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9/3/2013 Alabama Radiation Control 1

9/3/2013 Alabama Radiation Control 1€¦ · 9/3/2013 Alabama Radiation Control 2 Agenda ... Nuclear Medicine (medical) ... Oil and gas well-logging Thickness and level gauges Fixed

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Page 1: 9/3/2013 Alabama Radiation Control 1€¦ · 9/3/2013 Alabama Radiation Control 2 Agenda ... Nuclear Medicine (medical) ... Oil and gas well-logging Thickness and level gauges Fixed

9/3/2013 Alabama Radiation Control 1

Page 2: 9/3/2013 Alabama Radiation Control 1€¦ · 9/3/2013 Alabama Radiation Control 2 Agenda ... Nuclear Medicine (medical) ... Oil and gas well-logging Thickness and level gauges Fixed

Welcome

� Instructor Introductions

� Facility Overview

9/3/2013 Alabama Radiation Control 2

� Facility Overview

� Agenda

� Handouts

� Office of Radiation Control Overview

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9/3/2013 Alabama Radiation Control 3

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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.

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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

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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

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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

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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.

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Emergency Classifications

Notification of anUnusual Event

Alert

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Alert

Site AreaEmergency

General Emergency

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Common Sources•Industrial sources •Radiopharmaceuticals

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•Nuclear fuels •Radioactive waste•Consumer products

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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

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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

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Three Basic Types of Ionizing Radiation

� Alpha

� Beta

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� Beta

� Gamma

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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

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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

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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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9/3/2013 Alabama Radiation Control 17

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Radiation Penetration

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Alpha

Beta

Gamma

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ALARA

A L A R A

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AS

LOW

AS

REASONABLY

ACHIEVABLE

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Controlling Exposure

Time

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DistanceShielding

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Time

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Less time in area = Less exposure

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Distance

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Greater distance = Less exposure

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Shielding

9/3/2013 Alabama Radiation Control 23

Denser/thicker material = Less exposure

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Exposure, Contamination & Decontamination

� Exposure

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� Contamination

� Decontamination

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External Contamination

A CDV-700 or

Ludlum 14C

with the probe

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with the probe

OPEN detects

beta and gamma

contamination

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Internal Contamination

Internal

contamination

is always

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is always

treated under

medical

supervision.

Contact RCA

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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

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Acute Effects

� Nausea

� Vomiting

� Diarrhea

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� Diarrhea

� Hair loss

� Infection

� Death

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Chronic Effects

� Reduced fertility

� Cataracts� LeukemiaOther cancers

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� Other cancers� Life shortening� Genetic effects

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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.

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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

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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

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Radiation Exposure

� Dosimeter = Odometer

� Accumulated exposure

0|0|3|1|7|2

9/3/2013 Alabama Radiation Control 37

exposuremR

| | | | | | | | | | | | | | | | 0 100 200

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Pocket Dosimeters

� Records radiation immediately

Accumulated exposure

9/3/2013 Alabama Radiation Control 38

0 - 200 mR

0 - 20 R

� Accumulated exposure

� Measures in Low Range (mR) or High Range (R)

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Reading a Pocket Dosimeter

mR

| | | | | | | | | | | | | | | | 0 100 200

9/3/2013 Alabama Radiation Control 39

Look through the dosimeter toward a light source.

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CDV 750 Dosimeter Charger

Clamp Clamp Trigger

9/3/2013 Alabama Radiation Control 40

Discharge

Button

G en erato r L ever

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Thermoluminescent Dosimeter“TLD Card”

� Records radiation dose for legal/permanent exposure records

9/3/2013 Alabama Radiation Control 41

exposure records

� Results not immediately available Lithium

Fluoride

Chips

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Radiation Rate

9/3/2013 Alabama Radiation Control 42

MPH

0 10 20 30 40 50 60| | | | | | |_____________________

� Survey Meter = Speedometer

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Survey InstrumentsCDV- 700

9/3/2013 Alabama Radiation Control 43

Ludlum Model 14C

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Check Operation

Operation and Background for CDV-700

9/3/2013 Alabama Radiation Control 44

Cover Probe

Use Earphones

Check

Background

Radiation

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Reading the CDV-700

100 200

300

0.1

0.2 0.3 0.4

0.5

mr/hr

Hairline

Scale

9/3/2013 Alabama Radiation Control 45

X1

OFF -

X10

X1OO

C/M0

300

CD V-700

Hairline

Multiplier Switch

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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

9/3/2013 Alabama Radiation Control 47

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

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Reading a CDV-700

0.2 0.3 0.4

mr/hrWhat is the meter reading?

2.5 mr/hr

9/3/2013 Alabama Radiation Control 48

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

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Reading a CDV-700

0.2 0.3 0.

mr/hr

What is the meter reading?

50 mr/hr

9/3/2013 Alabama Radiation Control 49

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

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Reading a CDV-700

0.2 0.3 0.4

mr/hrWhat is the meter reading?

100 C/M

9/3/2013 Alabama Radiation Control 50

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

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Reading a CDV-700

0.2 0.3 0.4

mr/hrWhat is the meter reading?

2300 C/M

9/3/2013 Alabama Radiation Control 51

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

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Reading a CDV-700

0.2 0.3 0.4

mr/hrWhat is the meter reading?

30,000 C/M

9/3/2013 Alabama Radiation Control 52

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

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TEDE(Total Effective Dose Equivalent)

Total Dose =

External Dose + Internal Dose

=

2 X External Dose

9/3/2013 Alabama Radiation Control 53

2 X External Dose

TEDE = 2 X Pocket Dosimeter Reading

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Traffic Control Personnel, School Bus Drivers,

Personnel & Equipment Monitors

Radiation Dosage Limits for Emergency WorkersRadiation Dosage Limits for Emergency Workers

9/3/2013 Alabama Radiation Control 54

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Additional Radiation Dosage Limits for Emergency Workers

9/3/2013 Alabama Radiation Control 55

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Ludlum 14C Monitoring

Start at top of head.Hold probe 1 inch away.

9/3/2013 Alabama Radiation Control 56

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

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Monitoring for ContaminationCDV 700

Hold probe 1 inch from skin. Start at top of head. Move 1 inchper second with probe open.

9/3/2013 Alabama Radiation Control 57

Contamination =Twice Background

(2X BKG)

per second with probe open.Remember soles of feet.

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Vehicle Decontamination

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Radiation Dosage Limitsfor Personnel/Equipment Monitors

9/3/2013 Alabama Radiation Control 59

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Thyroid Uptake Limits

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KI(Potassium Iodide)

� Thyroid blocking agent

� Saturates the thyroid gland with nonradioactive

9/3/2013 Alabama Radiation Control 61

gland with nonradioactive iodine

� Helps Prevent radioactive iodine from being absorbed into the thyroid

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Used to quickly

Portal MonitorsPortal Monitors

9/3/2013 Alabama Radiation Control 62

Used to quickly screen large populations.

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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.

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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

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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

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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

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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

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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

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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

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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

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Control Zones

� Several zones may be established at an incident scene:

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• Hot zone

• Warm zone

• Cold zone

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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

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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

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Emergency Medical Procedures

� Use Universal Precautions while treating patient

Avoid cross contamination

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� Avoid cross contamination

� Do not delay treatment

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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

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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

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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

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Patient Handling Video

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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.

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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.

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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:

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� 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)

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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.

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Notify Proper Authorities

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Working Hours : 865.576-3131

24 Hour Emergency: 865.576-1005(Ask for REAC/TS)

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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.

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Questions?

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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.

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� 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).

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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.

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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,

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� 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.

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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.

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� 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.