NCRP-168 as a Training and Operational Resource
S Balter*, Columbia University Medical Center, New York, NYWE-B-213CD-2 Wednesday 9:00:00 AM - 9:55:00 AM Room: 213CD
NCRP Report 168 provides guidance on facilities as well as on patient and worker radiation safety during fluoroscopically guided interventions (FGI). Fluoroscopy is widely used in surgical settings in ways that can be comparable to its use in other FGI procedures. Surgical fluoroscopes range from simple mobile analog C-arms, heavy mobiles with most of characteristics of a fixed system, to state of the art fixed systems. Patient and worker radiation safety concerns along with training, credentialing, and privileging of surgical staff are similar to those for all other FGI procedures. Recommendations relevant to the surgical setting will be reviewed. Two key recommendations are: An FGI procedure shall be performed or supervised only by a physician or other medical professional with fluoroscopic and clinical privileges appropriate to the specific procedure. An FGI procedure shall be performed or supervised only by a physician or other medical professional with fluoroscopic and clinical privileges appropriate to the specific procedure. Other topics such as responsibilities of all workers for their own radiation protection, those of the attending surgeon for patient dose management and follow-up, and those of the facility for providing necessary resources will also be briefly discussed.
•To understand the responsibilities of surgeons and others working in a FGI environment toward patient and worker radiation safety.
•To understand radiation protection requirements and actions necessary for personal safety while radiation is in use in a surgical environment.
•To gain familiarity with the knowledge base needed to safely perform or supervise FGA procedures in the surgical environment.