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          Safety in nuclear medicine: Responsibilities of health professionals

          ? What are my main responsibilities in radiation protection as a nuclear medicine specialist?

          You have the primary responsibility for ensuring overall radiological protection of patients and to:

          • Ensure?that each medical exposure is justified in consultation with the referring physician;?
          • Ensure?that the exposure of patients is the minimum required to achieve the intended objective, taking into account the relevant guidance levels for medical exposure;?
          • Establish?optimized protocols for diagnostic and therapeutic procedures, in consultation with the medical physicist and technologist;?
          • Provide?criteria to manage the examination of pregnant women, paediatric patients, medico-legal procedures, occupational health examinations and medical and biomedical research;?
          • Evaluate?any radiation incident or accident from a medical point of view.?

          ? What are my main responsibilities as a nuclear medicine technologist?

          As technologist you have a key position in protection of the patient. Your responsibilities and duties are to:

          • Identify the patient;?
          • Inform the patient;?
          • Inform accompanying persons and staff nursing a patient after a nuclear medicine examination or therapy;?
          • Verify that the female patient is non-pregnant;?
          • Ensure that a mother in lactation is given information about discontining nursing;?
          • Perform the radiological procedure following an optimized protocol and ensuring patient protection;?
          • Calculate administered activity to a child according to the local rules;?
          • Verify the administered radiopharmaceutical and its activity;?
          • Perform regular quality control of activity meter and gamma camera;?
          • Contribute to the preparation of specifications for new equipment;?
          • Participate in optimization of imaging protocols;?
          • Inform the nuclear medicine physician and radiation protection officer (RPO) in the case of an accident or incident.?

          ? What are my main responsibilities as a medical physicist in nuclear medicine?

          Your responsibilities are to:

          • Plan together?with the nuclear medicine physician and the radiation protection officer (RPO), the facilities for nuclear medicine practice;?
          • Prepare?performance specifications for equipment with regard to radiation protection;?
          • Participate?in the continuing review of the nuclear medicine practice's resources (including budget, equipment and staffing), operations, policies and procedures;?
          • Carry?out acceptance testing and commissioning of equipment;?
          • Design, implement?and supervise?QA procedures;?
          • Supervise?equipment maintenance;?
          • Be responsible for calibration of equipment and dosemeters;?
          • Perform?patient dose assessment;?
          • Participate?in optimization of imaging protocols;?
          • Participate?in the investigation and evaluation of incidents and accidents;?
          • Contribute?to the radiation protection training programme.?

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