Legislation Flashcards
what are the 2 legislations in radiology?
IRR 17 ionising radiation regulations
IRMER 17 ionising radiation medical exposure regulations
who does IRR 17 protect?
Protects equipment, staff and general public
who does IRMER 17 protect?
Protects patients
from IRR 17 what do u need to have?
registered to use x-ray equipment
restriction of exposure ALARP
radiation protection advisor
radiation protection supervisor
what is the role of radiation protection advisor? what legislation
IRR17
Is external and advises the employer
Need to consult them when planning a new surgery
Establishing a controlled area
what is a radiation protection supervisor? what legislation
IRR 17
Ensure compliance of local rules
Every practice must have one
Must be adequately trained
from IRMER 17 what do u need to have?
a medical physics expert
who can be in the controlled area during exposure?
only the patient
what is the role of medical physics expert? what legislation?
IRMER 17
Advise on IRMER compliance
Need to be involved in development and review of all dental procedures
the size of the controlled area depends on what?
kV of machine -> 1.5m if under 75kV
what is the controlled area for DDH?
2m away or behind appropriate shielding
Local rules
- All practices must have written local rules that apply to all employees
- Name of RPA, RPS and MPS
- Name of person with legal responsibility for compliance
- Identification and description of controlled area
- Contingency arrangements if malfunction
- Dose investigation levels results and details
- Personal dosimetry arrangements -> employee exposure
- Arrangements for pregnant staff
- Reminder of IRR obligations displayed by x-ray equipment
what are the 4 roles in radiography?
employer
referrer
practitioner
operator
what is the role of the employer?
Establish recommendations for selection criteria and radiation dose levels
Ensure clinical evaluations of images are done
clinical criteria
Descriptions of clinical conditions derives from patients ?, ? and ? that identify patients that are likely to ? from a particular radiographic technique
signs
symptoms
history
benefit
what do clinical evaluations of images look at?
Quality of radiograph, unusual factors relating to dose and exposure to patient
Notes of findings (normal and abnormal)
what is the role of the referrer?
Provide practitioner with sufficient information to justify the exposure
State there is a benefit to patient
Signed a request form
Give details to identify patient
what is the role of the practitioner?
Takes responsibility for an individual medical exposure (normally dentist)
what is the role of the operator
(Remember that an operator may not be entitled to do all of these roles)
Takes the radiographs -> is responsible for them
Processes the films
Clinical evaluation is there role also -> only by those qualified
remember A person has to be entitled by their employer to undertake that role
what are dental nurses entitled to do?
process radiographs
require additional qualification to take radiographs on “prescription” from a dentist
what are dental hygienists and therapists entitled to do?
Can prescribe, take, process and interpret radiographs
limitations are defined by employer
what are clinical dental technicians entitled to do?
Can take and process radiographs related to providing removable dental appliances
entitlement as operators
what are dentists entitled to do?
referrers, practitioners and operators
document
need to have record of what? 3
training
competence
entitlement
signed by duty holder and employer / person u are entitled by
document
here is an example form
who is a comforter/carer?
Anyone offering assistance to a patient during examination
when a comforter/carer is involved
Their potential dose needs to be quantified and considered in justification
Needs to give informed consent
what is Duty of Candour legislation
Tell a patient if something needs to be repeated or has gone wrong
Should also inform the referrer
Training
Refresher radiation training required -> repeat training regularly
It is part of CPD so dental team tend to follow repeat training