RE: who gets badged or not

["Tonry, Louie L MAJ EAMC" <Louie.Tonry@se.amedd.army.mil>]

We generally use the 10% rule.  If an occupational worker is LIKELY to
exceed 10% of the occupational limit, we badge them.  This leaves to
question who is likely?

Some of the people we do badge:

X-Ray technologists unless the ONLY operate x-ray systems from a control
booth (small clinic)
Any x-ray technician doing fluoro, specials, cardiac cath, etc.
Any ancillary personnel ie nurses, doing high dose procedures such as card
cath or angio
Gastro staff (docs as well as nurses) for fluoro procedures
All nuc med and anyone working with rad material (except RIA)
GI clinic for fluoro procedures
Any staff involved in therpeutic procedures (ie. I-131 or brachytherapy)

Some of the people we don't badge:

OR nursing staff exposed to C-Arm fluoro
Nursing staff occasionally attending a patient in x-ray or nucs
Dental staff

Of course this is case specific.  On occassions we will badge other when in
the opion of the RPO (me) their potential either exists, may exist, or I
don't know...

For the OR staff and C-Arm, we have had this question arise numerous times
and after several evaluations by myself and peers, it was determined that
due to occassional use of c-arm fluoro, exposures were insignificant.

Bottom line, the specific situation has to be evaluated.  When in doubt or
when without data, we badge.  Clearly anyone who is badged must be trained!
This almost goes without saying.  By badging we are making them occupational
workers (whether permanent or temp).

If a worker or group of workers DEMAND badging, I will usually badge them
for a finite period of time.  Generally these are workers who would not
normally be badged but to prove to them their exposures don't warrent
badging I will do say six months of monitoring.  Then I will tell them that
their exposures don't warrent continued monitoring and I have hard data for
the future if needed.

Louie Tonry

		Louie L. Tonry
		LOUIE TONRY, CHP
		MAJOR, MS
		Chief, Radiation Protection Division
 
Eisenhower Army Medical Center 
ATTN: MCHF-LOG-HP (Radiation Protection), Box 264
Ft. Gordon, Georgia 30905-5650

Voice:  					Facsimile: 
DSN: 773-4692/6392 			DSN: 773-3427           
Commercial: (706) 787-4692/6392	Commercial: (706) 787-3427
                            
Internet: Louie.Tonry@SE.AMEDD.ARMY.MIL


-----Original Message-----
From: Chris Alston [mailto:alstonc@odrge.odr.georgetown.edu]
Sent: Wednesday, June 07, 2000 1:25 PM
To: Multiple recipients of list
Subject: who gets badged or not


>From: Cottreau Michelle <Cottreau@HHSC.CA>
>
>To all the Hospital RSO's out there.....
>
>What is your criteria for determining who gets issued a TLD badge (for
>x-rays)?
>Specifically I am looking for who do you exclude and on what basis.
>
>For example, do you issue badges to ward nurses if portable fluoro is done
>in the unit?
>What about high volume portable areas where nurses may be required to hold
>the patients such as neonatal, ICU, ER, recovery, etc...
>How do you handle OR physicians and nurses?
>
>Do you have mandatory education that goes along with the badging?
>Do you issue a badge to someone who doesn't meet your criteria but demands
>it?
>
>A lot of questions but I need to get an idea of the "industry standard" out
>there. Any other info along those lines would be a help.
>
>Michelle
>
>> Michelle Cottreau, M.Sc.
>Medical Physicist
>Diagnostic Imaging, MUMC - 2S42
>Hamilton Health Sciences Corporation
>905-521-2100 x 75285
>905-521-1390 fax
>cottreau@hhsc.ca
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