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RADT 63B ALARA Project

M

Max

Transcript

Patient Protection

Patient Protection in X-ray

By Max, Sonia, Emily, Shannon, and Stacey.

ALARA

As Low As Reasonably Achievable

How

not to

take a portable!!

What went wrong in that x-ray and patient interaction?

Please raise your hands in order to berate the Tech 1 and Tech 2!

PA and Lateral left Hip

Keeping patient dose As Low As Reasonably Possible

How to reduce radiation to the patient.

Signage Needed in Radiology

Signage

The Pregnant Patient

  • Can have x-rays if pregnancy is known and documented
  • AVOID x-rays in weeks 3-10 during major organogenesis
  • Use wrap around shielding if possible
  • Dose Limit for fetus is 500 mRem/year or 5mSv/year

Pregnant Patient

Time-

  • minimize time the patient is exposed
  • Flouro pulsed and reset timer

Technique

  • High kVp , Low mAs
  • 15% rule

Technique and Collimation

Tight Collimation

  • collimating to the area of intrest

Compression

  • for areas like the abdomin

Shielding

Shielding

  • Gonadal Shielding
  • Gonadal shields of .5mm Pb should be used with all persons of childbearing age or younger
  • Should be used when the gonads are in or near the useful x-ray beam
  • Should be used when use of shielding will not interfere with the diagnostic value of the examination

  • Positioning shielding between the radiation source and exposed persons greatly reduces the level of radiation exposure.

Unnecessary exposures:

  • Employment TB screenings
  • annual physicals
  • hospital admissions

Determined by regulatory bodies

Avoiding repeats

Reduce Repeat and Unnecessary Exams

  • Proper positioning
  • staying focus
  • patient prep
  • collimation
  • communication
  • technique

Source to Image Distance

To reduce excess exposure to patients be sure to use the correct SID for your technique!

SID

Patient protection and ALARA

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