13 Legislation Flashcards

1
Q

why is legislation necessary in dentistry?

A

patients, staff and the general public could be potentially be exposed to radiation
exposure to ionising radiation involves a risk to the person exposued - ultimate risk is death
complying with appropriate legislation helps minimise the risks

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2
Q

what did IRR99 deal with?

A

dealt with equipment and the protection of staff and the general public

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3
Q

What did IR(ME)R2000 deal with?

A

aimed primarily at the protection of patients

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4
Q

what was the problem with IRR99 and IR(ME)2000?

A

both required large amounts of documentation

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5
Q

On the 1/12018 the ionising radiation regulations 1999 (IRR99) was replaced by what?

A

IRR17

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6
Q

On 6/2/18 the ionising radiation (medical exposure) regulations 2000 were replaced by what?

A

IR(ME)R17

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7
Q

What is the difference between a legislation and a guideline?

A

legislation HAS to be followed (often contains the word must)
guidelines advocate good practice and expert opinion (often contain the word “should”)

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8
Q

Under the IRR2017, you must appoint a RPA, who and what is this?

A

RPA (radiation protection advisor) - this is a medical physicist or specialist company
- their name and contact details should be in the radiation protection file

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9
Q

when should you consult the RPA

A

when planning a new surgery etc radiation over dose
establishing the controlled area

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10
Q

what is the difference between the RPA (radiation protection advisor) and the medical physics expert?

A

RPA has a role in the IRR2017 regulation
MPE is part of IRMER2017
though this could be the same person

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11
Q

What does the size of the controlled area depend on?

A

kV of the machine

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12
Q

Who should be in the controlled area during the radiograph being taken?

A

only the patient

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13
Q

in DDH what size is the controlled area

A

2 metres - should stand from all machines

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14
Q

what is the RPS

A

Radiation protection supervisor (RPS)

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15
Q

what is the role of the radiation protection supervisor

A

each practice must have one - usually dentist or senior member of staff
they ensure complaince with IRR17 and local rules

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16
Q

What should be involved in the local rules, which each dental practice must have?

A
  • apply to all employes
  • relate to radiation protection
  • name of RPS and MPE
  • name of person with legal responsibility for compliance (usually employer)
  • identification and description of controlled area
  • contingency arrangements if malfunction (these need to be rehearsed)
  • details and results of dose investigation levels
  • name and contact details of RPA
  • personal dosimetry arranegments
  • arrangements for pregnant staff
  • reminder of IRR17 obligations
  • displayed where x-ray equipment is
17
Q

what are the 4 roles in radiography?

A

employer
referrer
practitioner
operator

18
Q

what are the written procedures employers must produce?

A
  • entitlement of duty holders
  • identification of the patient
  • demonstrate staff training and competence
  • quality assurance of procedures/documentation
  • clinical audit
19
Q

who can take radiographs in GDP?

A

a dentist
a dental hygienist/therapist
a suitably qualified dental nurse
a clinical dental technician

20
Q

true or false:
not all operators can undertake all operator duties?

A

true

21
Q

equipment is now part of IRMER,
X-ray units must be tested how regularly?

A

preferably annually but minimum of every 3 years

22
Q
A