Framework environmental management plan

Operational radioprotection

The holder of the authorization or registry certificate must ensure that all workers are endowed with individual protection equipment against X radiations according to the Norm for provision and utilization of the individual protection equipment against ionizing radiations RP 06/1997.

Only the individual protection equipment authorized according to the law will be used, for which a Radiologic Security Authorization was issued by NCNAC.

The individual protection equipment with lead, which can be apron, gloves, protection collar for the thyroid, protection goggles, etc. must comply with the manufacturer’s technical specificationse and with the specific standards.

The necessary of individual equipment is established by the expert acredited in radiologic protection.
The protection gloves are useful to protect the hands when they are close to the fascicle, but they will be used with discernment because they can produce the opposite effect during the fluoroscopy with automated brightness control (ABC), when the hands enter the zone covered by the ABC sensor, because this will lead to higher exposure levels for patient and personnel.

The holder of the authorization or registry certificate must ensure that:

a) the workers receive an appropriate training regarding the utilization of the individual protection equipment;

b) will perform activities requiring wearing of individual protection equipment only the persons having the medical opinion that they can support without problems its supplementary weight;

c) all equipment is maintained in good condition and is periodically tested at appropriate intervals, as applicable.
In the fluoroscopy and interventional radiology rooms it is recommended to use additional protection devices:

a) protection shields suspended on the ceiling to protect the eyes and thyroid of the practicing doctor during the whole patient visualization period;

b) protection curtains with lead mounted on the patient table.
The geometry with the RX tube above the table is not recommended because it implies a radiation level much huigher where the operator stays, compared to the geometry with the RX tube below the table. However if the geometry with the RX tube above the table is used, protection curtains with lead attached to the patient table will be used, in order to reduce the scattered radiation received by the personnel.
All persons in the RX room for fluoroscopy, which don’t stay behind a shielded control pannel, must wear a protection apron with lead.
The holder of the authorization or registry certificate must ensure appropriate protection equipment against radiations, for the patient and for the person who sustains the patient, as applicable.

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