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communication Care has been taken to confirm the accuracy of the - - PowerPoint PPT Presentation

Radiation safety and communication 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,


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SLIDE 1

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.

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SLIDE 2

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:

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SLIDE 3

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

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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:

THE SIM GUIDE

Radiation Therapy students only

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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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THE SIM GUIDE

Radiation Therapy environment

Treatment console Linear accelerator in treatment bunker

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THE SIM GUIDE

Signs & symbols

Radiation beam

  • n/off warning

symbols

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SLIDE 8

THE SIM GUIDE

Radiation warning signs and barrier to prevent entry warning signs barrier

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THE SIM GUIDE

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THE SIM GUIDE

‘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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THE SIM GUIDE

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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THE SIM GUIDE

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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SLIDE 14

THE SIM GUIDE

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)

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ALARA is an acronym for: As s Low

  • w As

s Reason easonably bly Achievabl hievable 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
  • r
  • Treatment room door or entry of the MAZE

while the radiation beam is switched ON.

THE SIM GUIDE

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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 R SAFE FETY

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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

THE SIM GUIDE

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SLIDE 21

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