PREVENTION OF ACCDENTAL EXPOSURE IN …在事故预防….pptVIP

Prevention of accidental exposure in radiotherapy Module title Part No...., Module No....Lesson No IAEA Prevention of accidental exposure in radiotherapy Module 1.2: BSS appendix 2 (medical exposure) BSS Appendix II BSS Appendix II addresses: Responsibilities of registrants, licensees, and medical practitioners Justification of medical exposures Optimization of protection for medical exposures Guidance levels for diagnostic exposures Dose constraints for volunteers Maximum patient activity at time of discharge Investigation of accidental medical exposures and incidents Maintenance of records Guidance Levels Registrants and licensees should ensure guidance levels are determined and implemented so that: corrective actions be taken if doses fall substantially below guidance levels and the exposure does not yield the intended benefit of exam or treatment reviews be considered if doses exceed guidance levels as an input to ensuring optimized protection of patients Guidance Levels For diagnostic and nuclear medicine exams, guidance levels should be derived from surveys of broad spectrum of exams, and consider entrance doses, beam areas, and radionuclide activities If such surveys are not available, refer to guidance levels in BSS Schedule III for a guide to performance of equipment BSS Appendix II BSS Appendix II addresses: Responsibilities of registrants, licensees, and medical practitioners Justification of medical exposures Optimization of protection for medical exposures Guidance levels for diagnostic exposures Dose constraints for volunteers Maximum patient activity at time of discharge Investigation of accidental medical exposures and incidents Maintenance of records Dose Constraints When individuals are to be exposed for research purposes, without likelihood of direct benefit, the Ethical Review Committee shall specify dose constraints to be followed. Dose Constraints Registrants and licensees shall constrain any dose to individuals incurred knowingly while vol