RE: NRC Information Notice 2002-28/fluoroscopy

[desegnac <desegnac@SWBELL.NET>]

Re: NRC-fluoroscopy-overexposure



If I am not mistaken, we are missing the target. OCCUPATIONAL EXPOSURES is

an NRC-Agreement State business, thus RSO's domain, while exposure of

patients is exempted from regulations, thus irrelevant. That is, an RSO's

business is to secure that the exposures of those who are required to wear

personal dosimetry badges, are within the occupational limits. That is why

NRC says that there shall be a functional RSO.  Patients' exposure is, as of

now, between a doctor, patient and their God.



Dusan Radosavljevic

Austin, TX



desegnac@swbell.net





-----Original Message-----

From: owner-radsafe@list.vanderbilt.edu

[mailto:owner-radsafe@list.vanderbilt.edu]On Behalf Of Jacobus, John

(NIH/OD/ORS)

Sent: Friday, October 04, 2002 12:15 PM

To: 'RadSafe'

Subject: RE: NRC Information Notice 2002-28/fluoroscopy



Mike,

Gary is partly correct in that a lot of overexposures was due to poor

training of the physicians with regard to the risk of skin exposures.  (Of

course, in some situations, the patients presented difficult cases, and in

some repeat exams.)



There is interest paper and really nasty case shown in paper that can be

found at



http://ojps.aip.org/journals/doc/JACMFG-home/top5.jsp



Enter the search item as:  protecting patients by training

Set the search field:  TITLE



If that does not work, let me know and I will send a copy of the article as

a pdf file.



Have a good weekend.



-- John

John Jacobus, MS

Certified Health Physicist

3050 Traymore Lane

Bowie, MD  20715-2024



E-mail:  jenday1@email.msn.com (H)



-----Original Message-----

From: Michael G. Stabin [mailto:michael.g.stabin@vanderbilt.edu]

Sent: Friday, October 04, 2002 12:02 PM

To: Gary Isenhower

Cc: William V Lipton; radsafe; carmine_mhp@YAHOO.COM

Subject: Re: NRC Information Notice 2002-28/fluoroscopy

. . .

> It is true that some overexposures occur due to lack of experience in the

physician

> performing the procedure.



I thought a big part was due to the fact that there is poor "live time"

knowledge of the cumulative dose.

. . .

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