Top 10 Steps to Radiation Safety

FYI

This is from an email sent out by MUSC

!!Top 10 Steps to Radiation Safety!!

 Because of its potential damaging effects, the amount of radiation exposure should be minimized. The exposure to radiation should be as low as reasonably achievable (ALARA).

 

 

1.      All operators of mobile or portable x‐ray equipment are required to have a dosimetry badge

2.      Fetal monitors are recommended, but not required, for pregnant individuals.  When a fetal monitor is requested, a written notification to the Radiation Safety Office (2‐4255) must be submitted.

3.      Wear a dosimetry badge at all times when in a fluoroscopic suite.

4.      All dosimetry badges must be turned in to the Radiation Safety Office by the 10^th of the month.

5.      Wear your dosimetry badge on the upper body in a location which is most likely to receive the exposure.

6.      If you lose your dosimetry badge, contact the Radiation Safety Office (2‐4255).

7.      Wear proper protective equipment (PPE), lead apron, thyroid shield, and lead gloves as needed.

8.      Always be aware of the three main principles of reducing radiation exposure:

a.      Time – minimize the amount of time in radiation area

b.      Distance – distance self as much as possible from radiation sources

c.       Shielding – use protective shielding devices

9.      Only licensed x‐ray technologist or trained licensed practitioner shall operate x-ray equipment.

10.  Only licensed x‐ray technologist or trained licensed practitioner shall position the c‐arm or mobile radiographic unit over the patient or area of interest. Non-licensed personnel are only allowed to move the c‐arm or other radiation generating device into the suite of operation, and turning the unit on to enter patient data.

 



Basic Electrophysiology and RCES Prep Course

 
These classes are open to everyone

 Below are the Outlines and Objectives for the first two Classes.

As soon as I finalize the other class outlines I will post them.

Classes will be held the First and Third Tuesday of each month from 0730 to 0830

Room# 3422 (Prep and Recovery Conference Room)

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March 4^th, 2014

Class I - Types of Procedures

Lecture by: Brent A Lawhon, CVT CEPS

Objectives for Class I: Types of Procedures

1)      Identify the types of procedures performed in Electrophysiology

2)      Understand the difference between procedures performed in Electrophysiology

3)      Understand the risk factors for each type of procedure

Types of Procedures encountered in Electrophysiology Outline 

A)     Diagnostic Procedures

1) Tilt Table Testing

2) E.P. Study

3) Ultrasound (Echo) Studies

                a) TEE

                b) Transthoracic

4) Cardioversions

B)      Therapeutic   Procedures

1)      RF Ablations

a)      SVT Ablations

                    b)      Atrial Fib Ablations

                    c)       VT Ablations

     2)      Device Implantation

                    a)      ILR Placement

                    b)      Pacemaker  Placement - Single and Duel Chamber

                    c)       ICD Placement – Single and Duel Chamber

                    d)      CRT placement – Pacemaker and Defibrillator

                    e)      Sub-Q ICD

C)      Other Procedures

     1) DFT

     2) Device Interrogation and Reprogramming

 

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March 18^th, 2014               

Class II - Pre-Procedure Activites

Lecture by: Ginny Hoff, RN

Objectives for Class II - Pre-Procedure Activities

1)     Identify the importance of using the EP Lab Procedure Safety Checklist

2)     Identify the importance of obtaining Pre-Procedure Verification and the proper reporting of abnormality’s  

3)     Recognize abnormal lab values and identity to whom they will be reported

4)     Recognize abnormal lab values as they pertain to devices and ablations

5)     Recognize abnormal vital signs and rhythm as they pertain to devices and ablations

6)     Recognize antibiotic use as they pertain to devices

7)     Discuss the importance of medical history as they pertain to devices and ablations

8)     Understand the Sedation Risk Factors as they pertain to devices and ablations

9)     Discuss the Anticoagulation/Antiplatelet Regime as they pertain to devices and ablations

10)  Identify the importance of obtaining Post Procedure Timeout information and the proper reporting of a anormality

 **25% of Questions come from this section**

Pre Procedure Activities Outline

A. Patient Preparation for Procedure

1) Ensure proper patient ID

2) Correct Consents for procedure

3) Maintain patient and family comfort

4) Basic patient assessment

a. Subjective assessment

b. Objective assessment

5) Patient and Family Teaching

a. Approximant length of procedure time

b. What to expect during procedure

c. Post procedure activities.

6) Review of Medical Record

7) Verify Physician Orders

8) IV placement and Lab Draws

9) Site preparation

10) Urinary catheter placement

B. Normal and Abnormal Lab Values

1) Normal Values

2) Abnormal Values

3) Critical values

C. 12 Lead ECG

1) Correct Lead Placement

D. Pre-procedure sedation

E. Other Pre-Procedure activities

1) Interrogation and Programming of existing device (i.e. Pacemaker, ICD, etc.)

2) Pre-procedure assessment of skin, documentation and photo for thermal burn.

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April 1, 2014

      

Class III - Procedural activities

Part 1

Ablation Procedures

 

Lecture by: Barb Knick, RN BSN RCES

Ablation Procedural Activities Outline





A.      Procedural Activities

1)      Sterile Technique

2)      Sterile Procedure Table Set-up

B.      Ablation Activities

1)      Equipment needed for procedure

2)      Assist with sheath Placement (Venous and Arterial)

3)      Assist with Catheter Placement

4)      Assist with Trans septal Puncture

5)      Assist with Ablation

C.      Non-Invasive Procedures

1)      Equipment needed for procedures

2)      Assist with Cardioversion

3)      Assist with TEE exam.

4)      Assist with Tilt Table Exam

5)      Assist with DFT’s and Device Testing

D.      Emergency Procedures

 

 

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April 15, 2014

Class IV - Procedural activities

Part 2

LECTURE BY: DIANA VANBENSCHOTEN, RT(R)

 

                   A.      Procedural Activities

1)      Principles of Sterile Technique

2)      Sterile Procedure Table Set-up

                   B. Patient Preparation and Positioning

                   C.      Device Activities

1)      Equipment needed for Procedure

2)      Assist with Pacemaker implantation

3)      Assist with ICD Implantation

4)      Assist with CRT implantation

5)      Assist with Lead Extractions

6)      Sub-Q ICD

D.      Emergency Procedures

 

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Date: TBA

Class V - General Anatomy and Physiology

LECTURE BY: James Merriam, M.D.

 

            A.      General Cardiac Anatomy Physiology

1)      Basic Cardiac Anatomy

2)      Cardiac Pathophysiology

3)      Cardiac Action Potential

4)      Cardiac Conduction

 

**This Class may be broken into two or more classes