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BDS2. SEM2 - Radiology > Radiology - Legislation > Flashcards

Radiology - Legislation Flashcards

1
Q

Why is legislation necessary?

A
  • Exposure to ionising radiation involves a risk to person exposed
  • People exposed are: patients, staff, etc
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2
Q

What does the IRR stand for?

A

Ionising Radiation Regulations

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3
Q

What does IRR99 deal with?

A

Dealt with equipment and the protection of staff and the general public.

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4
Q

What does IR(ME)R stand for?

A

Ionising Radiation (Medical Exposure) Regulation

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5
Q

What did the IR(ME)R 2000 aim for? And what is it called?

A

Aimed primarily at the protection of patients. Called IR(ME)R17

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6
Q

When was IRR17 introduced and what was the approach?

A

on 1st Jan 2018. Introducing 3 tier approach of: Notification, Registration and licensing

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7
Q

Legislation has to be…

A

Followed. Therefore contains the word: Must

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8
Q

Guidelines advocate…

A

good practice and expert opinions. Therefore contains the word: Should

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9
Q

Restriction of exposure..

A

ALARP.

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10
Q

What does RPA stand for? and who can be appointed for the position?

A

Radiation Protection Adviser.

A medical physicist or specialist company

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11
Q

When to consult RPA?

A

When planning new surgery - chances of radiation over dose

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12
Q

What does MPE stand for?

A

Medical Physics Expert

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13
Q

What is the MPE part of?

A

Part of IR(ME)R17

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14
Q

What does RPS stand for? and who can be appointed for the position?

A

Radiation Protection Supervisor. Usually dentist or senior member of staff.

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15
Q

Name 4 roles in Radiography

A
  • Employer
  • Referrer
  • Practitioner
  • Operator
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16
Q

Entitlement in Dentistry

A
  • Referrers
  • Operators
  • Practitioner

Entitlements MUST be recorded - Either digitally or manually

17
Q

Written procedures:

A
  • Entitlement of duty holder.
  • Identification of patients
  • Demonstrate staff training and competence
  • Quality assurance of procedures/documentation
  • Clinical Audit
18
Q

Duties of the Employer include:

A
  • Establish recommendations for Selection criteria and radiation dose levels
19
Q

What does the selection of radiograph based on?

A

Based on patient’s history and examination

20
Q

What does the choice of radiograph depend on?

A
  • Prevalence of the disease
  • Rate of progression
  • Diagnostic accuracy of the imaging technique
21
Q

Clinical evaluation findings include..

A

The quality of radiograph - is it diagnostic or not.

22
Q

Whats the referrer?

A

A registered medical practitioner, dental practitioner or a health professional with entitlement

23
Q

Duties of a referrer?

A
  • Supply practitioner with sufficient info to allow the exposure to be justified.
  • State theres a net benefit to the patient
24
Q

How to prove for justification?

A
  • Will exposure lead to a change in patient’s prognosis?
  • other radiographs/reports available?
  • Risk and benefits assessed?
  • Other techniques with lower or no radiation dose be used?
25
Q

Information desired =

A

Radiation dose to patient

26
Q

Dental nurse responsible for?

A
  • Can process dental radiographs
  • With additional qualification allows entitlement to take dental radiographs on prescription with supervision.
  • Without additional post registration qualification in dental radiology. DN can have limited entitlement.
27
Q

Prescription and Radiograph responsibility of?

A
  • Most likely a registered dentist.
28
Q

Dental Hygienist and Therapist responsible for?

A
  • Can prescribe radiographs and take, process and interpret films.
  • Limited entitlement as referrer, operator and practitioner
29
Q

Dentist is responsible for?

A
  • Does everything

- Eligible to be entitled as referrers, operators and practitioners for all dental related radiographs

30
Q

Who can take radiographs in GDP?

A
  • Dentist
  • Dental hygienist/therapist
  • suitably qualified dental nurse
  • clinical dental technician
31
Q

The operators responsibility?

A
  • Taking radiographs
  • Not all operators can undertake all operator duties
  • Adequate training and must be documented
32
Q

What content is on the document?

A

Record of:

  • Training
  • Competence in areas of
  • Referrer duties
  • Practitioners duties
  • Operator duties
33
Q

How often do the x-ray units must be tested?

A

Minimum of every 3 years.

34
Q

Types of Audit?

A
  • Clinical Audit

- Audit of procedures

35
Q

Selection criteria:

A
  • Caries: depending on risk factors
  • Periodontal disease - severity and site
  • Orthodontic assessment
  • Oral surgery
36
Q

Additional documentation required?

A
  • Patient information
  • Risks and benefits
  • Establish dose constraints

BDS2. SEM2 - Radiology (12 decks)

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