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5.1.2.2. Occupational and public exposures<br />

Hazardous areas must be appropriately classified and identified.<br />

Members of staff who are occupationally exposed to radiation must be<br />

identified and monitored with personal monitoring devices as specified by local<br />

laws and international standards. Records of the results of such monitoring must<br />

be kept and made available to the relevant staff.<br />

Protective devices must be available and worn by staff as appropriate.<br />

Policies must be in place for providing radiation counselling, additional<br />

shielding and radiation monitoring (as appropriate for the exposure environment)<br />

for staff who declare that they are pregnant. If possible, temporary rotation of<br />

pregnant staff to environments with no exposure or a lower exposure should be<br />

considered.<br />

Visitors must be provided with adequate radiation protection as appropriate.<br />

All X ray equipment, including mobile equipment, must be utilized in<br />

rooms with adequate shielding as specified by local laws and following the<br />

widely accepted recommendations of national and professional bodies [30, 31].<br />

Calculations must be done for appropriate shielding and then verified by<br />

measurements. Changes in functional design or patient workload must be<br />

regularly monitored to ensure protection of all staff and members of the public.<br />

Emergency contingency plans must be available for the protection of staff<br />

and the public.<br />

5.1.3. Quality assurance processes for imaging equipment<br />

5.1.3.1. Selection of equipment<br />

The first step in good QC of equipment is the selection of high quality<br />

equipment appropriate for the required clinical imaging procedure.<br />

Selection of equipment should be undertaken by a team of senior staff,<br />

including a specialist radiological medical practitioner, a senior radiographer and<br />

a medical physicist. This process will usually involve the drafting of equipment<br />

specifications, a tender process and evaluation of the resulting tenders.<br />

Fundamental considerations for equipment specifications should include:<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

(e)<br />

Site requirements and room design;<br />

Radiation shielding (or magnetic and radiofrequency shielding for MRI<br />

units);<br />

Technical specifications for equipment performance;<br />

Image quality requirements;<br />

Patient dose implications;<br />

49

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