radiation safety pwrpt
TRANSCRIPT
![Page 1: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/1.jpg)
![Page 2: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/2.jpg)
It is the temporary implant of low dose rate brachytherapy seed to localize one or many
non-palpable lesion.
![Page 3: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/3.jpg)
I-125 adsorbed onto silver, encased in titanium
Half-life of I-125 is 60 days
No contamination issues as long as not damaged or casing breached.
No significant dose to those handling seeds if handled properly
No dosimeters required Studies have shown no increase in physician or
technologist exposure
![Page 4: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/4.jpg)
Patient comfort Flexibility in SX appt 5 day limit
![Page 5: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/5.jpg)
![Page 6: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/6.jpg)
Agreement State Under the agreement of the United States
Nuclear Regulatory Commission Radioactive material is regulated by the
Virginia Department of Health
![Page 7: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/7.jpg)
Authorized Users Regulatory training and experience
requirements Approved by UVA Radiation Safety
Committee Lead RadioSeed Techonologist
![Page 8: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/8.jpg)
RadioSeed Technologist
Vendor
RadioSeed Technologist
Breast Care Center
Package is Checked in
Inventory is created for new seeds
Radiation Safety Department
Package is Checked in
Inventory is created for new seeds
![Page 9: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/9.jpg)
![Page 10: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/10.jpg)
![Page 11: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/11.jpg)
Needs
Preoperative blood work Sx date scheduled Written Directive Patient Records/Consent
Form
Needs
Copy of Procedure Survey Instrument Emergency response
equipment/numbers Decay chart Seed needle Local Anesthetic
![Page 12: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/12.jpg)
Precautions
ALARA Needle Stick Losing seed Not identifying pt has
seed Survey Instrument
malfunction
Precautions
Never MRI Can’t leave room until
seed location is confirmed in breast
Lymphoscintigraphy Security
![Page 13: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/13.jpg)
Patient Consent Patient identity is verified Doors are locked Patient is positioned under stereotactic paddle/US Written Directive
![Page 14: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/14.jpg)
Images taken Determination of needle length and activity
determined Technologist retrieves seed from locked cabinet
security maintained on remaining seeds Seed is logged out of inventory
![Page 15: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/15.jpg)
![Page 16: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/16.jpg)
Time out performed Survey of needle with survey instrument done to
confirm seed is present Needle is positioned Seed is placed
![Page 17: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/17.jpg)
![Page 18: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/18.jpg)
Confirmation that seed was placed successfully in breast is done with survey instrument
Technologist will write “SEED” directly on patients breast that contains seed. As well as number of seeds placed
Patient given marker to take home to maintain this marking
![Page 19: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/19.jpg)
![Page 20: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/20.jpg)
Post placement images taken Green armband is placed Patient given mammogram images documenting
placement Localization report completed AU signs post procedural section of WD
![Page 21: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/21.jpg)
![Page 22: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/22.jpg)
WhenWhen
![Page 23: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/23.jpg)
![Page 24: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/24.jpg)
![Page 25: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/25.jpg)
![Page 26: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/26.jpg)
HowHow
![Page 27: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/27.jpg)
![Page 28: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/28.jpg)
![Page 29: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/29.jpg)
Where do the seeds end up?Where do the seeds end up?
![Page 30: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/30.jpg)
![Page 31: Radiation Safety PwrPt](https://reader036.vdocuments.mx/reader036/viewer/2022062522/589c57701a28abc4358b4f1f/html5/thumbnails/31.jpg)