[Date Prev][Date Next][Thread Prev][Thread Next][Date Index][Thread Index]
[Fwd: RE: Nuclear Medicine Patients and Homeland Security]
IN 2003-22 implies that the licensee is accountable, to some degree, for
the patient's compliance with the applicable instructions. Quoting:
"...When licensees are required to provide written instructions to
patients released in accordance with 10 CFR 35.75, the licensees are
expected to, among other things, review with authorized users the
expectation that written instructions provided to patients will be
followed...." Although this is currently an "expectation" rather than a
requirement, my advice to medical licensees is to make every effort to
comply.
The opinions expressed are strictly mine.
It's not about dose, it's about trust.
Curies forever
[The following is posted with the author's permission.]
-------- Original Message --------
From: "Williamson, Matthew/Medical Physics" <willim01@MSKCC.ORG>
Subject: RE: Nuclear Medicine Patients and Homeland Security
To: William V Lipton <liptonw@DTEENERGY.COM>
Bill,
I'm not sure if it's under the NRC's purview to enforce/inspect the ptn,
but rather the licensee's actions. In my opinion, the NRC can refer
back to the licensee for their instructions, and that's it. The ptn has
not entered into agreement with the NRC.
Matt
-----Original Message-----
From: owner-radsafe@list.Vanderbilt.Edu
[mailto:owner-radsafe@list.Vanderbilt.Edu] On Behalf Of William V Lipton
Sent: Friday, January 02, 2004 7:28 AM
To: Carol Marcus
Cc: John Jacobus; Radsafe@list.Vanderbilt.Edu
Subject: Re: Nuclear Medicine Patients and Homeland Security
The purpose of the 10 CFR 35.75 instructions is to keep the dose to
other individuals ALARA. Let me quote: "... A licensee shall provide
the released individual, or the individual's parent or guardian, with
instructions, including written instructions, on actions recommended to
maintain doses to other individuals as low as is reasonably
achievable..."
Hence, it is NOT acceptable for the patient to disregard the
instructions, even if the dose to another person stays below 500 mrem,
if the patient's actions cause dose greater than ALARA. This IS a NRC
issue.
The opinions expressed are strictly mine.
It's not about dose, it's about trust.
Curies forever.
Bill Lipton
liptonw@dteenergy.com
Carol Marcus wrote:
>
> Dear Radsafers:
>
> ... The physician must make a judgement as to the probability that the
> patient will follow instructions that will prevent a member of the
> public from receiving >500 mrem. That doesn't mean that the patient
> has to do exactly what he/she is told---he/she must keep the dose
> below the 500 mrem.
>
> ...
> Ciao, Carol
>
> Carol S. Marcus, Ph.D., M.D.
> <csmarcus@ucla.edu>
************************************************************************
You are currently subscribed to the Radsafe mailing list. To
unsubscribe, send an e-mail to Majordomo@list.vanderbilt.edu Put the
text "unsubscribe radsafe" (no quote marks) in the body of the e-mail,
with no subject line. You can view the Radsafe archives at
http://www.vanderbilt.edu/radsafe/
=====================================================================
Please note that this e-mail and any files transmitted with it may
be
privileged, confidential, and protected from disclosure under
applicable law. If the reader of this message is not the intended
recipient, or an employee or agent responsible for delivering this
message to the intended recipient, you are hereby notified that any
reading, dissemination, distribution, copying, or other use of this
communication or any of its attachments is strictly prohibited. If
you have received this communication in error, please notify the
sender immediately by replying to this message and deleting this
message, any attachments, and all copies and backups from your
computer.
************************************************************************
You are currently subscribed to the Radsafe mailing list. To
unsubscribe, send an e-mail to Majordomo@list.vanderbilt.edu Put the
text "unsubscribe radsafe" (no quote marks) in the body of the e-mail,
with no subject line. You can view the Radsafe archives at
http://www.vanderbilt.edu/radsafe/