By Ncrp Publications
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Extra resources for Management of Radionuclide Therapy Patients (Ncrp Report)
Because radiation treatments are events that occur no more than a few times, or more likely once in the course of a lifetime, exposure of patients’ families from radionuclide therapy should be considered as an “infrequent” exposure with an effective dose limit of 5 mSv (NCRP, 1993b). In addition, a member of a patient’s family may be permitted to receive up to 50 mSv y–1 on the recommendation of the treating physician. When family members are likely to receive exposures >5 mSv annually, they should receive training and individual monitoring (NCRP, 1995b).
The duties of the nurse may include evaluation of the mental and physical status of the patient, injection of diagnostic doses of radiopharmaceuticals, making the physician aware of unusual or aberrant symptoms or events, and assistance in patient emergencies. 7 Physician-in-Training Some facilities may sponsor physician residency training programs. Larger facilities may also sponsor specialty fellowships in subspecialty areas such as brachytherapy. The physicians enrolled in these programs are licensed to practice medicine, and have elected to pursue a radiological specialty.
Although consultation with referring physicians is necessary in the planning of such therapies, the nuclearmedicine physician or the radiation oncologist shall make the ultimate decisions regarding such therapies. In larger facilities, one or more of these specialists should serve on the Radiation Safety Committee (RSC) of the medical facility and provide consultation to the Committee as necessary. In facilities with emergency departments, the nuclear-medicine physician or radiation oncologist may also serve as the designated radiation emergency physician.