Okay, before you tune out to this necessary but, frankly, rather dull topic – please consider the following…
Are you aware that self-employed persons are responsible for making their own arrangements with an Approved Dosimetry Service for dose assessment and dose recording under Ionising Radiations Regulations 1999 (IRR99)?
Radiation doses-assessment and recording: http://www.hse.gov.uk/pubns/irp2.pdf
Best practice is for all information to be passed from practice to practice when a nurse moves location. This is necessary because we should be monitoring our rolling twelve-month exposure for reasons of health, safety and action as required – RPS: Radiation Protection Supervisor (on-site supervisor)
Many locums are not aware of their responsibilities for dose assessment and recording under IRR99 and travel from practice to practice undertaking x-rays in happy ignorance of the law. Potentially jeopardizing their health and safety by remaining unaware of any accumulated, and potentially excessive, radiation exposure within the last twelve-months.
Using the practice’s own dosimeter badge – or other device – certainly appears to fulfil the criteria of a self-employed person ‘making their own arrangements with an ADS for dose assessment and dose recording under IRR99’. That is, so long as you are recording your rolling twelve-months’ exposure total.
Let’s think about this process. The badge is eventually sent off by the practice within their usual reporting time-frame, be that on a monthly or quarterly basis. It is read and a report is prepared for the exposure that this particular badge has recorded. Any issues identified are then passed to the practice to deal with…
As a matter of routine, you should receive a copy of your dose assessment and recording report from every practice you work at – issues or no issues. If you do not already, then request these reports as you are entitled to them.
TIP: You can also request a copy of your full dose record from the ADS (record-keeping) within a reasonable period of any such request.
1. Practice-provided dosimeter badge. Is usually the ‘spare’ or ‘general use’, un-named, badge. No one person’s activities can be accurately identified.
2. The exposure report from the un-named badge is not specific; it could record activities of anyone at any time within the reporting period (one month’s or usually a three months’ period). The badge could be even be worn by a different person on the same day! The information is useless for individual monitoring purposes.
3. Unless you provide a report to each practice of your ‘running balance’ exposure total, and they provide you with theirs, your annualised total exposure undoubtedly cannot be assessed and therefore any issues cannot be addressed.
***This method clearly cannot accurately monitor an individual’s radiation exposure. You need to set up a different arrangement for yourself***.
Buy your own dosimeter badge!
Take charge of your own safety and obtain a dosimeter badge for yourself, with access to your very own RPS and RPA. It is, I believe, by far the easiest method and is also very reasonable on the purse (around £15 per annum).
The personal preference of my RVN Alison is to apply for an account with ‘JAK Marketing’ (other providers available)
You will receive a quarterly monitoring kit, consisting of:
This has been wholly accepted wherever Alison, my RVN, went. When she returned to permanent work she continued to use her own badge until the (paid for) year expired and then went onto the practice’s own system. She gave the practice copies of her exposure reports throughout.