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RE: Re[3]: incontinent patient dosed with ~100 mCi of I-131
Just to answer the initial question:
What would you do with incontinent patient...
First, the subject title is misleading: There is no way a 100 mCi
incontinent "source" should walk away before being below 30 mCi.
Then, very strict directives (that you should call "information for the
patient") should be given:
- Minimize contact with used diapers (from standpoint of another person then
patient) and ensure that the diaper is contained within a plastic bag.
- Other usual recommendations: Wash hands, sit when going at the bathroom
(men)etc.
Aside from that, it is no longer your "legal" responsability.
FInally, I may no be versed in DOT, but here for TDG (Transportation of
Dangerous Goods), the type of source mentionned is not included for the
simple reason that the Packaging regulation (by the ex-AECB) is exempting
such people (3.(2)(c) ii)
And from a practical standpoint, when does an incontinent patient start to
"transport " a rad source with him-her ? (You know what I mean...)
Stephane Jean-Francois, Eng. CHP,
Specialiste en radioprotection/Radiation Safety Specialist,
Gestion des risques/Risk Management
Merck Frosst Canada & Co.
tel: 514.428.8695
FAX: 514.428.8670
email:stephane_jeanfrancois@merck.com
-----Original Message-----
From: holsopplek@pt.cyanamid.com [mailto:holsopplek@pt.cyanamid.com]
Sent: Tuesday, June 20, 2000 10:00 AM
To: Multiple recipients of list
Subject: Re[3]: incontinent patient dosed with ~100 mCi of I-131
I will be out of the office from June 20 through July 4, returning July 5th.
Please contact Jennifer Smulling on x2978 if you need imediate assistance.
___________________________________________________________________________
Subject: Re[2]: incontinent patient dosed with ~100 mCi of I-131
From: radsafe@romulus.ehs.uiuc.edu
Date: 06/20/00 10:19:58
I will be out of the office from June 20 through July 4, returning July 5th.
Please contact Jennifer Smulling on x2978 if you need imediate assistance.
___________________________________________________________________________
Subject: Re: incontinent patient dosed with ~100 mCi of I-131
From: radsafe@romulus.ehs.uiuc.edu
Date: 06/19/00 17:01:11
Based on my prior experience, and my crude understanding of the regs., I
believe that your responsibility for waste ends when you release the
patient. Also, the patient is not a licensee and is not obligated, nor
obviously licensed, to decay the waste. If the landfill has a monitor, so
be it, I-131 is detected all the time at landfills. I believe that Illinois
inspectors once discovered a partially eaten apple contaminated with I-131
that triggered an alarm.
If you transport the waste back to your facility, you will however, have to
consult the DOT regs. If the activity is below 70Bq/gram, DOT would
consider it non-radioactive. Otherwise, you might have to go the whole 9
yards.
If you need additional assistance, please feel free to contact me at the
email address below.
Don Jordan
RAM Services, Inc.
ramservices@lsol.net
Tel. 920-793-2259
Fax 920-793-5886
2306 West River Street
Two Rivers, WI 54241
----- Original Message -----
From: Douglas Simpkin <dsimpkin@execpc.com>
To: Multiple recipients of list <radsafe@romulus.ehs.uiuc.edu>
Sent: Monday, June 19, 2000 12:37 PM
Subject: incontinent patient dosed with ~100 mCi of I-131
> Folks:
>
> Ignorant question time!
>
> Our nuclear medicine physicians are talking about treating an incontinent
> patient with ~100 mCi of I-131. Even if we hold her (and her diapers) in
> the hospital for a few days, she'll still be generating I-131 waste once
> she gets home.
>
> How would others handling this?
> 1. Ignore waste she generates at home, and hope the landfill doesn't
monitor.
> 2. Have her collect her own waste for decay in her basement?
> 3. Have her collect her own waste, and we then pick up the trash for
> decay-in-storage here. What are the DOT repercussions of me having a
> trunk-full of hot Depends?
>
> Any comments?
> Thanks,
> Doug
> Douglas J. Simpkin, Ph.D., D.A.B.R.
> St. Luke's Medical Center
> 2900 West Oklahoma Avenue
> Milwaukee, WI 53215
> phone: (414)649-6457
> fax: (414)649-5118
> email: dsimpkin@execpc.com
>
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information can be accessed at http://www.ehs.uiuc.edu/~rad/radsafe.html