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9/3/2013 Alabama Radiation Control 1
Welcome
� Instructor Introductions
� Facility Overview
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� Facility Overview
� Agenda
� Handouts
� Office of Radiation Control Overview
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Radiological Basics:Module Objectives
� Define background radiation
� Discuss the two nuclear power plants in Alabama.
� Identify the basic components of an atom.
� Identify two basic types of radiation.
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� Identify two basic types of radiation.
� Identify three types of ionizing radiation.
� Identify the ways to control exposure.
� Distinguish between radiation exposure, radioactive contamination and decontamination.
� Discuss biological effects of radiation and radiation pathways.
Terrestrial
(background)
(3%)
Internal
(background)
(5%)
Space
(background)
(5%)
� 620 mrem/year
� 311 mrem from natural radiation
Average Annual Radiation Dose per U.S. Citizen
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Radon & thoron
(background) (37%)
Nuclear Medicine
(medical) (12%)
Computed
Tomography
(medical) (24%)
(3%)
Interventional
Fluoroscopy
(medical) (7%)
Conventional X-Ray/
Fluoroscopy
(medical) (5%)
Industrial (<0.1%)
Consumer (2%)
Occupational (<0.1%)
� 308 mrem from man-made radiation
� <1 mrem from nuclear power generation
Some Uses of Radioactive Material
� Medical Diagnostic Testing
TherapyResearch
� Industrial
Nuclear Gauge
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� IndustrialRadiography
Oil and gas well-loggingThickness and level gauges
� Fixed nuclear facilitiesNuclear power plants
Radiography Source
Nuclear Power Plants
� Alabama: There are two active nuclear power plants
� Training and Equipment
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� 10-mile EPZ
� Browns Ferry : There are four risk counties and one host county
� Joseph M. Farley: There is one risk county
Alabama Radiological Emergency Response Plan
Alabama
Radiological
Plan
for
OFF-SITE
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Emergency
Response Plan
for
Nuclear
Power
PlantsUtility is responsible for
ON-SITE response and recovery.
OFF-SITE
emergencyresponse and
recovery.
Emergency Classifications
Notification of anUnusual Event
Alert
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Alert
Site AreaEmergency
General Emergency
Common Sources•Industrial sources •Radiopharmaceuticals
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•Nuclear fuels •Radioactive waste•Consumer products
Two Types of Radiation
� Non-IonizingRadio and TV Waves
Infra-Red
Microwaves
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Microwaves
Ultra-Violet
� IonizingGamma Ray
X-ray
Alpha Particle
Beta Particle
Ionizing Radiation
Ionization
� Permits detection of …
Provides a means of
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� Provides a means of shielding against…
� Produces biological effects from…
� Rays and Particles
Three Basic Types of Ionizing Radiation
� Alpha
� Beta
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� Beta
� Gamma
Alpha Radiation
� Positively charged particle that cannot penetrate skin
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� Relatively large and slow moving
� Travels only a few inches in air
� Internal hazard only
Beta Radiation
� Negatively charged particle that can penetrate layers of skin causing burns
Smaller and faster than
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� Smaller and faster than alpha particles
� Travels several feet in the air
� External hazard
� Internal hazard
Gamma Radiation
� Pure energy rays that can penetrate through thicknesses of material, including the body and internal organs
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internal organs
� No measurable mass
� May travel up to hundreds of feet in the air
� External & internal hazard
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Radiation Penetration
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Alpha
Beta
Gamma
ALARA
A L A R A
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AS
LOW
AS
REASONABLY
ACHIEVABLE
Controlling Exposure
Time
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DistanceShielding
Time
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Less time in area = Less exposure
Distance
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Greater distance = Less exposure
Shielding
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Denser/thicker material = Less exposure
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Exposure, Contamination & Decontamination
� Exposure
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� Contamination
� Decontamination
External Contamination
A CDV-700 or
Ludlum 14C
with the probe
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with the probe
OPEN detects
beta and gamma
contamination
Internal Contamination
Internal
contamination
is always
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is always
treated under
medical
supervision.
Contact RCA
Contaminated Injured
In all cases, the
treatment of an
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treatment of an
injury takes
precedence over
decontamination
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Biological Effects of Radiation
� Effects from low doses of radiation are predicted based on studies of individuals and groups that received large doses of radiation
� Over 100 years of study focusing on 4
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� Over 100 years of study focusing on 4 groups
� Early radiation workers
� Survivors of Hiroshima and Nagasaki
� People involved in radiation accidents at nuclear facilities
� Cancer patients
Acute Effects
� Nausea
� Vomiting
� Diarrhea
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� Diarrhea
� Hair loss
� Infection
� Death
Chronic Effects
� Reduced fertility
� Cataracts� LeukemiaOther cancers
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� Other cancers� Life shortening� Genetic effects
Radiation Pathways
•Biological pathways that can introduce internal contamination include:
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Radiological Instrumentation & Exposure Limits :Module Objectives
� Discuss radiation and our five senses.
� Define REM and MREM.
� Identify the use of direct reading dosimeters, Thermoluminescent dosimeters and survey meters.
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Thermoluminescent dosimeters and survey meters.
� Define radiation exposure limits for emergency workers.
� Discuss monitoring techniques for contamination.
� Define decontamination limits and thyroid uptake limits.
� Discuss the need of Potassium Iodide.
� Identify the use of a radiation portal monitor.
Radiation & Our Five Senses
We are aware of our environment through our five senses
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But we must rely on instruments to detect to presence of radiation
REM(Roentgen Equivalent in Man)
Unit of biological damage 1000 mR
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damage caused by
different types of ionizing radiation
1R = 1 Rad = 1 Rem
1000 mR
=
1 R
Radiation Exposure
� Dosimeter = Odometer
� Accumulated exposure
0|0|3|1|7|2
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exposuremR
| | | | | | | | | | | | | | | | 0 100 200
Pocket Dosimeters
� Records radiation immediately
Accumulated exposure
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0 - 200 mR
0 - 20 R
� Accumulated exposure
� Measures in Low Range (mR) or High Range (R)
Reading a Pocket Dosimeter
mR
| | | | | | | | | | | | | | | | 0 100 200
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Look through the dosimeter toward a light source.
CDV 750 Dosimeter Charger
Clamp Clamp Trigger
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Discharge
Button
G en erato r L ever
Thermoluminescent Dosimeter“TLD Card”
� Records radiation dose for legal/permanent exposure records
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exposure records
� Results not immediately available Lithium
Fluoride
Chips
Radiation Rate
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MPH
0 10 20 30 40 50 60| | | | | | |_____________________
� Survey Meter = Speedometer
Survey InstrumentsCDV- 700
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Ludlum Model 14C
Check Operation
Operation and Background for CDV-700
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Cover Probe
Use Earphones
Check
Background
Radiation
Reading the CDV-700
100 200
300
0.1
0.2 0.3 0.4
0.5
mr/hr
Hairline
Scale
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X1
OFF -
X10
X1OO
C/M0
300
CD V-700
Hairline
Multiplier Switch
Reading a CDV-700
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Reading a CDV-700
0.2 0.3 0.4
mr/hrWhat is the meter reading?
.1 mr/hr
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C/M0
100 200
300CD V-700
0
0.10.2 0.3 0.4
0.5
Monitoring for exposure rate mr/hr
Multiplier Switch X 1
.1 mr/hr
Reading a CDV-700
0.2 0.3 0.4
mr/hrWhat is the meter reading?
2.5 mr/hr
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C/M0
100 200
300CD V-700
0
0.1
0.2 0.3 0.4
0.5
Monitoring for exposure rate mr/hr
Multiplier Switch X 10
2.5 mr/hr
Reading a CDV-700
0.2 0.3 0.
mr/hr
What is the meter reading?
50 mr/hr
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C/M0
100 200
300CD V-700
0
0.10.2 0.3 0.4
0.5
Monitoring for exposure rate mr/hr
Multiplier Switch X 100
50 mr/hr
Reading a CDV-700
0.2 0.3 0.4
mr/hrWhat is the meter reading?
100 C/M
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C/M0
100 200
300CD V-700
0
0.1
0.2 0.3 0.4
0.5
Monitoring for contamination C/M
Multiplier Switch X 1
100 C/M
Reading a CDV-700
0.2 0.3 0.4
mr/hrWhat is the meter reading?
2300 C/M
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C/M0
100 200
300CD V-700
0
0.1
0.2 0.3 0.4
0.5
Monitoring for contamination C/M
Multiplier Switch X 10
2300 C/M
Reading a CDV-700
0.2 0.3 0.4
mr/hrWhat is the meter reading?
30,000 C/M
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C/M0
100 200
300CD V-700
0
0.1
0.2 0.3 0.4
0.5
Monitoring for contamination C/M
Multiplier Switch X 100
30,000 C/M
TEDE(Total Effective Dose Equivalent)
Total Dose =
External Dose + Internal Dose
=
2 X External Dose
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2 X External Dose
TEDE = 2 X Pocket Dosimeter Reading
Traffic Control Personnel, School Bus Drivers,
Personnel & Equipment Monitors
Radiation Dosage Limits for Emergency WorkersRadiation Dosage Limits for Emergency Workers
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Additional Radiation Dosage Limits for Emergency Workers
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Ludlum 14C Monitoring
Start at top of head.Hold probe 1 inch away.
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CAL
A
U
D
ON F
OFFRESET
BAT
S 0
F
F
X1000X100
X10
X1
X.01
X1000 FOR INTERNAL
PROBE ONLY
MODEL 14CGEIGER COUNTER
LUDLUM MEASEREMENTS,INC.
SWEETWATER, TEXAS
Hold probe 1 inch away. Move 1 inch per second.
Remember soles of shoes.
Always face probe toward the
equipment/personnel when monitoring for
contamination.
Contamination – 2X BKG
Monitoring for ContaminationCDV 700
Hold probe 1 inch from skin. Start at top of head. Move 1 inchper second with probe open.
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Contamination =Twice Background
(2X BKG)
per second with probe open.Remember soles of feet.
Vehicle Decontamination
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Radiation Dosage Limitsfor Personnel/Equipment Monitors
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Thyroid Uptake Limits
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KI(Potassium Iodide)
� Thyroid blocking agent
� Saturates the thyroid gland with nonradioactive
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gland with nonradioactive iodine
� Helps Prevent radioactive iodine from being absorbed into the thyroid
Used to quickly
Portal MonitorsPortal Monitors
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Used to quickly screen large populations.
Initial Response Actions:Module Objectives
� Identify the Response Actions in order to protect Health and Safety
� Identify the need of an Emergency
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� Identify the need of an Emergency Response Guidebook (ERG).
� Discuss initial response, scene assessment and establishing control zones.
Initial Response
� State, tribal, and local governments responsible for emergency planning and response within their jurisdiction
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� Response plans should be developed in advance
� Initial Notification from Local/State Response Agency. Contact Office of Radiation Control
Radiological Response Procedures
� Prior to scene arrival, turn on Survey Meter and set on lowest Scale
� Try to stay upwind and upslope of incident
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upslope of incident
� Approach from a distance, use binoculars
� Priorities for rescue, life saving, first aid and fire control are higher than priority for measuring radiation levels
Communications are Vital to the All Responses
� Notify proper agencies and personnel
� First on-scene
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� First on-scene begins the process• Call 911 and State/Local
EMA Authorities
• Follow local notification and procedures
• Contact Radiation Control Duty Officer
The ERG
� Use Guides 161 – 166 in the ERG for radioactive material
� Divided into color-coded sections
� Initial isolation of 75 feet
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� Initial isolation of 75 feet
� Deny entry and avoid urge to go in and “look around”
� Try to identify the material involved in the incident
� Does not take precedence over local procedures
� Be familiar with guidebook before incident occurs
Initial Response and Scene Arrival
� Locate the following: • Placards, labels, and
package markings
• Shipping papers
Reference Guides (ERG)
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• Reference Guides (ERG)
• SDS
� Consider all potential hazards presented by the material• Radiation Exposure
• Contamination spread
• Non-radiological hazards
Scene Assessment and Risk
� Patient care takes priority over radiological concerns
� Look for the following:� How many patients are there?
� Type and seriousness of injuries?
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� Type and seriousness of injuries?
� Any packages with visible labels?
� Any packages breached/leaking?
� What type of package(s)?
� Dose rates from undamaged packages are safe
Establish Control Zones
� Used to limit access and control spread of contamination
� Formal control zone may be established after
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� Formal control zone may be established after rescue
� Entry and exit points upwind/upslope of hot zone
� Use ERG for initial isolation distances
� Size of zones may vary
Control Zones
� Several zones may be established at an incident scene:
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• Hot zone
• Warm zone
• Cold zone
Patient Handling:Module Objectives
� Identify the risks to response personnel when rescuing injured persons at a radioactive material transportation incident.
� Identify the importance of gross decontamination for radiologically contaminated patients.
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radiologically contaminated patients.
� Identify methods for preparing radiologically contaminated patients for transport to the hospital.
� Describe reasons for and methods of establishing hot, warm, and cold zones.
� Identify ways to control the spread of contamination while taking defensive measures to limit impacts
Patient Handling
� Approach with caution and look for all hazards
� Consider before entry:
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� Consider before entry:
� Protection provided by available PPE
� How much time it will take
� Route to avoid radiation and contamination areas while completing rescue
� Other hazards present
Emergency Medical Procedures
� Use Universal Precautions while treating patient
Avoid cross contamination
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� Avoid cross contamination
� Do not delay treatment
Avoid Radioactive Contamination
Do not: � Eat
� Drink
Smoke
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� Smoke
� Chew
If available, use PPE while on the scene of an incident involving radioactive material
Patient Handling
� Leave patient’s clothing inside hot zone
� Conduct additional decontamination only if
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decontamination only if time permits and radiologically trained personnel available (e.g., Alabama Radiation Control
� Gross decon for contamination reduction
Patient Packaging in the Hot Zone
Perform Decon and Patient Wrap
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Patient Transfer to Hospital
� Notify hospital that a potentially contaminated patient is en route
Request special
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� Request special instructions or procedures:� Follow hospital’s radiological
protocol
� Survey crew, vehicle, and equipment
� Do not eat, drink, smoke, or chew until surveyed by radiation authority
Patient Handling Video
9/3/2013 Alabama Radiation Control 79
Hospital Protocol:Module Objectives
� Identify the importance of a radiation emergency alert.
� Determine emergency supplies.
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� Determine emergency supplies.
� Handling of contaminated patients.
� Notification to appropriate authorities.
� Proper PPE instructions to dress and undress.
Radiation Emergency Alert
� Nuclear medicine department.
Upon notification of radiation accident victims being transported to hospital, immediately notify the following:
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� Nuclear medicine department.
� Hospital security.
� Hospital maintenance.
� Additional ER staff.
� Local EMA office.
Emergency Supplies
� PPE.� Film badges or TLD cards.
In the event of a radiation emergency involving contamination, bring the following supplies to the corridor outside the emergency room or to an adjacent room:
9/3/2013 Alabama Radiation Control 82
� Film badges or TLD cards.� Absorbent paper or Herculite floor covering.� Masking tape.� Plastic “Radioactive” labeled bags.� Survey instruments.� Signs and labels stating “Radioactive Material” and/or “Radiation Area”.� Cotton tipped applications (Q-tips)� Large waste cans or barrels.� Rope to secure the area.� Various sizes of plastic bags for samples.� Charts with drawings of patient outline for recording contaminated areas.� Sterile saline or water for decontamination.� Permanent marker to label all samples.� Small lead “pig” (obtain from the Nuclear Medicine Dept)
Handling of Contaminated Patients
Priority for treatment or decontamination generally will be determined by:
� Seriousness of non-radiation injuries.
� Levels of skin or clothing contamination.
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� Levels of skin or clothing contamination.
� Possibility of radionuclides entering the body through contaminated wounds.
In general, trauma is more serious than contamination and must be treated as if it is life-threatening. All bleeding must be stopped and otherlife-support procedures institute prior to decontamination.
Notify Proper Authorities
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Working Hours : 865.576-3131
24 Hour Emergency: 865.576-1005(Ask for REAC/TS)
Proper PPE Instructions to Dress & Undress
� Attach TLD (or film badge) to clothes (neck area).
� Put on disposable coveralls (tape zipper).� Put on inner pair of latex gloves (tape to
sleeve).Put on outer pair of latex gloves (do not tape).
� Remove outer latex gloves and put in waste.� Give pocket dosimeter to RSO and record upon
exiting decon room.� Remove surgical mask, head cover (and eye
shield) and put in waste.� Remove tape from wrists, coveralls (and plastic
Dress Out Undress
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� Put on outer pair of latex gloves (do not tape).� Put on surgical mask, head cover (and eye
shield protection if necessary).� Attach pocket dosimeter to neck area (outside
coveralls).� Label your position “title” on tape (for front and
back of coveralls).� Record serials numbers for the radiation
equipment issue.� Put a pair of plastic waterproof shoe covers over
your coveralls if you will be walking in wet areas.
� Remove tape from wrists, coveralls (and plastic waterproof shoe covers) and put in waste.
� Remove coveralls (roll downward to ankles).� Stand at the boundary of the Step-Off Pad.� Step out of coveralls and onto Step-Off pad (be
careful not to put clean shoe on “dirty” side of boundary).
� Turn around and put dirty coveralls in waste.� Remove inner pair of latex gloves and put in
waste.� Remove TLD (or film badge) and give to RSO. � Receive a complete whole-body survey.
Questions?
9/3/2013 Alabama Radiation Control 86
Glossary
� ALARA – An acronym for As Low As Reasonably Achievable. A principle of radiation exposure control.
� ALPHA RADIATION – A positively charged particle emitted from the nucleus of an atom. It has a low penetrating power and a short range up to a few inches. Alpha particles are not an external hazard but are extremely hazardous internally.
� BACKGROUND RADIATION – The radiation in man’s natural environment, including cosmic rays and radiation from the naturally radioactive elements, both outside and inside the human body.
9/3/2013 Alabama Radiation Control 87
� BETA RADIATION – A negatively charged particle emitted from the nucleus of an atom. It has a medium penetrating power and a range of up to a few feet. Beta particles will penetrate the skin, therefore, they are an external and internal hazard.
� CONTAMINATION – Radioactive material in a location where it is unwanted.
� CPM – An acronym for counts per minute.
� DECONTAMINATION – The removal of radioactive material from a location where it is unwanted.
� DOSIMETER – Instrument or device used to measure the exposure of ionizing radiation received by an individual (e.g. pocket dosimeter, TLD or film badge, etc).
Glossary
� EMERGENCY CLASSIFICATIONS – 1. Notification of an Unusual Event (NOUE), 2. Alert, 3. Site Area Emergency, 4. General Emergency.
� EMERGENCY WORKER – An individual performing duties to protect the health and safety of the public during a radiological emergency (e.g., firemen, police, highway personnel, medical personnel, etc.)
� EXPOSURE – The quantity used to indicate the amount of ionization in air produced by x-rays or gamma radiation.
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radiation.
� EXPOSURE RATE – The measure of exposure over some time period, usually an hour.
� GAMMA RADIATION – A photon origination from the nucleus of an atom. It has the most penetrating power and a range of up to hundreds of feet. Gamma rays will penetrate the internal organs, therefore, they are an internal and external hazard.
� IONIZING RADIATION – Any electromagnetic or particulate radiation capable of producing ions, directly or indirectly, when passing through matter.
� INVERSE SQUARE LAW – The relationship which states that gamma rays intensity is inversely proportional to the square of the distance from a point source.
Glossary
� IONIZATION – The removal of an electron (a negative charge) form an atom or molecule, either directly or indirectly, leaving a positively charged ion.
� LITHIUM FLUORIDE – A chemical compound used in thermoluminescent dosimeters.
� KCPM – An acronym for kilo counts per minute (thousands of counts per minute)
MILLI – A prefix meaning one-thousandth (1/1000). It is denoted by “m”. (e.g., milliroentgen, millirem,
9/3/2013 Alabama Radiation Control 89
� MILLI – A prefix meaning one-thousandth (1/1000). It is denoted by “m”. (e.g., milliroentgen, millirem, etc.)
� POTASSIUM IODIDE (KI) – A chemical form of stable iodine that can be used by the body to block absorption of radioiodine by the thyroid gland.
� RAD – An acronym for Radiation Absorbed Dose. It is a measurement of the energy deposited in matter.
� RADIATION – The energy propagated through space or through a material medium such as waves. (e.g., energy in the form of electromagnetic waves or of elastic waves.)
� RADIOACTIVE MATERIAL – Material which spontaneously emits particle or photon radiation in an effort to expend excess energy.
Glossary
� RADIOACTIVITY – The spontaneous emission of radiation, generally alpha or beta particle often accompanied by gamma rays.
� RCA – An acronym for Radiation Control Agency.
� REM – An acronym for Radiation Equivalent in Man. It is measurement of the effect of all types of radiation on the human body.
9/3/2013 Alabama Radiation Control 90
� ROENTGEN – A measurement of radiation effect in air from x-rays or gamma rays.
� TEDE – An acronym for Total Effective Dose Equivalent. Total Dose = External Dose + Internal Dose.
� THERMOLUMINISCENT DOSIMETER (TLD) – An extremely accurate device used to measure and provide a permanent record of exposure to radiation.
� X-RAY – A photon originating from the electron cloud rather that from the nucleus of an atom. One form of electromagnetic radiation. It has penetrating power like gamma radiation. X-rays will penetrate the internal organs, therefore, they are an internal and external hazard.