Dose Transmittals And Pregnancy Documentation

Question 1

What is the purpose of a Dose Transmittal Letter?

Answer 1

Method of transmitting ionizing radiation exposure information from one command to another, normally via Naval Letter.

Question 2

When should the Dose Transmittal Letter be forward to the gaining command?

Answer 2

30 days within receipt of final exposure information.

Question 3

What do Dose Transmittal Letters include

Answer 3

• Name of command forwarding report
• Command assigned
• Individual’s name SSN, Rate, & DOB.
• Period of exposure
• Type & amount of exposure
• Total Lifetime Exposure (LTEDE)
• Type of TLD worn
• If Exposure was reported to the NDC

Question 4

What is the retention requirement for Dose Transmittal Letters?

Answer 4

There is none, but it is highly recommended to develop a system to document dose transmittal were sent.

Question 5

Purpose of a Termination Letter

Answer 5

Summarizing a radiation worker’s total occupation radiation exposure received during their employment.
Done via a Naval Letter.

Question 6

When should Termination Letter be submitted?

Answer 6

30 days after receipt of the individual final exposure information OR
After the determination that the individual will no longer be monitored for exposure to ionizing radiation.

Question 7

How long are Termination Letters retained for?

Answer 7

5 years.

Question 8

What is the purpose of the embryo/fetus statement?

Answer 8

“To ensure proper calculation and documentation of exposure to a declared pregnant woman and her embryo or fetus during pregnancy, and to prevent exceeding chapter 4 exposure limits in P-5055”.

Question 9

Is a woman obligated to clear her pregnancy?

Answer 9

No.

Question 10

How is the final dose estimated made at the conclusion of a pregnancy?

Answer 10

• The TLD collected at the time of declaration will be processed sent immediately or with the control dosimeters (depending if underway or not)
• Member will be given another TLD for the rest of the period.
• at the conclusion of pregnancy, the TLD will be sent to be processed, again immediately or with the control dosimeters (depending if underway or not).

Question 11

Terminational letter is only completed if what occurs?

Answer 11

If the worker requests for one.

Question 12

How does a woman declare her pregnancy?

Answer 12

*An SF-600 will be completed that is dated and signed by the woman, it will be witnessed, signed and dated by the MDR.

• The SF-600 will states something to the effect of “ I hereby make the declaration I am my pregnant, my estimated date of conception is DD MM YYYY. I understand that my occupational ionizing radiation exposure will be controlled in a manner that my unborn child will not exceeded the limits posted in chapter 4 of the NAVMED P-5055”.
• This will then be placed in her record and will remain in effect until the member withdraws the declaration or is no longer pregnant.

Question 13

What is the maximum issue period for a declared pregnant worker?

Answer 13

• 35 days

Question 14

If a declared pregnant woman transfers before giving birth, what will the MDR do?

Answer 14

*The exposure statement will be sent along with another statement that contains how the method the dose was estimated (during the declaration) and a final dose will be forward to gaining command with 30 days of receipt of results.

Question 15

What are the exposure limits for a embryo/fetus?

Answer 15

500 mrem for pregnancy term, not to exceed 50 mrem/month.

Question 16

When a pregnancy has ended what is required for the woman and her health record?

Answer 16

• TEDE will be calculated for the fetus during the entire pregnancy.
• She will notify her command that it has ended and provide documentation stating as such, and will sign and date an SF-600 stating her pregnancy has ended.
  *In the remarks section of the NAVMED 6470/10 it will be stated wether or not occupational radiation exposure was received from the estimated date of conception to the end of the pregnancy.

Question 17

If a pregnant worker PCS to another command with a billet with occupational exposure to ionizing radiation what must be done?

Answer 17

*MDR will have an updated NAVMED 6470/10 in the worker’s health record. And will have a statement on wether or not occupational radiation exposure was received at estimated conception date to the current date.

• The gaining command will be responsible for tracking and ensuring the requirements are being followed for declared pregnant workers ( If the billet also has exposure to ionizing radiation).