Regulations Flashcards
What is the name of the legislation associated with patient safety during ionising radiation exposure ?
Ionising Radiation (Medical Exposure) Regulations 2017 (IRMER).
What is the purpose of the IRMER 2017 regulations ?
Framework to govern the safe use of ionising radiation in medical and dental procedures.
What are the five principles of the IRMER 2017 act ?
Justification.
Optimisation.
Dose limitation.
Clinical audit.
Training and competence.
Explain the meaning of justification in terms of ionising radiation.
Benefits of the procedure to diagnosis and health should outweigh the risks associated with radiation exposure.
Explain the meaning of optimisation in terms of ionising radiation.
Means radiation dose should be kept as low as reasonably practicable while still providing appropriate necessary diagnostic information.
What does ALARP stand for ?
As low as reasonably practicable.
Explain the meaning of dose limitation in terms of ionising radiation.
Radiation to patient and staff should be limited to ensure risk of harm is as low as reasonably achievable.
What does ALARA stand for ?
As low as reasonably achievable.
Explain the meaning of clinical audit in terms of ionising radiation.
Radiation protocols and equipment should be subject to regular clinical audit to ensure procedures are being used effectively and safely.
What are the two requirements for radiation training and competence in line with IRMER 2017 ?
Anyone operating any form of ionising radiation machine should be trained.
Training should be kept up to date.
What are the 3 legislations in place for control of ionising radiation exposure to staff in the work place ?
Health and Safety At Work 1974.
Control of Substances Hazardous to Health 2002 (COSHH).
Ionising Radiation Regulations 2017 (IRR).
What are the three regulations included in IRR legislation ?
Ensure worker exposure is kept within certain limits.
Ensure doses are monitored and recorded.
Appropriate training is given to anyone administering ionising radiation.
What are the two regulations included in COSHH legislation ?
Risk assessments should be conducted.
Employers must take appropriate measures to limit risk to staff.
What are two examples of appropriate measures which an employer can make to ensure minimised risk to staff administering ionising radiation ?
Personal protective equipment.
Implementing engineering controls.
What is the range of typical effective dose in dental radiations ?
0.001-0.01mSv.
