UNIVERSITY OF SOUTH CAROLINA
THYROID MONITORING
Please forward a copy of this form to the Radiation Safety Office
when quarterly inventories are submitted.
Principal Investigator
Quarter
Year
DATE
NAME
_____________________________
_____________________________
_____________________________
PRE OR
POST^
FIVE MINUTE
THYROID COUNT
FIVE MINUTE
THIGH COUNT
NET
COUNTS**
**NOTE: Report any unusual readings to the Radiation Safety Office.
Background counts (thigh) must be conducted every time
A thyroid count is taken.
^ NOTE: a new pre-iodination must be performed if no iodinations are conducted
within a 2 week period.
EHS-F-RAD-019
1 of 1
Issue Date: 7/24/02
Reviewed: _DMZ__