[ RadSafe ] RE: Nasal Swabs?

[Wright, Will (DHS-PSB)]

agreed on #1. saves me from writing all that increased risk and likelihood stuff.
again this is an increased likelihood assessment with the swab. a negative result simply means the level of exposure is within certain limits( 0 to some other low level of particles) should it have occured. based on other survey results such as surface wipes, early dosimeter reading for particle dep etc would give reasonable assessment of likelihood of intake. should the individual be a mouth breather nasal swabs would be misleading and variable in that the nasal passage would be a basic surface if dealing with true aerosols.

-----Original Message-----
From: radsafe-bounces at radlab.nl [mailto:radsafe-bounces at radlab.nl]On
Behalf Of Paul, Tim
Sent: Friday, September 16, 2005 8:19 AM
To: radsafe at radlab.nl
Subject: [ RadSafe ] RE: Nasal Swabs?


A couple of things to remember about nasal swabs...

1. They need to be performed right away. Waiting for a medical
examination may very well lead to a false negative result. 

2. Be careful about using nasal swabs as a no go for bioassay, because a
negative result means nothing. Only a positive result is diagnostic.

Best Regards,

Tim Paul, MS, CHP, DABR
Radiation Oncology Dept.
Banner Good Samaritan Medical Center
Phoenix, AZ 85006



Message: 1
Date: Thu, 15 Sep 2005 15:15:23 -0600
From: "Guinn, Charles D" <cdguinn at sandia.gov>
Subject: [ RadSafe ] Nasal Swabs?
To: radsafe at radlab.nl
Cc: "Tucker, Arthur" <atucker at sandia.gov>
Message-ID:
	
<B36F5227DE7F1B499457BDD8EA7DA37C6620D5 at ES21SNLNT.srn.sandia.gov>
Content-Type: text/plain; charset=us-ascii

I am trying to determine if there are any Radiation Protection
organizations (i.e., DOE or commercial power)  that are allowing their
radiation protection personnel to perform nasal swabs on those persons
who are thought to have an intake of radioactive material?  Is this
procedure considered to be a "medical procedure?"
 
My apologies if this message is repeated!!!
 
Thanks,
 Charlie
 Charles D. Guinn
 Radiation Protection & Industrial Hygiene Training Project
 Technadyne Engineering Consultants
 under contract to
 Sandia National Laboratories
 P.O. Box 5800, MS-0651
 Albuquerque, NM 87185
 (505) 284-4027
 FAX: (505) 844-8313

------------------------------

Message: 3
Date: Thu, 15 Sep 2005 22:17:13 +0000
From: james.g.barnes at att.net
Subject: Re: [ RadSafe ] Nasal Swabs?
To: "Guinn, Charles D" <cdguinn at sandia.gov>, radsafe at radlab.nl
Cc: "Tucker, Arthur" <atucker at sandia.gov>
Message-ID:
	
<091520052217.187.4329F2E900057471000000BB21602813029C0A029D0E0DD209D29C
0A030E06 at att.net>
	
Content-Type: text/plain

In our facility, the HP Tech hands the swab to the individual and has
the individual do the swabbing.  We don't consider it a medical
procedure, but we don't actually do the swabbing either.

The HP technician then performs the various radiological measurements on
the sample, and we do an internal dose workup from that point.

Jim Barnes, CHP
RSO
Boeing-SSFL


------------------------------

Message: 4
Date: Thu, 15 Sep 2005 18:29:45 EDT
From: LNMolino at aol.com
Subject: Re: [ RadSafe ] Nasal Swabs?
To: radsafe at radlab.nl
Message-ID: <216.93588b4.305b4fd9 at aol.com>
Content-Type: text/plain; charset="US-ASCII"

I think that RMC use to teach this to HP Tech's and while it is a
"medical  
procedure" it is not considered an invasive procedure hence "medical
technician 
 types" do them in the hospital setting when they are done. One can
assume 
that a  properly trained HP Tech even one that is not a "medical person"
could 
do these  given the purpose. I have no idea if this is addressed in any
NRC 
regulations  but I've asked my former RMC co-workers the same question.
 
Louis N.  Molino, Sr., CET
FF/NREMT-B/FSI/EMSI
LNMolino at aol.com
979-690-7559  (Office)
979-412-0890 (Cell Phone)
979-690-7562 (Office Fax)

"A  Texan with a Jersey Attitude"

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