OCCUPATIONAL SAFETY AND HEALTH
Instructions on labor protection for personnel of radionuclide diagnostic departments. Full document Occupational Safety and Health / Standard instructions for labor protection 1. General provisions 1.1. This instruction was developed in accordance with the requirements of the current "Radiation Safety Standards NRB-99" SP 2.6.1.758-99 (recognized as not requiring state registration, letter of the Ministry of Justice of Russia dated July 29.07.99, 6014 No. 99-ER), "Basic Sanitary Rules for Ensuring Radiation Safety OSPORB-2.6.1.799" SP 99-01.06.00 (recognized as not requiring state registration, letter of the Ministry of Justice of Russia dated 4214 No. 09.01.96-ER), Federal Law dated 3 No. 17.01.96-FZ "On Radiation Safety of the Population" (published in "Rossiyskaya Gazeta" 31.07.00), Order of the Ministry of Health of Russia dated 298 No. 15.08.00 "On Approval of the Regulations on the Unified State System for Controlling and Accounting for Individual Exposure Doses of Citizens" (recognized as not requiring state registration, letter from the Ministry of Justice of Russia dated 6948 No. XNUMX-YUD). 1.2. The instruction contains the main provisions on industrial sanitation and labor protection for the personnel of radionuclide diagnostic departments. 1.3. On the basis of this instruction, in each medical institution that has a department of radionuclide diagnostics, internal and job descriptions for labor protection should be developed, taking into account specific working conditions. 2. General safety requirements 2.1. In accordance with the requirements of the "Basic Sanitary Rules for Ensuring Radiation Safety OSPORB-99" SP 2.6.1.799-99, persons aged at least 18 years old who have undergone special training and are assigned by order of the institution to the staff of the department are allowed to work independently in radionuclide departments (" Category A"). 2.2. When conducting radionuclide studies, two categories of exposed persons are distinguished - A and B. Category A personnel include employees of the department directly involved in conducting radionuclide diagnostics (radiologists, nurses, nurses, engineers and technicians for setting up and operating equipment for radionuclide diagnostics). Group B personnel include department employees who, due to working conditions, are in the area of ionizing radiation. 2.3 The staff of the department of groups A and B must know and comply with the maximum permissible doses of radiation. Thus, for group A personnel, the effective exposure dose to personnel should not exceed 0,02 Sv per year for any consecutive 5 years, but not more than 0,05 Sv per year. The effective dose for personnel should not exceed 50 Sv for the period of labor activity (1,0 years). For group B personnel, the effective doses are 1/4 of the values for group A in accordance with the "Radiation Safety Standards. NRB-99". 2.4. Women should be exempted from direct work in the department for the entire period of pregnancy from the moment of its medical confirmation. 2.5. In accordance with the Order of the Ministry of Health and Medical Industry of Russia No. 405 of December 10.12.96, 31.12.96 "On conducting preliminary and periodic medical examinations of employees" (registered with the Ministry of Justice of Russia on December 1224, XNUMX No. XNUMX), in order to prevent diseases, department personnel must undergo a mandatory medical examination upon admission to work and periodic inspections at least once a year. Persons who do not have medical contraindications for working with ionizing radiation are allowed to work in the department. 2.6. Personnel employed in radionuclide departments must have the I qualification group in electrical safety and pass an annual knowledge test. Assignment of group I is issued in the prescribed manner. 2.7. Newly admitted, as well as persons temporarily assigned to work in the department, must undergo an introductory briefing by a labor protection engineer or a person responsible for labor protection and appointed by order of the institution. The results should be recorded in the registration log of the introductory briefing on labor protection. Based on the results of the briefing, the person responsible for working with personnel makes the final registration of the newly arriving employee and sends him to the place of work. 2.8. Each newly hired to the department must undergo an initial briefing on labor protection at the workplace. Re-briefing of the personnel of the department must take place at the workplace at least twice a year, and unscheduled - in case of changes in the technological process, violations of labor protection rules and accidents. These briefings should be conducted by the head of the department or a person appointed by him. The results of the briefings must be recorded in the relevant logs, the personal card of the instructed, the work permit or other documentation authorizing the production of work. 2.9. Department staff must:
2.10. The staff of the department is obliged to comply with the requirements for compliance with work and rest regimes. 2.11. The staff of the department must know the rules of protection against the impact of the following hazardous and harmful production factors:
2.12. The staff of the department should be provided with personal protective equipment, depending on the purpose of the radionuclide diagnostic room. 2.13. The staff of the department must be provided with the following collective protective equipment:
2.14. The short-lived isotope generator should be placed in additional radiation shielding to prevent exposure of personnel. 2.15. The department is subject to general safety requirements for sources of electricity and household electrical appliances. 2.16. In the event of an accident or malfunction of equipment, fixtures and tools, personnel must turn off the main power switch and notify the head of the department. 2.17. Department staff must:
2.18. The staff of the department must observe the rules of personal hygiene. 2.19. Department personnel are prohibited from:
2.20. Department personnel must store food, home clothes and other items not related to work in specially designated places. 2.21. Signs of radiation hazard should be posted on the doors of the offices of the department. 2.22. The head of an enterprise, institution, organization must ensure that each employee studies the instructions on labor protection. 2.23. If necessary, persons who have violated the instructions are subject to an extraordinary knowledge test and unscheduled briefing on labor protection. 2.24. Responsibility for the implementation of this instruction rests with the person responsible for labor protection in the department. 2.25. This instruction is accepted for a period of five years, the validity of which can be extended for no more than two terms. 3. Safety requirements before starting work 3.1. Before starting work, the person responsible for the storage of radiopharmaceuticals must check the integrity of the seal on the storage door, open the storage and dispense the required drug to the workplace. Upon receipt of the short-lived isotope generator and set of elution vials, and to ensure that sterility is maintained, personnel must ensure that the sealed protective container is intact. In case of violation of the sealing place of the protective container, the products are not allowed to work. 3.2. Before starting work, the staff of the department must check the presence of individual dosimeters, make sure that there are no unauthorized persons in the treatment room and conduct a visual check of the radionuclide equipment (moving parts, electrical wiring, high-voltage cable, ground wires in the office, etc.). He must report the noticed malfunctions to the head of the department and start work after they have been eliminated, making the appropriate entries in the instrument log. 3.3. Before starting research, persons working with sources of ionizing radiation must put on personal protective equipment, depending on the range of protective equipment intended for work in a specialized room. 3.4. The staff of the department must make sure that the ventilation, water supply, sewerage and electric lighting systems are in good condition. He must inform the head of the department about the observed malfunctions. 3.5. The staff of the department must prepare the devices, instruments and auxiliary equipment for work, check the safety of radiation protection equipment. 3.6. During shift work of the department of radionuclide diagnostics, the procedure for handing over and receiving a shift is determined by the internal instruction developed by the head of the department, taking into account the functional features of each office of the department. 4. Safety requirements during work 4.1. The staff of the department must comply with the optimal technological process for working with sources of ionizing radiation in accordance with approved medical procedures and internal instructions developed by the head of the department. 4.2. During the working day, the radiopharmaceutical store must be locked. 4.3. The staff of the department must be proficient in safe work with sources of ionizing radiation in accordance with internal instructions. 4.4. Individual dosimetric monitoring of personnel should be carried out continuously with quarterly registration of results in the work log. 4.5. Individual annual exposure doses should be recorded in the individual dose record card. The worker's dose accounting card must be transferred to the new place of work of the worker in case of transferring him to another place. 4.6. Cases of exceeding the maximum permissible levels should be investigated in accordance with the internal instructions for the elimination of accidents, developed by the head of the department. 5. Safety requirements in emergency situations 5.1. In the event of a radiation accident, the personnel must notify the head of the department and the person responsible for radiation monitoring. 5.2. To eliminate the malfunction of the equipment, the head of the department must call the repair team. 5.3. If it is suspected that personnel exposure is higher than the norms established in clause 2.3 of this instruction, the head of the department must organize an urgent check of the causes that caused overexposure, evaluate the dose received, send the victims for medical examination. Based on the results obtained, the head of the department should determine the possibility of further work of personnel in the field of ionizing radiation. 5.4. In case of radioactive contamination of personnel, it is necessary to determine the area and level of contamination, remove clothing and send it to the holding chamber, carry out the necessary decontamination of contaminated areas of the body, followed by dosimetric control. Permissible contamination of the skin, overalls, the inner surface of the front parts of personal protective equipment should not exceed 2 parts / (cm2 x min) for alpha-active nuclides, 200 parts / (cm2 x min) for beta-active nuclides; surfaces of premises for permanent stay of personnel and the equipment located in them - respectively, for alpha-active nuclides 5-20 parts / (cm2 x min), for beta-active nuclides 2000 parts / (cm2 x min). 5.5. In case of radioactive contamination of production premises and equipment above the established values, it is necessary to organize cleaning, clearly indicating the place of emergency contamination, in some cases it is possible to organize exposure of equipment to values not exceeding the permissible level of surface contamination. 5.6. If radiopharmaceuticals are lost, they are present in the subdivision in an amount that does not correspond to the documentation, or if they are used for other purposes, the personnel must notify the head of the subdivision. 5.7. In case of a non-radiation accident, the personnel must turn off the main network switch, notify the head of the department. 6. Safety requirements at the end of work 6.1. Upon completion of work, the staff of the department must:
6.2. The person responsible for labor protection must conduct a dosimetric control of the levels of radiation contamination of the workplace - if contamination is detected, organize the decontamination of work surfaces. 6.3. The person responsible for storing radiopharmaceuticals must send unused radiopharmaceuticals to storage and seal it. 6.4. The engineer must control the shutdown of all power supply systems. 6.5. The head of the department (office) must check the correctness of the accounting records. We recommend interesting articles Section Standard instructions for labor protection: ▪ Soldering work with lead solder. Standard instruction on labor protection ▪ The driver of mobile painting stations. Standard instruction on labor protection ▪ pressure vessel operator. Standard instruction on labor protection See other articles Section Standard instructions for labor protection. Read and write useful comments on this article. Latest news of science and technology, new electronics: Artificial leather for touch emulation
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