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