Quality Assurance and Legalisation Flashcards
What regulations concern equipment and the protection of staff and the general public?
IRR17
What regulations are aimed primarily at the protection of patients?
IR(ME)R 17
What was the necessary regulations in place before the updated IRR17?
IRR99
When would you consult your radiation protection advisor (RPA)?
If planning set up of a new surgery, or when radiation is over dose
What does IR(ME)R stand for?
Ionising radiation ( medical exposures) regulations
What are the four roles in radiography?
Employer
Referree
Practitioner
Operator
Who entitles staff in various roles to undertake roles involved in IR(ME)R?
Employers
What is the selection of a radiograph based upon?
Patients history and examination
What is choice of radiograph based on?
The prevalence of the disease, rate of progression and diagnostic accuracy of imaging technique
What is the purpose of selection criteria?
Helps to overcome the wide variation in practice and minimise or prevent any inappropriate radiographic examinations
Who is ‘the referrer’?
A registered dental practitioner who is entitled in accordance with the employers procedures to refer individuals for medical exposure to a practitioner
Which member of the dental team has limited entitlement as an “operator”?
Dental nurse
Who can take radiographs in general dental practice?
a dentist
a dental hygienist or therapist
a suitably qualified dental nurse
a clinical dental technician
what does the “operator” do?
Takes radiographs
Clinical evaluation of each exposure must take place. What is clinical evaluation?
Interpretation of the outcome and implications of, and the information resulting from, a medical exposure
What is the relationship between the practitioner and the operator?
Shall co-operate, regarding practical aspects, with other specialists and staff involved in a medical exposure, as appropriate
How often should x-ray units be tested?
Preferably annually but minimum of every 3 yrs
What is quality assurance?
An organised effort by staff to ensure that the diagnostic images produced are of sufficiently high quality to consistently provide adequate diagnostic information at the lowest possible cost and the least possible exposure to the patient
What does SOP stand for?
Standard operating procedures
What are the 6 components of a quality assurance programme?
image quality
x-ray equipment
processing
working procedures
training
audit
What two ways can an image be audited to ensure high quality?
Image quality rating system
Film reject analysis
How could image quality rating systems grade images?
rating diagnostically acceptable (A) or diagnostically not acceptable (N)
OR
rated either 1,2 or 3
What image would be given an image quality rating of 1:
excellent
diagnostically acceptable
diagnostically unacceptable
Excellent
What image would be given an image quality rating of 3:
excellent
diagnostically unacceptable
diagnostically acceptable
Diagnostically unacceptable
