iaea human health series publications - SEDIM

7.3.1.5. Recommendations and corrective actionsMany of the items on the checklist are essential for patient safety and for high quality diagnostic images. Itmay be necessary to add items to the list that are specific to particular equipment or procedures. These should beincluded on the monthly checklist and confirmed in subsequent evaluations. Time frames for correction of faults aredescribed in Table 8.(1) If the room temperature is not in the range recommended by the manufacturer, the air conditioning servicepersonnel should be called.(2) Items that are hazardous, inoperative or out of alignment, or that operate improperly, should be repaired byappropriate service personnel before any further patients are imaged.(3) Items missing from the room should be replaced immediately. Malfunctioning equipment should be reportedto the service engineer for repair or replacement as soon as possible.(4) If the time and date and the facility identification are not correctly displayed in the image annotation on theinterpretation workstation, correction by appropriate service personnel must be undertaken before any furtherpatients are imaged.TABLE 8. TIME FRAMES FOR CORRECTIVE ACTIONSItems requiring immediate actionbefore any further patients are imaged a1. Room temperature not controlled2. Loose parts present, paddles damaged or Bucky not clean3. Hoses or cables kinked or damaged5. Interlocks faulty10. Time, date and facility ID incorrect or not present on images14. Automatic and/or manual compression release not working16. Cleaning solution not availableItems requiring action within 30 daysof first identified failure a4. Angulation indicator not functioning6. Gantry motion not smooth7. Panel switches, indicator lights and meters8. Field light inoperative9. Current technique chart not posted12. Breast thickness indicator inaccurate13. Face guard absent or damaged15. Operator radiation shield damaged17. Overall integrity questionableaItem numbers are consistent with the methodology numbering (see Section 7.3.1.3).65