D.O.T.
When receiving a package and performing the wipe test, how many sq cm should be wiped?
300 cm2
The Radiation Safety Committee at WMC meets at what frequency?
Quarterly
What therapeutic Nuclear Medicine procedures are performed at WMC?
Ra-223 Xofigo and Y-90 Sirspheres
True or False. It is okay to store your personal belongings in the hot lab if you are the only one working in the department.
False. It is never okay to store personal belongings, food, or drink in the hot lab.
What items should be checked and recorded on a GM counter every day prior to use?
Battery, source reading, and background
When receiving deliveries from the pharmacy, they should be surveyed at what distance(s)?
The surface and 1 meter
What activity is considered to be a MAJOR spill for Tc99m?
100 mCi
What special paperwork is required of any therapeutic Nuclear Medicine procedure?
Written Directive
It is acceptable for the Pharmacies to have the code to our Hot Labs in order to let themselves in when we aren't here. True or False
False. Security ALWAYS has to let them into the Hot Labs when we are not in the building(s).
Area surveys should be performed at which times?
A. Daily
B. Only when contamination is suspected
C. Surveys are not necessary as long as you are careful
D. Both A & B
What is the maximum permissible limit of removable surface contamination allowed on a package?
2,200 dpm/100 sq sm
(300 sq cm=6,600 dpm)
What activity is considered to be a MAJOR spill for FDG?
10 mCi
The patient's identity must be verified before the administration of a therapeutic dose. Which methods of identification are acceptable?
Full name (stated by the patient and matching it with chart), drivers license, DOB, SSN, address, patient wrist band
What type of posting is required on the door of the hot lab or anywhere that radioactive materials are used or stored?
Caution: Radioactive Materials
Actual dose and prescribed dose may not differ by more than _____%. (State Reg)
20% is the State Reg, but we follow a 10% rule
What label would be required on a package with the following measured exposure rates?
Surface=5 mR/hr and 1 meter=0.5 mR/hr
Yellow II
One of our main goals is to achieve low occupational exposures and exposures to the public that are also as low as possible. What is this program called and how do we achieve it?
ALARA (As Low as Reasonably Achievable) is achieved by Time, Distance, and Shielding.
Who must sign the Written Directive?
The technologist, a dose verifier, and the authorized user
What type of posting is required where a major portion of the body may receive in excess of 5 mR/hr or 100 mR in 5 consecutive days.
Caution: Radiation Area
The annual occupational total dose limit is _____ rems.
5 rems
What UN number should appear on the outside of a package containing limited quantity of RAM?
UN2910 Limited Quantity. UN2908 is Empty. *Don't flip placards and place outside of delivery boxes, put them inside of the box. We aren't shipping radioactive materials back.
What is the occupational dose limit to an embryo/fetus for the duration of a pregnancy?
0.5 rem
What four improper technologist actions constitute a misadministration?
Wrong radiopharmaceutical
Wrong route of administration
Wrong patient
Wrong activity (differs by more than 20%)
What type of posting would be required in an area where a major portion of the body may receive a dose in excess of 100 mR/hr?
High Radiation Area
True or False. All radioactive materials should be properly secured when not under the constant surveillance and immediate control of an authorized user, RSO, or nuclear medicine technologist.
TRUE, TRUE, TRUE! We really should not be leaving doses anywhere that cannot be directly seen by one of us. i.e., the stress rooms.