Radiation Safety
Repeat Rejection logs
Monthly reports are done from portables and Fuji rooms to check for number of repeats
Radiation Safety meets quarterly
Keeps policy and procedures for PSJH Mission Hospital
QuickLinks/ Lucidoc- Mission
when starting exam
Move right to left when you are ready to complete exam
Move back to the left side if the patient is not ready
2,3,4
2 minute- Purple Top wipes
3 min- Red Top wipes
4 min- Orange Top wipes
Code requires caregivers to be at entrances/exits
Code pink
" I peldge to put my patient's safety, health and welfare first. To routienly review imaing protocols... to monitor examination radiation dose... "
Image Wisely Pledge
Documented once a year, expires 12/31
Completes Lead apron checks
Completed yearly by Jowell, log kept in the G drive
If a lead is soiled or torn, it will be disposed but not in the regular trash
after sign orders, this icon must be clicked
click the syringe
then click "Due"
Easiest thing you could do
Wash your hands
Hand sanitizer
Schedules PM
Preventative Maintance for machines are scheduled with Bio Med
check Bio Med stickers for next due date
To correctly identify patients/procedures
3 patient identifiers
Storage of Medication
Meds are to be locked in cabinets and checked for expiration dates prior to using on patients
Pharmacy has oversite of medications used
Saline is a medication
these contrasts are to be documented in EPIC
Gastro when used for tube checks
Gadavist
Optiray
Cannot be more than 2/3 full
Blue sharps containers
Lid must be closed
HRO
High Reliability Organization
Caring Reliably done through healthstreams
Monitors Radiation exposures
RSO reivews monthly readings, book is located in Rad locker room
Individulas are notified of high dose reports- ALARA dosimetery report
Keeps info on Physician Licensures
Physician Privileges can be seen in shortcuts
Fluoro License can also be verified in RHB website
must be ordered with CARM charges
Do not add CARM charges to FL exams i.e. FL Cysto, FL ERCP, FL Cholangiogram
This should be done for covid inpatients
This should be done for covid outpatients
Keep lead shield in cassette cover
Outpatients are to be brought to open room- registered in room- complete exam- then walk out
Broken handle
Place bio med work order, escalte if there is no update on next shift
Place work orders on the machine and in the QC room to allow team communication
Pregnancy Policy for patients and caregivers
Patients are to sign a pregnancy waiver prior to exams/ shielding
Caregivers declare pregnancy in writing to RSO/ wears dosimeter at waist level
Hospital education
Healthstreams/ Q streams allows for caregivers to have Hospital and Imaging dept education
"Begin to End"
Correct end and begin times are to be used to properly track turnaround times
this is put on first
this is put on last
Gowns are put on first, then mask, face shield, gloves
N95s are to be used once a shift if it is visibly soiled, use new mask
can be asked questions regarding TJC survey
All of us :)