Radia%on Protec%on Quiz Radia%on Protec%on Refresher Training

Ques%on 1 •  Your pa(ent who has just had a bone scan happens to men(on that she is just about to spend the rest of the evening with her pregnant sister. What advice do you give her when leaving the department. •  A: don’t worry about it (but don’t let her sit on your lap!) •  B: Take a rain check •  C: It’s OK but sit at the opposite ends of the room

Ques%on 2 •  What radia(on protec(on advice do you give a pregnant women who is having a VQ scan for suspected pulmonary embolism •  A: Don’t go near any pregnant women or children for 24hrs •  B: none •  C: don’t breast feed for 14hrs no other restric%ons

Ques%on 3 •  What is the defini(on of close prolonged contact in our local rules •  A: cuddling for more than 10mins •  B: siJng in Costas having a coffee with a friend •  C: Sleeping next to your partner in bed

Ques%on 4 •  Pa(ent comes in for NM injec(on and men(ons that her daughter is pregnant and is wai(ng for her outside in the hot wait what do you do?

•  A: Call duty physics •  B: Pop out to the daughter and ask her to wait in the cold wait area (without scaring her)

•  C: Do nothing – it’s too late she’s already been there awhile.

Ques%on 5 •  What radia(on protec(on advice do you give someone who has had a 123I DATSCAN •  A: Avoid pregnant women and children •  B: None unless they are breast feeding. •  C: None

Ques%on 6 •  What radia(on protec(on advice do you give someone on leaving the department aNer a diagnos(c 123I MiBG scan who is taking public transport home. •  A: no restric%ons but if travelling with children or grandchildren do not let them sit on your lap. •  B: no restric%ons •  C: take a taxi home and avoid public transport •  for 12 hrs

Prolonged close contact aWer therapy Calculate dose to my ki[y cat please

Can we s%ll have sex? -only aWer you’ve leW the hospital -I’m already married! But seriously though use barrier contracep%on and make it quick!

But I love cuddling my pets!!

On a packed tube for 20 mins? - that’s OK

None of this AWer therapy please

Ques%on 7 •  What radia(on protec(on advice do you give someone who has had 131-I therapy for thyrotoxicosis •  A: Follow risk assessment advice from April •  B: None •  C: Avoid pregnant women and children for 24hrs

Ques%on 8 •  A young woman turns up for a bone scan with her 3 young children under the age of 7. What do you do? •  A: reschedule the scan •  B: Children have to remain in the cold wai%ng area. •  C: Children can stay in the hot wait children’s play area.

Ques%on 9 •  What is the difference between 131I-mIBG and 123I-mIBG for Radia(on Protec(on advice •  A: Different isotopes •  B: Different tracer •  C: Nothing

Ques%on 10 •  Post thyrotoxicosis therapy pa(ent on T5 vomits in the corridor what do you do? •  A: Call duty physics for advice and help with cleaning up •  B: Call duty physics to clear up •  C: Ask the nurses to clear it up.

Ques%on 11 •  Place in order of “danger/adsorbed dose to rela(ve or carer” clinical doses of Radium-223, Iodine-131, Iodine-123 •  A: 131I, 123I, 223Ra •  B: 223Ra, 131I, 123I •  C: 123I, 131I, 223Ra

Will it affect my …... Acrylic nails

Computer hard disk

NO! Mobile phone

Hair Dye

Ques%on 12 •  Why do we not allow food (this includes biscuits and sweets) and/or drink in the control rooms •  A: Because the RPS says so •  B: Because you may ingest radioac%ve substances •  C: Because you might make a mess

Ques%on 13 •  Why is it important to check your hands for radia(on contamina(on before leaving the scanning area •  A: Because the RPS says so •  B: To prevent the spread of contamina%on to public (non-controlled) areas •  C: So you don’t contaminate the coffee jar.

Ques%on 14 •  What is a controlled area •  A: Anywhere that a radioac%ve pa%ent sits. •  B: Everywhere with card access door. •  C: Everywhere there is a “controlled area” sign

Ques%on 15 •  Where are the controlled areas •  A: Everywhere in the dept •  B: Hot wait, clinic, all scanning rooms, all the pa%ent toilets, hot lab, uptake bays, waste store •  C: Everywhere past recep%on

Ques%on 16 •  Other than pa(ents a^ending for a nuclear medicine scan - who may enter a controlled area •  A: Anyone •  B: Someone working under nuclear medicine local rules •  C: Anyone wearing a personal dosemeter

Ques%on 17 •  Who can use the toilets in the controlled areas? •  A: pa%ents and staff •  B: pa%ents and rela%ves •  C: pa%ents only

Ques%on 18 •  How oNen should you monitor your hands? •  A. Before lunch •  B. when you go home •  C. Every %me you leave a controlled area.

Toilet Humour

Will it glow in the dark!!?!

Why is my pee blue!!?!

Please make sure you sit down on the toilet for 24hrs

Ques%on 19 •  You have just spilt Tc-99m on the injec(on chair what should you do? •  A: Tell the RPS •  B: Get the spill kit and remove as much as possible then label appropriately, check yourself for contamina%on. •  C: Leave it for someone else to clear up.

Ques%on 20 •  While injec(ng a PET tracer some of it spills. •  A: Clear up as much as you can and scan pa%ent as normal •  B: Measure ac%vity mopped up and adjust bed scan %mes according to how much has actually been injected •  C: Call duty physics

Ques%on 21 •  68Ga-DOTATATE tracer spill occurs in the dispensary at the end of the clinical list what do you do? •  A: run away and leave it for someone else to clear up •  B: Put a sign up and deal with it tomorrow •  C: Try and clear it up with spill kit before going home.

Ques%on 22 •  18F tracer vial cracks inside inver(ng shield in the dispensary but the 68Ga dose has just turned up and needs dispensing immediately. •  A: run away and leave it. •  B: If contained within shield put a sign up and use other inver%ng shield/other dispensary •  C: Try and clear it up with spill kit

Ques%on 23 •  Which of these cannot be found in the spill kit? •  A: Gloves •  B: Decon •  C: contamina%on monitor

What is this radia%on anyway…..

Is it be[er if I leave the windows open?

Ques%on 24 •  What does an RPA do? •  A: Give advice on s%cking to legisla%on regarding ionising radia%on •  B: Show us how to to operate the gamma cameras •  C: Police the local rules

Ques%on 25 •  Who is our RPA? •  A: •  B: •  C:

Ques%on 26 •  What is an RPS? •  A: Give advice on s%cking to legisla%on regarding ionising radia%on •  B: Show us how to operate the gamma cameras •  C: Police the local rules

Ques%on 27 •  Who are the department’s RPS? •  A: All of Clinical Physics •  B: •  C:

Ques%on 28 •  What is the dose from a DEXA scan •  A: same as a transatlan%c flight •  B: same as a techne%um bone scan •  C: same as background radia%on dose for a day

Ques%on 29 •  Under what circumstances should you be able to enter a scanning room while the Xrays in use sign is on. •  A: Never •  B: pa%ent emergency •  C: Any%me the pa%ent wants you to.

Ques%on 30 •  You need to repeat the CT scan due to soNware error or pa(ent movement •  A: Abandon the scan as is, SPECT/PET has been acquired. •  B: Repeat the CT scan in the new posi%on •  C: Check with the duty Dr that a repeat CT scan is jus%fied.

Team INM Philosophy •  Radia%on Protec%on is a team effort •  We all need to make sure we keep the info consistent •  Be mindful of the language we use – be “lay” as much as poss and not scare our pa%ents. •  If you’re not sure ask a physicist •  Check out the new RESTRICTIONS “traffic light” system therapies

4-72hrs

none