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I N T R A O P
I M A G I N G
shields and thyroid collars, depending
ers. Inspect shields frequently, espe-
on the procedure. Staff members who
cially older ones, for flaws or wear. A
stand with their backs to the radiation
2013 study by South Korean
beam must wear wrap-around aprons.
researchers analyzed the wear and
Staffers who must place their hands
tear of protective shields — aprons
near the beam during procedures
and thyroid protectors — and discov-
should wear leaded gloves. The
ered most damage occurred at the
0.5mm lead-equivalent aprons used by
waist of aprons (tinyurl.com/p9cxbad).
physicians during fluoroscopy weaken
"We have a consulting radiologist
95% of the scattered radiation to the
inspect our equipment every year, and
shielded torso, compared with 80% for
dispose of any that have issues," says
the lightweight 0.25mm aprons, says
Ms. Cappella.
Carol Cappella, MSN, RN, CNOR, the
clinical director at the Delray Beach
3. Monitor exposure.
(Fla.) Surgery Center.
Physicians and staff should wear
"Disposable radiation protection
dosimeters that measure the amount
products, including specially treated
of radiation to which they're exposed.
scrub hats and thyroid collars, are
The dosimeters should be worn
now available," she adds. That's espe-
against the body, not on a chain,
cially welcome when it comes to thy-
because a chain lets the badge-like
roid collars. Staff sweat in those col-
devices rotate away from the radiation
lars, and while reusable collars might
source. Be sure the dosimeters are
be cleaned between uses, it's much
sent back to the vendor or staffer
more pleasant — and hygienic — to
charged with tracking exposures at
put on fresh single-use throat protec-
the end of the monitoring period.
tion before cases.
Never launder badges or lend them to
another staff member. Leave them at
2. Proper storage and
inspection. Protective shields
work so they're never stored in a hot
car.
should be hung, not folded, on hangA U G U S T 2013 | S U P P L E M E N T
TO
O U T PAT I E N T S U R G E R Y M A G A Z I N E
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