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Re: [Fwd: RE: Nuclear Medicine Patients and Homeland Security]



Accountability seems to be a new concept for the medical community.



Yes, I do follow my doctor's instructions.  Let's get that out of the way.



Having the patient sign a statement of compliance would probably be a good idea.



The other issue is that, in releasing the patient with a significant radiation field, the

licensee is making a judgment that the patient will comply with the applicable instructions.

If there is doubt regarding this, the patient should not be released.



I don't see the regulators as demanding 100% compliance; only a reasonable effort.



The opinions expressed are strictly mine.

It's not about dose, it's about trust.

Curies forever.



Bill Lipton

liptonw@dteenergy.com





John Jacobus wrote:



> And what would you suggest?  Having the patient sign a

> statement that they would comply with directions?  How

> would you ensure compliance once the patient has left

> the hospital or "licensee's control?"

>

> Have you always followed your physician's

> recommendations to finish all of your medications?  If

> you did not, then what should we do with you?

>

> --- William V Lipton <liptonw@DTEENERGY.COM> wrote:

> > 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.

> >

>

> =====

> +++++++++++++++++++

> "There's no trick to being a humorist when you have the whole government working for you."

> Will Rogers

>

> -- John

> John Jacobus, MS

> Certified Health Physicist

> e-mail:  crispy_bird@yahoo.com

>

> __________________________________

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