Re: Risk Assessment

["Marissa Bartlett" <Marissa_Bartlett@health.qld.gov.au>]

Susan,



Apart from spills, misadministration is the most common adverse event, in my experience.  This can be either 

1) injecting the wrong amount of the right radiopharmaceutical

2) injecting the wrong radiopharmaceutical, so that another injection has to be given at a later date, 

3) tissue-ing of the injection, so another dose must be given to get a diagnostic scan.



You might also want to list failure to advise on breastfeeding, resulting in a dose to an infant.

Of course, if you're doing therapy work, you'll have to consider failure to advise on precautions after release, resulting in doses to members of the public.  Also, the possibility of your therapy patient walking out ahead of time.



Hope this helps,

Marissa







===============================

Dr Marissa Bartlett

Dept of Nuclear Medicine

Royal Brisbane Hospital



marissa_bartlett@health.qld.gov.au

ph: + 61 7 3636 7569

fax: + 61 7 3636 8481



>>> "Susan Harrison" <SHarriso@hillcrest.com> 13/03/03 9:42:36 >>>

I am new to this list and have never contributed.  I am a Radiology

Director for a medium sized rural hospital.  Our new Safety Officer for

the hospital has asked me to perform a Risk Assessment for our Radiation

Safety plan.  These are the following potential "hazards" I have

identified thus far.  Our Safety Officer, however, has mentioned that he

would like a list of ALL possible radiation-related possibilites (no

matter how extreme the may seem)...so, I ask you to please, please

assist me with suggestions for this list.



Here is what I have:

Radiating a Pregnant Patient

Large, Moderate, and Minor Spill (internal and external)

Theft of Radioactive Material from the Nuc Med Hot Lab

Employee Exceeding Annual Limits



Please help me with any other suggestions.



Thank you  in advance,

Susan Harrison

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