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Radiation Therapy students only
THE SIM GUIDE
Orientation
Radiation Therapy department consists of:
• CT/simulation
• Planning room
• Treatment area
• Treatment console/control room
area where the treatment machine is operated
• Treatment room (bunker) room where radiation is administered to patient
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Radiation Therapy environment
Treatment console
Linear accelerator in
treatment bunker
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Signs & symbols
Radiation beam
on/off warning
symbols
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Radiation warning
signs and barrier
to prevent entry
warning signs
barrier
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‘Beam on’ sounds
Sound when treatment machine is turned on
Sound when treatment machine taking an image
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Communication etiquette
Do not enter the treatment bunker unless invited
announce your presence before entering and wait
for invitation
Never enter treatment room or console area
without radiation therapist’s or radiographer’s
permission
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Do not interrupt treatment staff during a patient’s
treatment
• If matter is urgent discuss with non treating
staff member
• If staff busy with patient wait to be
acknowledged
Be mindful of how your behaviour may impact on
a patients treatment
e.g. beam interruption, breach of patient privacy
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Safe conduct
Ensure you maintain a professional manner
Partake in appropriate communication with
radiation therapy staff
Be mindful of your own personal safety
ie. minimise potential exposure to radiation
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Be mindful of the impact of disrupting/distracting
a radiation workers concentration when
performing a procedure / treatment
Adhere to ALARA (see explanation on next slide)
ALARA is an acronym for:
As Low As Reasonably Achievable
This is a radiation safety principle for minimizing
radiation doses and releases of radioactive
materials by employing all reasonable methods.
ALARA is not only a sound safety principle, but is
a regulatory requirement for all radiation safety
programs.
Limiting staff exposure
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Applies to staff as much as the patients receiving
the procedures/treatment
http://www.ncsu.edu/ehs/radiation/forms/alara.pdf
Do not stand unnecessarily near the:
• CT/simulator door during a CT scan or
• Treatment room door or entry of the MAZE
while the radiation beam is switched ON.
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ARPANSA Australian Radiation Protection &
Nuclear Safety Agency
Outline safe practices for when delivering radiation
Radiation Protection Series – see PDFs
Safety messages from ARPANSA
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Clause 3.3.4e – Stipulates:
Observation of radiation protocols
they are there for YOUR SAFETY
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Thermoluminescent Dosimeters (TLDs)
Aware of last person out procedures
Importance of notifying radiation therapy
staff when entering/leaving a room so as to
not be left in room during beam on.
Personal safety requirements
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Radiation Protection in Radiotherapy document
http://www.arpansa.gov.au/pubs/rps/rps14_3.pdf
Radiation Protection in Diagnostic and
Interventional Radiology
http://www.arpansa.gov.au/pubs/rps/rps14_1.pdf
Radiation Protection in Nuclear Medicine
http://www.arpansa.gov.au/pubs/rps/rps14_2.pdf
Documents available
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Recommendations for Limiting Exposure to
Ionising Radiation and National Standard for
Limiting Occupational Exposure to Ionising
Radiation
http://www.arpansa.gov.au/pubs/rps/rps1.pdf
Local Health District / Specialty Health Network
Radiation Safety Guidelines
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NC State University – Radiation Safety and ALARA
http://www.ncsu.edu/ehs/radiation/forms/alara.pdf
Australian Radiation Protection and Nuclear Safety
Agency – Radiation Protection in Radiotherapy
Radiation Protection series No. 14.3
http://www.arpansa.gov.au/pubs/rps/rps14_3.pdf
References
THE SIM GUIDE
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