1. Application of Calibrated Instruments in Medical Facilities MAJ H. Mike Stewart, Jr., MS, CHP April 17, 2009

2. Disclaimer The views expressed in this presentation are those of the author and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government. The picture of instruments in this presentation are representative and are not endorsing any company

3. Outline Receipt of Radioactive Material Prepare for Patient Use End of Day – User Weekly Survey – Health Physics Spill Response Patient Release Waste Monitor X-ray Survey Equipment

4. Receipt of Radioactive Material Radioactive Material arrives almost daily to any hospital with a nuclear medicine clinic Radioactive Material delivered from a radiopharmaceutical company After receipt, must ensure that Transport Index is verified and a wipe test to show that no material is leaking

5. Prepare for Patient Use After nuclear pharmacist prepares dose, it is usually injected into patient Receipt to disposal Four paths –Patient –Spill –Sharps –Decay

6. End of Day - User Time to go home, but wait End of day survey for use areas Regulatory requirement Using a sensitive instrument to determine if there was a spill

7. Weekly Survey – Health Physics Regulatory requirement for material use areas Ensure that areas are free of removable contamination and exposure rates are minimized

8. Spill Response Spills happen Stop the spill Warn others Isolate the area Mitigate exposure Notify Health Physics

9. Patient Release For doses above a certain threshold Some release with instructions and some without Types of procedures –Diagnostic –Treatment –Bracy

10. Quiz What is it?

11. Waste Monitor No radiation leaves the facility except what is in patients Decay in storage

12. X-ray Survey Equipment Joint Commission Facilities Annual compliance safety surveys Picture of x-ray equipment

13. Summary Receipt of Radioactive Material Prepare for Patient Use End of Day – User Weekly Survey – Health Physics Spill Response Patient Release Waste Monitor X-ray Survey Equipment

14. Questions