Chapter 4: Radiation Protection Principles of Radiation Protection • ALARA • As low as reasonably achievable • Time • Distance • Shielding Sample Footer Text 2/8/20XX 2 Time If you are next to a patient that emits 20 mrem/hour source for 60 min, what is your exposure? What if you are only next to that same patient for 6 min, what is your exposure? Distance Inverse Square Law = exposure from a source is inversely proportional to the square of the distance I1D12 = I2D22 Shielding While passing through matter, radiations lose energy in the medium via attenuation (both absorption and scattering). X = X0 e – ux X= intensity, X0 = initial intensity, u = linear attenuation coefficient, x=thickness HVL = 0.693 / u (HVL is to half life AS attenuation equation is to the decay equation) Do’s and Don’ts in Radiation Protection DO • Post radiation signs in radiation areas • Wear lab coats and disposable gloves when working with radioactive materials • Handle radioactivity behind the lead shield • Cover work areas with absorbent paper • Store and transport radioactive materials in lead containers • Dispose of radioactive waste in the appropriate containers • Monitor hands and feet before leaving the radiation work area • Notify the RSO in case of any major spill or related to radiation Dother O Nemergencies OT • Wear a radiation monitoring badge • Identify all radionuclides and dates of assay on containers • Use a syringe shield for ALL injections • EAT, store food, drink or smoke in the laboratory • Survey work areas for contamination • Pipette any radioactive material by mouth • Wipe test work areas weekly Sample Footer Text 2/8/20XX 6 Math Problems Assignment from Math Math Book pages 86 – 96 Book Sample Footer Text Radiation dose versus time, distance and shielding EVEN problems only 7 2/8/20XX NRC and agreement states (37 agreement states) 8 NRC Guidelines • Title 10 Code of Federal Regulations • 19 – Notices to workers • 20 – Standards for Protection against radiation • 30 – Rules of general applicability to domestic licensing of byproduct material • 35 – Medical use of byproduct material • 71 – Packaging and Transportation of Radioactive materials 9 State of Florida • Florida Administrative Code 64E-5 • https://www.floridahealth.gov/environmental-health/radiation-control/radmat/64e-5tab1.html • Part 1 = General Provisions • Part II = Licensing of Radioactive Materials • Part III = Standards for Protection • Part V = X-rays in the healing arts • Part VI = Use of Radionuclides in the Healing Arts • Part IX = Notices, instructions and reports to workers, inspections • Part XIII = Radiation safety requirements for possession and use of sealed and unsealed sources of radioactive materials • Part XV = Transportation of Radioactive Materials Sample Footer Text 2/8/20XX 10 4.2 NRC Regulations of Radiation Protection https://www.floridahealth.gov/environmental-health/radiation-con State of Florida https://www.floridahealth.gov/environmental-health/radiation-con Regulations of radiation detection are covered in detail in NRC 10 CFR Part 20: Standards for Protection against Radiation; 2018 and include issues of exposure and absorbed dose to occupational worker, members of the public, pregnant women and minors. It also sets the rules for receiving and transferring byproduct materials and guidance for waste disposal. Sample Footer Text 2/8/20XX 11 NRC Regulations of Radiation Protection 10 CFR Part 20: Standards for Protection against Radiation • Controlled area • Radiation Area • High Radiation Area • Very high radiation area • Restricted area • Unrestricted area • An area the licensee can limit access for any reason • Area that an individual could receive from a source, 5 mrem in 1 hour at 30 cm from source • Area that an individual could receive from a source, 100 mrem in 1 hour at 30 cm from source • Area that an individual could receive from a source, 500 rad in 1 hour at 1 meter from source • Area of limited access for the purpose of protecting individuals from unnecessary exposure from radiation 2/8/20XX 12 Caution Signs • Caution Radioactive Material • 10 times quantity in Part 20, App C • Caution Radiation Area • >5 mrem (.05 mSv) in 1 hour at 30 cm • Caution High Radiation Area • >100 mrem (1 MSv)in 1 hour at 30 cm • Very high radiation area means an area, accessible to individuals, in which radiation levels from radiation sources external to the body could result in an individual receiving an absorbed dose in excess of 500 rads (5 grays) in 1 hour at 1 meter from a radiation source or 1 meter from any surface that the radiation penetrates. • Caution Airborne Radioactivity Area 13 Caution Signs – when do you use what? 14 Exceptions to Posting Caution Signs • Materials under constant control for over 8 hours • Radiation exposure from a patient who can be released • Radiation exposure from a sealed source under 5 mrem/h (.05 mSv/hr)at 30 cm 15 Other Posting Requirements • 10 CFR Parts 19 and 20 • License and related documents • Operating procedures • Notices of violation,penalties, etc. • NRC Form 3, Notice to Employees 16 Posting Requirement – 10 CFR part 19.11 NRC Form 3 NOTICE TO EMPLOYEES 17 State of Florida Posting Requirement Sample Footer Text 2/8/20XX 18 Labeling Requirement • Each container of licensed material must be labeled! • Label must include radionuclide, quantity of radioactivity and the date • Labeling is not required for • Containers holding less that App C to 10 CFR 20 • Containters holding material in concentrations less than those specified in table 4.3 of App B 10 CFR 20 • Containers attended by an individual who takes the precautions necessary to prevent the exposure to individuals in excess of the limits established by 10 CFR 20 Sample Footer Text 2/8/20XX 19 ALARA Program • As Low as Reasonably Achievable • The licensee shall use procedures and engineering controls to achieve occupational doses and doses to members of the public that are ALARA, taking into account the feasibility of technology, the economics of improvements in technology, benefits to the public health and safety and other considerations. • According to NUREG-1556, vol 9, Appendix L • 2 action levels have been recommended • Action Level 1 = in excess of 10% of the permissible limit of occupational exposure • Action Level 2 = in excess of 30% of permissible limit of occupational exposure, • corrective action must be taken 2/8/20XX 20 ALARA Program – complete the following ALARA ACTION LEVEL 1 LIMITS ALARA ACTION LEVEL 2 LIMITS • TEDE • TEDE • SDE • SDE • DDE • DDE • LDE • LDE Sample Footer Text 2/8/20XX 21 Receiving and Monitoring of Radioactive Packages • Procedure • Limits for survey data (1 meter and surface, wipe survey) • Efficiency = cpm / dpm Sample Footer Text 2/8/20XX 22 Requirement of Monitoring of Occupational Doses of Radiation Workers • Monitoring badges are required if • Adult individuals are likely to receive more than 10% of the NRC occupational dose limit in 1 year • Minors are likely to receive greater than 100 mrem in one year Sample Footer Text 2/8/20XX 23 Requirement of Monitoring of Occupational Doses of Radiation Workers • Monitoring badges are required if • Adult individuals are likely to receive more than 10% of the NRC occupational dose limit in 1 year • Minors in one year are likely to receive greater than 100 mrem for DDE, greater than 150 mrem in LDE or greater than 500 mrem in SDE. • Declared pregnant women are likely to receive greater than 100 mrem during gestation. • Caregivers who perform radiologic procedures that are likely to receive 5mSv / year Sample Footer Text 2/8/20XX 24 Types of Badges – refer to pp. 50-53 • Film badge • TLD • OSL Sample Footer Text 2/8/20XX 25 Bioassay Bioassays are required to measure the radiation absorbed dose from inhalation, ingestion or absorption through the skin. Handling unsealed radioiodine is the most likely cause for individuals needing a bioassay. Capsules can be considered to contain radioiodine in a sealed form and bioassay would not be necessary unless capsule is inadvertently broken (crushed, etc). NRC states routine bioassay time frames I-123 = 1 day I-131 = 1 week Report to NRC within 24 hours if bioassay is positive Sample Footer Text 2/8/20XX 26 Verification Card for Radioactive Patient Following 9/11, the US government has implemented safeguards to establish the Department of Homeland Security Address of licensee Name of patient Type of radionuclide Amount of activity Date of exam Phone number expiration Examples F-18 = 1 day Tc-99m = 3 days I-131 = 95 days Radiation detectors have been installed at many checkpoints to detect the presence of any radioactive dispersal device Our patients administered with radioactivity may trigger these detectors Sample Footer Text 2/8/20XX 27 Thank You Sample Footer Text 2/8/20XX 28