Radiologic Health Plan Questionnaire
In this section we need to learn about how you monitor or ensure your staff are not overexposed in the course of their duties at your practice. You will notice that some of the questions have room for a brief paragraph to the answer. This is because you'll need to explain why you do what you do.
To help, we have pre-populated the paragraph area with an acceptable answer to the question. That being said, please read through it and modify it according to your practice proceedures. The results of these paragraph answers are instered directly into your health and safety plan, and if audited, you'll need to illustrate that you adhere to your plan.
Great! Please let us know which dosimeter type(s) your practice uses.
DECLARED PREGNANCY (OCCUPATIONAL)
During a declared pregnancy by an employee, the following are recommended tactics to limit occupational exposure to the employee:
1. You offer temporary assignment to tasks which involve less risk of being exposed to radiation
2. You require the use of a protective apron
3. Your practice abides by all regulatory prohibitions (10CFR20)
4. You use monitoring devices such as a film badge worn at the abdomen
5. You require that you stay behind a protective barrier during exposure
DECLARED PREGNANCY POLICY/PROCEDURES
The following are four recommended actions for your practice to take when working with patients of childing bearing age who may be pregnant:
1. Whenever possible you postpone use of x-rays until the pregnancy is over
2. All women of child-bearing age are asked to inform they are or are trying to become pregnant
3. You post signage in your public/common areas to warn pregnant patients that they x-ray machines are in use and to notify your staff that they are pregnant
4. If you absolutely have to use x-rays on a pregnant patient, you utilize shilding devices such as lead aprons and thyroid collars.
The IDPH, Bureau of Radiological Health requires that each practice using radiologic equipment for medical purposes have and an assigned Radiation Safety Officer to ensure that the operation of x-ray machinery is done so in accordance with governing regulatory authorities. Generally for most medical establishments operating x-ray equipment, this individual will be a practicing partner, or the primary doctor of the practice.
The California Radiologic Health Branch requires that your health and safety plan include a person who has general oversight of the safety plan and this person should be a physician who will act as the Radiation Safety Officer (RSO) for the practice. Additionally you should assign a secondary individual to help adminster and manage the plan day to day.
A current copy of Department Form RH-2364 (Notice to Employees) will need to be posted in a sufficient number of places to permit individuals working in or frequenting any portion of a restricted area to observe a copy on the way to or from such area. Your health and safety plan needs to stipulate where this document is specifically posted. In the box below please indcate the location(s) specific to your practice where this document is posted.
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To complete your form, we just need to collect your payment information. Once you click on submit, we will prepare your radiologic health and safety plan and email it over to you in about 15 minutes.
We want you to be 100% satisfied or we'll refund your money back. Therefore, when you get your plan, if something is not right, we'll fix it to your liking, or we'll refund you in full. You can always email us at email@example.com or call us (M-F 9-5EST) at 1-866-579-5567.