Where is the safest place for the radiographer to stand during fluoroscopy?
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PLEASE NOTE: Wearing your dosimeters in accordance with the guidelines given above is required in order to obtain an accurate assessment of your radiation dose. When not in use, store your dosimeters in an area that will not be exposed to radiation in excess of background levels.
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Time is one of the three basic safety measures to reduce external radiation exposure. It is important for healthcare personnel to limit the amount of time spent in close proximity to the radiation source when exposure to the radiation source is possible. Reducing the time of an exposure reduces the effective dose (radiation) proportionally. Consequently, the less time you are around the equipment, the smaller your exposure will be. 2. Notification by Radiation Equipment Operator  Before any treatment or procedure, it is the responsibility of the trained and certified radiation equipment operator to notify healthcare personnel in the x-ray or treatment room prior to the activation of radiation producing equipment (RPE). Any piece of equipment in which x-rays are produced electrically are classified as radiation producing equipment or RPE. These tools are used in a variety of medical applications including radiography, mammography, computed tomography, and fluoroscopy. 3. Fluoroscopic Procedures Healthcare personnel performing fluoroscopic procedures must ensure that the patient is kept as close as possible to the image intensifier side of the fluoroscopic unit and away from the tube side of the unit. All healthcare personnel involved in the fluoroscopic procedure must stand on the image intensifier side of the fluoroscopic unit, whenever possible, to reduce the radiation exposure. Standing on the the same side as the image intensifier radiation intensity is decreased. 4. Avoid Direct Beam Exposure Healthcare personnel assisting with radiological procedures must avoid holding the patient manually during a radiographic study due to the risk of direct beam exposure. Any individual holding or supporting a person during radiation exposure should wear protective gloves and apron with a minimum of 0.25 millimeters lead equivalent. Under no circumstances should individuals holding or supporting a person’s part of their body be directly in the primary beam. Healthcare personnel must avoid exposing any body parts to direct x-ray beam exposure. 5. Utilize Shielding Whenever possible, appropriate shielding should be used to provide attenuation of the radiation being delivered to the healthcare personnel who are potentially exposed. Healthcare personnel must keep all body parts out of the direct x-ray beam. There are a variety of shielding options available and may include, but are not limited to:
Specific Shielding Applications Healthcare personnel who may have to stand with their backs exposed to the radiation beam must wear wrap-around aprons to decrease the risk of radiation exposure. Bone and Bone Marrow Protection When healthcare personnel are in close proximity to the radiation beam they should wear an appropriate lead or lead equivalent apron of sufficient length to shield the upper legs and protect the long bones and bone marrow from increased doses of radiation. Thyroid Protection Healthcare personnel must wear a thyroid collar to protect the thyroid whenever the likelihood of the procedure places them at a higher risk of increased exposure. Female Healthcare Personnel Female healthcare personnel must protect their breasts from radiation exposure by utilizing an apron that completely covers the area. Healthcare personnel must shield the lens of the eye by using leaded eyeglasses with wrap-around side shields or leaded face shields to reduce scatter radiation when it is anticipated that increased fluoroscopic time may be necessary. Limiting Radiation Exposure Reducing radiological exposure in healthcare settings is important for both occupational workers as well as patients. The following guidelines are based on the radiation safety principles of time, distance, and shielding. By following these guidelines, you can reduce your occupational exposure to radiation.
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Note: This information included in this post is intended for general reference information only. The information provided is not a substitute for professional advice and should not be relied upon in the absence of such professional advice. Where should the radiographer stand during the exposure when performing a mobile procedure?Radiographer should stand as far away from the patient as is practical and should move closer to the patient only when assistance is required during a fluoroscopic examination to ensure protection from scattered radiation emanating from the patient.. Wear protective apron of at least 0.5-mm lead equivalent.. Where should the radiographer place the radiation monitor device while performing fluoroscopy?At the radiographer's collar.. Inside the protective apron.. Above the fluoroscopic equipment.. At the corner of the examination room.. What can be done to prevent injury in fluoroscopy?The best defense against radiation injury to both patient and staff is to minimize the total fluoroscopy time, keep the image intensifier close to the patient, collimate to the region of interest, and use appropriate radiation shielding and monitoring.
What radiation protection practices should be adhered to by the radiographer during fluoroscopy?Students in fluoroscopy should maintain the greatest distance possible from the source, wear appropriate shielding, and stand at 90 degrees from the primary beam. When not needed for patient care in the radiography room the student should remain behind the lead barrier.
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