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NRC stands for
Nuclear Regulatory Commission
What body regulates all nuclear material and byproduct material?
Nuclear Regulatory Commission
What body regulates CT scanners?
the state
agreement states
have an agreement with the NRC to accept responsibility for regulating byproduct materials within their jurisdiction (more strict than NRC)
NRC 10 CFR Part 19
Notices, Instructions, and Reports to Workers: Inspections and Investigation
NRC 10 CFR Part 20
Standards for Protection against Radiation
NRC 10 CFR Part 35
Medical Use of Byproduct Material
NRC 10 CFR Part 33
Specific Domestic Licenses of Broad Scope for Byproduct Material
Broad Scope licenses
reserved for large hospitals and academic institutions (Type A for largest institutions, Type B and C too)
Limited Scope licenses
specific licenses usually for small hospitals and office practices
authorized user
person with documented training and experience in the safe handling and use of radioactive materials for medical use
What is the authorized user authorized to do?
to order, receive, store, and administer radipharmaceuticals
Who is listed on a radioactive materials license?
all authorized users, the Radiation Safety Officer (RSO, only 1)
Radiation Safety Officer (RSO)
responsible for implementing the radiation safety program and ensuring that activities are being performed in accordance with approved procedures and regulatory requirements
How often does the Radiation Safety Committee meet?
every 6 months
How long are survey instrument calibration records kept?
3 years
How long are dosage records kept?
3 years
What must the dosage record include?
radiopharmaceutical name
patient name
dose
date and time of dosage
who determined the dosage
How often is ambient exposure rate measured in areas of radionuclide use or storage?
weekly
How often is ambient exposure rate measured in areas where byproduct material requiring a written directive was prepared or administered?
daily
How long are records of ambient exposure rate kept?
3 years
How often should xenon traps/collecting systems be checked?
every 6 months
written directive
written order by an AU for the administration of byproduct material to a specific patient
When is it necessary to have a written directive?
I-131 therapy for doses greater than 30 uCi
β-emitting radionuclides
What must a written directive include?
patient’s name
dosage
AU’s signature
date
route of administration
How long are copies of written directives kept?
3 years
medical event
wrong patient, wrong radiopharmaceutical, wrong route of administration, or administered dose differing from the prescribed dose by more than 20%
AND
effective dose equivalent exceeds 5 rem to whole body or 50 rem to any individual organ
Who are medical events reported to?
RSO, NRC, referring physician, affected patient
How long are records of procedures for administrations requiring a written directive kept?
for the duration of the license
How long are records of actions taken by management relative to the radiation protection program kept?
5 years
Who is the governing body regarding transportation of radioactive materials?
Department of Transportation
maximum allowable surface dose rates for White I label
1 meter: 0 mR/hr
surface: 0.5 mR/hr
maximum allowable surface dose rates for Yellow II label
1 meter: 1 mR/hr
surface: 50 mR/hr
maximum allowable surface dose rates for Yellow III label
1 meter: 10 mR/hr
surface: 200 mR/hr
transportation index
millirems per hour measured at 1 meter from the package
How long do you have to check a radioactive package for contamination?
3 hours from delivery or beginning of work day
process of accepting radioactive shipments
inspection, looking for damage or leakage
external survey with G-M counter
wipe test
wipe test limit for radioactive shipment
6600 dpm
unrestricted areas have a dose rate of less than
2 mrem/hr
radiation area has levels that could result in a dose equivalent of more than
5 mrem/hr
high radiation area has levels that could result in a dose equivalent of more than
100 mrem/hr
Where must a caution radioactive materials sign be posted?
where licensed radioactive material is used or stored
What colors are the radiation signs?
yellow and magenta
How much radioactivity is allowed released into the sewer in one year?
1 Ci
to decay in storage, the material must have a physical half life of less than
120 days
After decaying in storage, material may be disposed of if
monitoring at the surface is equal to background
labels are removed or obliterated
How long do we keep radioactive material for decay?
10 half lives
Patient may be released if the total effective dose equivalent to another individual is unlikely to exceed
0.5 rem
Patient must be given written instructions if the total effective dose equivalent to another individual is likely to exceed
0.1 rem
Written instructions for patients undergoing radiation therapy includes
maintaining distance from other persons
sleeping arrangements
minimizing time in public spaces
precautions to reduce the spread of radioactive contamination
What is the recommended shield material for positron emitters?
tungsten