Introduction to RME Flashcards
What is an RME?
Radiation Medical Examination
What is the form are RMEs documented on?
NAVMED 6470/13
What is the focus of an RME?
Cancer screening for ionizing radiation workers
What does an RME not cover?
Pre-cancer, non-cancer, general health.
What are the four types of RMEs?
Preplacement Examination (PE)
Reexamination (RE)
Situational Examination (SE)
Termination Examination (TE)
Who can conduct RMEs?
Physicians, NPs, or PAs who have undergone BUMED approved Radiation Training.
If an NP or PA conducts an RME, what else does it need?
A signature from a physician reviewer
What does the physician signature require?
Printed name or stamp, signature, date of review and a pertinent qualification I.e UMO, RAM or RHI.
Can reviewing physician also be the examiner?
Yes, as long as they have completed an BUMED approved rad health training (RHI)
What are the 3 components of an RME?
Medical history
Special studies
Physical Examination
What is included in a medical history of an RME?
*Personal hx of cancer
*Hx of accidental or occupational exposure to ionizing radiation above table 1 limits
* Hx of Anemia or hematuria
* Hx of Cancer Therapy
*Hx of Radiation Therapy
*Hx of work handling unsealed sources
*Hx of Radio-pharmaceuticals received for therapeutic purposes
*Any significant illness or changes since last RME that might be related to cancer
What special studies are associated with an RME?
White blood Count (WBC)
Hematocrit (HCT)
Microscopic high power UA
What is no longer required for a special study?
Clinical dipstick UA
What time frame must an WBC, HCT and a microscopic UA be conducted prior to the physical exam of an RME?
3 months
What is a made up of an physical exam for an RME?
Thyroid
Breast ( if female over 40)
Testes
Skin
What is no longer a requirement for the physical exam of a NAVMED 6470/13?
(But still is on the form?)
Digital Rectal Exam (DRE) for males over 40
What do you mark for the DRE block 18?
NE (Not Examined)
How must an a medical record enrolled in the RME program be labeled?
“Termination Radiation Medical Examination required”
When is an PE conducted?
When individuals being considered for assignment as radiation worker prior to assignment to those duties
Former ionizing radiation workers that have received an TE looking to get back into Radiation work.
Non-radiation workers that have exceeded 500 mrem
Who are the demographics for PE?
*Accession Sailors and Officer Candidates scheduled for NNPP
*Certain C Schools (e.g biomed, X-ray)
*Navy Aviation Structural Mechanics (AM) prior to assignment to perform industrial radiography in support non-destructive imaging
*Anyone who has a Rad worker at one point that received an TE that decides to come back
*Individuals who are not required to have an PE but exceeds 500
A person is 49 years old and gets an RE on 22 Mar 2021. His date of birth is 19 Jul 1972.
When is his RME set to expire?
31 Aug 2024.
What do you do when someone seperates from Active Duty without finishing an RME Terminal Examination?
Fill out the NAVMED 6470/13 to maximum extent possible.
The reason why it is incomplete will be recorded on the Summary of abnormal findings (Block 14).
If a Siutation Examation is performed besides the usual RME Documentation what else is required?
- Fill out the block 14 with the reason why an SE is being performed.
- Any additional studies will be filled in the “additional studies” block 13.
What is an DINA list?
“Dosimetry issuance not allowed” List.
