OCCUPATIONAL SAFETY AND HEALTH
Instructions on labor protection for personnel of x-ray departments. Full document Occupational Safety and Health / Standard instructions for labor protection 1. General provisions 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. 2.6.1.802-YUD), SanPiN 99-20.03.00 "Ionizing radiation, radiation safety. Hygienic requirements for the arrangement and operation of X-ray rooms, apparatus and X-ray examinations" (recognized as not requiring state registration, letter of the Ministry of Justice of Russia dated 1887 .XNUMX No. XNUMX-ER). The instruction contains the main provisions on labor protection for the personnel of X-ray diagnostic departments. On the basis of this instruction, in each medical institution that has an X-ray department, internal job descriptions for labor protection should be developed, taking into account specific working conditions. 2. General safety requirements 2.1. Individuals at least 18 years of age who have undergone special training and are assigned by order of the institution to category A personnel are allowed to work independently in X-ray diagnostic departments, in accordance with the requirements of the "Basic Sanitary Rules for Ensuring Radiation Safety OSPORB-99" SP 2.6.1.799-99. 2.2. When conducting x-ray studies, two groups of exposed persons are distinguished - A and B. Group A includes employees directly involved in conducting x-ray diagnostic studies (radiologists, radiologists, nurses, engineers and technicians for setting up and operating x-ray equipment). Group B includes employees who are exposed to ionizing radiation due to their working conditions: employees working in rooms adjacent to the X-ray room, specialists who are not included in their official duties in the staff of the X-ray department, but participate in X-ray examinations. 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 should not exceed 0,02 Sv per year on average 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 basic dose limits are equal to 1/4 of the values for group A personnel in accordance with the "Radiation Safety Standards. NRB-99". 2.4. Female staff should be released from 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 dated December 10.12.96, 405 No. 31.12.96 "On conducting preliminary and periodic medical examinations of employees" (registered in the Ministry of Justice of Russia on December 1224, XNUMX No. XNUMX), in order to prevent diseases, the staff of the department must undergo a medical examination upon admission to work and periodic medical inspections at least once a year. Persons who do not have medical contraindications to work with ionizing radiation are allowed to work. 2.6. Personnel employed in X-ray diagnostic departments must have the I qualification group for electrical safety and undergo 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 of the briefing should be recorded in the logbook 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 personnel must take place at the workplace at least twice a year, and unscheduled - in case of changes in working conditions, violations of labor protection 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 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 use of personal protective equipment is mandatory if personnel are in the treatment room. The norms for the use of personal protective equipment are established depending on the purpose of the X-ray diagnostic room. 2.13. Personal protective equipment must have stamps and marks indicating their lead equivalent and the date of inspection. The check of protective properties is carried out once every two years by the radiation safety service. 2.14. Personal protective equipment must be wet-handling. If lead dust is detected, indicating a violation of sanitary and hygienic requirements for the operation of protective equipment, wet cleaning should be carried out using a 1-2% solution of acetic acid. 2.15. When working with a diagnostic device with a horizontal position of the turntable-tripod, all persons participating in the study must use collective and individual protective equipment. 2.16. It is forbidden for an X-ray laboratory technician to simultaneously service two or more X-ray machines operating in different rooms, even if there is a common control room. 2.17. The department is subject to general safety requirements for sources of electricity and household electrical appliances. 2.18. In the event of an accident or malfunction of equipment, fixtures and tools, personnel must turn off the main power switch and inform the head of the department about this. 2.19. Department staff must:
2.20. The staff of the department must observe the rules of personal hygiene. 2.21. Department personnel are prohibited from:
2.22. The staff of the department should store food products, home clothes and other items not related to work, only in specially designated places. 2.23. At the entrance to the treatment room of the X-ray diagnostics room at a height of 1,6 - 1,8 m from the floor or above the door, a white-red "Do not enter" light board (signal) should be placed, which automatically lights up when the X-ray machine is turned on. It is allowed to apply a radiation hazard sign to the light signal. 2.24. The head of an enterprise, institution, organization must ensure that each employee studies the instructions on labor protection. 2.25. If necessary, persons who have violated the instructions are subject to an extraordinary test of knowledge on labor protection and unscheduled briefing. 2.26. 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 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 X-ray machine (moving parts, electrical wiring, high-voltage cable, ground wires in the office, etc.). Then you should check the electrical voltage of the power line and make a trial inclusion of the X-ray machine in various operating modes. 3.2. It is forbidden to work with faulty locking devices and measuring instruments of X-ray machines. 3.3. When the X-ray machine is connected to the electrical network, the X-ray laboratory assistant does not have the right to leave the X-ray room. 3.4. Before starting the study, persons working with X-ray sources must put on individual protective equipment, depending on the range of protective equipment intended for work in a specialized room. 3.5. The staff of the department must make sure that the ventilation, water supply, sewerage and electric lighting systems are in good condition. In case of detection of malfunctions, he must inform the head of the department. 3.6. Before starting work, personnel must check the serviceability of equipment, reagents, the operation of interlock devices, the safety of radiation protection equipment, and the integrity of ground wires. If a malfunction is detected, it is necessary to suspend work and call a service that performs maintenance and repair. 3.7. During shift work of the X-ray room, 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 room. 4. Safety requirements during work 4.1. Medical X-ray examinations should only be carried out by persons who have completed a specialization in radiology, trained in the rules for conducting examinations. 4.2. Personnel should carry out individual dosimetric monitoring by means of measuring X-ray radiation with an energy of 15 - 140 keV with a basic error of not more than ± 20% in accordance with SanPiN 2.6.1.802-99 "Ionizing radiation, radiation safety. Hygienic requirements for the design and operation of X-ray rooms, apparatus and X-ray examinations." Means for measuring X-ray radiation must have certificates of verification carried out in a timely manner. Individual dosimetric monitoring should be carried out continuously. Quarterly, the result of dosimetric control is recorded in the work log. 4.3. Individual annual exposure doses should be recorded in the individual dose record card. The worker's dose record card should be handed over in the event of his transfer to a new place of work. 4.4. In case of emergency (emergency) situations, the personnel must act in accordance with the internal instructions developed by the head of the department. Emergency situations in the X-ray room include:
4.5. It is forbidden to leave the device unattended during operation or entrust supervision to persons not authorized to work on the device. 5. Safety requirements in emergency situations 5.1. In the event of a radiation accident, personnel must:
5.2. If it is suspected that the exposure of personnel is higher than the norms specified in clause 2.3 of this instruction, the head of the department is obliged to organize an urgent check of the causes that caused overexposure, evaluate the dose received, send the victims for a 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. 5.3. In case of a non-radiation accident, the personnel must turn off the main power switch and notify the head of the department. In the event of an accident, the victims must be provided with first (pre-medical) medical assistance. 6. Safety requirements at the end of work 6.1. Upon completion of work, the staff of the department should:
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