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The Design of Diagnostic Medical Facilities where ... - ResearchGate

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Appendix B: Risk assessment for design and construction <strong>of</strong> a new<br />

medical facility <strong>where</strong> ionising radiation is used<br />

Table B.1: Risk assessment for design and construction <strong>of</strong> ionising radiation facilities<br />

Hazard Persons at risk Method <strong>of</strong> reducing risk from hazard Risk<br />

Target radiation level breached as<br />

a result <strong>of</strong> a inadequate boundary<br />

shielding. In addition to radiation<br />

hazard, this may give rise to:<br />

• Potential litigation costs<br />

resulting from radiation risk.<br />

Patients being<br />

treated in adjacent<br />

areas.<br />

Members <strong>of</strong> the<br />

public frequenting<br />

adjacent areas.<br />

Set up interdisciplinary project team to<br />

manage radiation protection for new<br />

installations.<br />

Use only qualified, pr<strong>of</strong>essionally<br />

accredited staff to input to all stages <strong>of</strong><br />

shielding assessment process.<br />

Low<br />

• Loss <strong>of</strong> pr<strong>of</strong>essional &<br />

institutional reputations<br />

because <strong>of</strong> radiation risk<br />

posed to patients/staff/public.<br />

• Loss <strong>of</strong> staff morale due to<br />

worry over radiation risks.<br />

Hospital and<br />

non-hospital<br />

staff working in<br />

adjacent areas.<br />

Keep accurate workload records for each<br />

installation/clinical area.<br />

For new or changing technologies ask<br />

RPA to make quantitative estimation <strong>of</strong><br />

dose to adjacent areas and required<br />

boundary attenuation.<br />

• Cost <strong>of</strong> building works<br />

to retr<strong>of</strong>it shielding.<br />

• Interruption to clinical services<br />

during building works.<br />

Get signed advice from RPA regarding<br />

shielding requirements for each<br />

boundary <strong>of</strong> installation.<br />

Simplify shielding advice <strong>where</strong>ver<br />

possible – e.g. 2 mm lead for all<br />

boundaries.<br />

Review standard practise re shielding <strong>of</strong><br />

similar installations.<br />

Use only accredited architects, builders,<br />

fitters, etc. to design facility, supply<br />

materials and construct building.<br />

Quality management <strong>of</strong> building<br />

projects.<br />

Spot checks <strong>of</strong> boundary shielding when<br />

building works are complete.<br />

Keep accurate records <strong>of</strong> shielding advice<br />

and boundary construction details.<br />

Boundary shielding higher than<br />

required (e.g. ICU <strong>where</strong> 2 mm<br />

lead installed when no shielding<br />

actually required; CT room – 4<br />

mm lead installed when 3 mm<br />

sufficient) which may result in:<br />

• Increase in cost <strong>of</strong> shielding<br />

works.<br />

No person receives<br />

radiation risk.<br />

As above plus:<br />

Ensure project team has sufficient<br />

knowledge <strong>of</strong> architectural design and<br />

building costs for various levels <strong>of</strong><br />

shielding.<br />

High<br />

• Delay in opening rooms.<br />

<strong>The</strong> <strong>Design</strong> <strong>of</strong> <strong>Diagnostic</strong> <strong>Medical</strong> <strong>Facilities</strong> <strong>where</strong> Ionising Radiation is used 91

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