Legislation Flashcards
what is the ultimate risk of ionising radiation?
death
what is the legislation for equipment and the protection of staff and general public?
IRR99
what is the legislation for the protection of patients?
IR(ME)R 2000
what does IRR17 replace?
IRR99
What did IR(ME)R17 replace?
IR(ME)R2000
What approach did IRR17 introduce?
notification, registration, and licensing
- illegal to use equipment without registering
what is an RPA?
radiation protection advisor
what regulation does the RPA play a role in?
IRR17
What is a controlled area?
only patients can be here during exposure
size depends on kv of machine
1.5m for under 70kv
what size is the controlled area in DDH?
2m
What is an RPS?
Radiation protection supervisor
what legislation does the RPS play a comply with?
IRR17 and local rules
what is the role of MPE?
advising on IR(ME)R compliance - must be involved in development and review of all dental procedures
what are the 4 roles in radiography?
- employer
- referrer
- practitioner
- operator
what must the employer do?
produce written procedures
have protocols for taking radiographs
appoint an RPA/MPE and RPS
Have and ensure staff read the local rules
what are the written procedures produced by the employer?
- Entitlement of duty holders
- Identification of the patient.
- Demonstrate staff training and competence.
- Quality assurance of procedures/ documentation.
- Clinical audit.
what are the local rules?
- Establish recommendations for selection criteria.
- Establish recommendations for radiation dose levels.
- Ensuring a clinical evaluation of every image is carried out, including where appropriate factors relating to patient dose.
what is the purpose of selection criteria?
help overcome the wide variation in practise and minimise or prevent any inappropriate radiographic examinations
who is the referrer?
A registered medical practitioner, dental practitioner or other health professional who is entitled in accordance with the employers procedures to refer individuals for medical exposure to a practitioner
what does the referrer do?
- Supply practitioner with sufficient information to allow the exposure to be justified.
- State that there is a net benefit to the patient.
- Signed a request form*
- Given details to allow correct identification of the patient*
who is the practitioner?
registered health care professional
what are dental nurses entitled to do?
process radiographs
what can the dental hygienist do?
prescribe and take radiographs, process and interpret
what can the clinical dental technician do?
Take and process radiographs and other images related to providing removable dental appliances.
what type of patients must be seen by the dentist before the technician?
patients with natural teeth or implants
how often should x-ray units be tested?
annually but minimum every 3 years
what must be done to look after radiograh equipment?
-Must have an up-to-date inventory.
-X-ray units must be tested regularly.
-Preferably annually but minimum of every 3 years
-Must include representative patient dose.
-Routine maintenance by yourselves and the manufacturer/ supplier.
who is a comforter/ carer according to IR(ME)R17?
anyone aiding a patient during examination.
what must you do when the dose is greater than intended?
- Inform patient.
- Duty of candour legislation
- Inform referrer.
