[ RadSafe ] Guidance for I-131 Patients

[Maury Siskel]

Hi again
see if this is it ... and others on same page ...

https://servicecenter.snm.org/eseries/source/Orders/index.cfm?section=Orders&task=3&CATEGORY=PAMPHLETS&PRODUCT_TYPE=SALES&SKU=113GD&DESCRIPTION=Pamphlets&FindSpec=&CFTOKEN=16519820&continue=1&SEARCH_TYPE=find

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Hansen, Richard wrote:

>Thanks, Maury.
>
>I am trying to find examples of letters/written instructions that nuc
>med patients may have. We are developing training courses for US DHS and
>want to help officers clear alarms from innocent medical patients.
>
>
>Rick Hansen
>Senior Scientist
>Counter Terrorism Operations Support Program
>National Security Technologies, LLC, for the U.S. Dept of Energy
>hansenrg at nv.doe.gov
>www.nv.doe.gov/nationalsecurity/homelandsecurity/responder.htm
>
> 
>-----Original Message-----
>From: Maury Siskel [mailto:maurysis at peoplepc.com] 
>Sent: Tuesday, February 19, 2008 10:46 AM
>To: Hansen, Richard
>Cc: radsafe at radlab.nl
>Subject: Re: [ RadSafe ] Guidance for I-131 Patients
>
>Hi Richard,
>This may not be the one you want, but this looks pretty relevant .
>Cheers,
>Maury&Dog
>
>============================
>http://tech.snmjournals.org/cgi/content/full/29/2/61
>
>ABSTRACT
>TOP
>INTRODUCTION
>INITIAL PREPARATIONS
>PATIENT PREPARATION
>DOSE ADMINISTRATION
>AREA SURVEYS
>PATIENT RELEASE FROM THE...
>SOURCES OF ASSISTANCE
>REFERENCES
>
>ABSTRACT 
>Objectives: The patient who has been dosed with therapeutic activities 
>of 131I for thyroid carcinoma poses a unique set of problems for nuclear
>
>medicine technologists in their efforts to reduce personnel exposure and
>
>control contamination spread. It is the objective of this article to: 
>(a) review practical radiation safety concerns associated with 
>hospitalized 131I therapy patients; (b) propose preventative measures 
>that can be taken to minimize potential exposure and contamination 
>problems; and (c) review pertinent federal regulations that apply to 
>patients containing therapeutic levels of radionuclides.
>
>=====================
>Hansen, Richard wrote:
>
>  
>
>>NRC NUREG - 1556, Vol. 9, Rev 2 mentions a pamphlet published by the
>>Society of Nuclear Medicine regarding information for patients
>>    
>>
>receiving
>  
>
>>treatment with radioiodine. Does anyone have an electronic version of
>>this pamphlet or know where to get one?
>>
>>
>>Quote from 
>>NRC NUREG - 1556, Vol. 9, Rev 2, January 2008
>>Consolidated Guidance About Materials Licenses Program-Specific
>>    
>>
>Guidance
>  
>
>>About Medical Use Licenses
>>
>>Appendix U
>>Model Procedure for Release of Patients or Human Research Subjects
>>Administered Radioactive Materials
>>
>>Page U-11 (page 400 in PDF file)
>>
>>http://www.nrc.gov/reading-rm/doc-collections/nuregs/staff/sr1556/v9/r2
>>    
>>
>/
>  
>
>>sr1556v9r2-final.pdf#app-u
>>
>>The Society of Nuclear Medicine published a pamphlet in 1987 that
>>provides information for patients receiving treatment with radioiodine.
>>This pamphlet was prepared jointly by the Society of Nuclear Medicine
>>and the NRC. The pamphlet contains blanks for the physician to fill in
>>the length of time that each instruction should be followed. Although
>>this pamphlet was written for the release of patients to whom less than
>>1,110 megabecquerels (30 millicuries) of iodine-131 had been
>>administered, the NRC still considers the instructions in this pamphlet
>>to be an acceptable method for meeting the requirements of 10 CFR
>>35.75(b), provided the times filled in
>>the blanks are appropriate for the activity and the medical condition.
>>
>>Thanks,
>>
>>Rick Hansen
>>Senior Scientist
>>Counter Terrorism Operations Support Program
>>National Security Technologies, LLC, for the U.S. Dept of Energy
>>hansenrg at nv.doe.gov
>>www.nv.doe.gov/nationalsecurity/homelandsecurity/responder.htm
>>
>>Snippet:
>>
>>Date: Sun, 17 Feb 2008 11:02:51 -0800 (PST)
>>From: John Jacobus <crispy_bird at yahoo.com>
>>Subject: Re: [ RadSafe ] I-131 Patients and Taxi driver
>>
>>Jerry,
>> The NRC recommends (and everybody generally follows) the restriction
>>that a patient being treated with I-131 can be released when the
>>exposure rate at 1 meter is 7 mrem/hr. See column 2 on page 394 at
>>http://www.nrc.gov/reading-rm/doc-collections/nuregs/staff/sr1556/v9/r2
>>    
>>
>/
>  
>
>>sr1556v9r2-final.pdf#app-u  On page 397, it indicates the instructs are
>>to be given when the exposure rate exceeds 2 mrem/hour.
>>
>>
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