ML20085F587
| ML20085F587 | |
| Person / Time | |
|---|---|
| Site: | Saxton File:GPU Nuclear icon.png |
| Issue date: | 11/01/1961 |
| From: | Spritzer A PITTSBURGH, UNIV. OF, PITTSBURGH, PA |
| To: | |
| Shared Package | |
| ML20083L048 | List:
|
| References | |
| FOIA-91-17 PROC-611101, NUDOCS 9110220233 | |
| Download: ML20085F587 (22) | |
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Prepsred by Albert A. *,pritzer, H,0.
Universi ty of Pit tsburgh Pittsburgh, Pennsylvania Novent>er 1,1%1
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a TABLE Of CONTENTS Fagu NunLer P er sonne l S t a f f i n g L i s t s....................................... ( a-c )
1.
Otj ec t : s e s of Radi a t i on C asu al t y P l an........................... I II.
Basic Terninolo9y...............................................
1 Precomissio.3 R ou t i n e........................................... 2 A. P l a n t P r oc t o u t* c s............................................ 2 8. T r an s p o r t a t i o n............................................. 6 Section !!
IV.
Primary Radistion Disaster Alert................................ I V.
Hospi tal Radi-ition Casualty Alert..............................
1 VI.
Rad 8 a f t on E mer g e r c y P l a n....................................... 2 A. Definition.................................................. 2 B. I n i t i a l P e r sonnel Mob i l i z a t i on..............................
2 C. I mme d i a t e Me a s u r e s..........................................
2 D. Pr epar a t i on of Radi c t i on Recep t i on W ar d..................... 2 VII. Decontamination Procedures..................................... 5 A. S t a nd a r d s an d O bj e c t i ee s.................................... 0 B. C e nc r a t C on s i de r a t i on s......................................
5 C. Decontanination Techniques Skin............................ 6 C. Decont amination Techniques S k i n D r e ak s..................... 8 E. Decont amination Te:hnique Gene r a l B od y.................... 8 F. Decert amination Technique:
Eyes............................ 9 G. Decontamination Techniques Body entr ance cavi ti es........... 9 H. Decontamination Techniques Hair Areas...................... 10 VI!!. W a s t e D i s po s a l................................................. 10 IX.
P e r sonn e l D i s po s i t i on......................... =............... 10 X.
Limi t s of Per sonnel External Radi ation Exposure................ 11, 1-f a
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=0-Nrwrmel Ltaf fing for Reuption of feadi ation Casual tles 1.
Chief As s; r,t ant CSic f _
2.
General Nur sing 5er ica A5bistent Nursing Sersicc 3
Chief-Decontsriinction teans A:,sistant Chief Decontamination teams tecontamination Crow 1*
2*
3 4
5.
6.
7.
8-9' 10.
4
" Clean out" team (to prepara radiation ward)
Chief Assi stant Chief Crew 1. ;
2.
3 4
5.
6.
l l.
b.
E qu i w;n t t e ar.- (to m i i qu i pmen t to rodlet ion ward).
5.
t C h' :f A. s i v...n t i. Mcf Crew I.
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6.
Oper ating Roo n Tu, r Cnief Assistant Ch.o."
Crew 1.
2.
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Supply Temi Chief Assistent Chief Crew 1.
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Ob.jectives of Plan f or Reception of Radiation Cesuelties A.
keception of o limi ted nunber of radiation casualties.
B.
Treatment and servicing of radiation casualties applying the best peacetime civilien mtdical standards.
C.
To accomplish A and D. while avoiding or minimizing radiation exposure to hospits) personnel and patients.
D.
To accomplish A. and 8, while continuing tbc usual hospital functions.
E.
To protect hospital property and equipgent from radioactive contamination.
f.
To develop public confidence in the ability of the hospital to care for radiation catualties.
G.
Ekthisstegeinthepreparednes'sofhospitalstoreceiveradiation casuo' tics an important objective of such a plan as this is to integrate the speciellred supplies 'and experienced radiation personnel into hospi tol routine.
.l. Basic Terms in Radiation and Casualty Handling:
Radiation: The emission and propagation of enerny through space or through a <a*crial,
'ium in ths form of electroriagne'it w 'rs or 'Iscrdie 3;r ;cles, K Rays:
Penetrating electromagnetic radiations originating outside of an atomic nucleus.
G amma-R ay s :
Same as x Rays but originating from within an atomic nucleus.
Alpha Particle (Alpha Radiati.v):
Radiation in the form of perticles whIch con si st of the atomic nuclei of helium.
Beta Particle (Beta Radiation):
Radiation in the form of particles which consist of electrons.
Radioactive Nuclides: Atoms which emit radiation.
C ont aminat ed:
Refers to noterial in or on which radioactive atoms are deposited.
Hot Slang expression indicating radioactivity or contamination.
Smearable Contamination:
Radioactive material on a surf ace that can be renoved easily 1.c, dispersed easily by touching.
Decont aminat e Process in which radioactive material is removed.
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Air.t or se L un amination:
- ocit oac ti ve materi al in the form of a dust that is di spersed (float ing) in the air.
I rocess, in which radioactivi ty is reasured f or control
$.ur $ c y or Moni tor :
ourposes.
R ot.n t ten: Unit of r ? die t ion neasurement.
4/S :
Unit of ad otion ob erption.
kle Uni t of r m atirm et:,orption in man.
19 111 ruegntcAn (t e;.
1/K00.f a roentgen.
Mi l l i V.3 (mrad}
t/1000 of a T:AD.
Mill 6 REM (mren):
1/10% of a REti.
Geiger-tulier Counter (CM Counter): An extecely sensitive instrument for the detection of radiation (x-rays, gamma rays and beta rays). Octects natural background.
Moderately tensitive instruments for the detection Cuti e. Pie and Juno Cour.ter s:
of radiation (X Rays Gamno Cays and Beta Rays) in terms of rads or mrads.
Int.trenent f or detection of alpha radiation.
Alpha Detector Personnel monitoring device that allows for an estimate Film Badge Oostritter:
of cumulative radietton exposure of wearer.
Pencil Dosimeter s Personnel monitoring instrument that allows for an estimate-of cumulative radiation exposure of wearer.
Area that is usually contaminated and from which personnel and Control Area:
equipment can Icave unty by permission of a " Control Guard" usually after being surveyed. Entrance to this area is also restricted.
Control Point:
Location on periphery of control area at which equipment, supplies and personnel are checked before entering or leaving control area, III. Preadmisston Routine A.
Plant Procedures N'&Ar$1AW4x. my{
l.
Hospital Alert and notification will be made to the :: MM gw.%g g r as soon as there is any indication of casualties as a y bility.
possi
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Primy Casualty Decontaminatig will be attegted at the p1 ant as 2.
thoroughly as possible.
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3.
First aid and/or plant irwedi ate medical treatment will be in-stituted.
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Casualties g bj " tagged" at the plant.
- a) Richt Wrists medical svaluation and treatment.
- b) ~E wrists radiation information and decontamination treatncnt.
- c) Lody Marking of contaminated areas will be done, i
S.
Areas _ o,f, " p arable contamination" on a body will g covered Wlth plcs ti c nater i al.
h The entire contaminated pat (Ynt vill be wrapped in plastic material for transportation.
7 last prior to plant alte release of the patient, the hospital nursing supervi sor will again be notified of t f
i e) Nome of patient i
b) Address of patient c) Radiation status d) Medical status e) Aid personnel to accompanying patient i
f) Equipment to accompanying patient 8.
Emergency hospital equipment will be dispatched to hospital in vehicle separate from any cont aminated patient.
J ha Casualty "laggingo Right Wrists medical evaluation and treatnent
- 1. Patients name
- 7. Patients address
- 3. Pationt s phonc number
- 4. Each entry will be a) dated b) tined c) signed in full
- 5. Medical evaluation g
- 6. Medical treatment
- 7. Transportation officer will sign clant release i
c 4b-Casualty " Tagging" lef t Wri st Radiation s*.atus ej treatment
- 1. Patients name
- 2. Patients address
- 3. Patients phone nunber
- 4. Each entry will be a) dated b) timed c) signed in full-e
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$. I mi. rnal em% ion hazard in nr will be designated.
6 Marked contanination areas of body will be evaluated as to a) coernal horard b) t ype of radiation e) patient barord (c/m or nr) d} trwor6 bit cont amina t i on
- 7. Decontamination procedures and results S. Possibility or certainty of internal deposition of radioactive nuclides will be indicated.
- 9. Total patter.t whole body radiation dose will be estimated if possibic.
Body marking of contaminated areas
- 1. Morkiro crayon or lipstick will be used.
- 7. Each distinct contaminated area will be circled and numbered.
- 3. High level contamination even if localized within an area of general cont aminat+ on will be marked and numbered.
- 4. Information pcrtinent to each circled and numbered area of contamination ud 11 be entered on Radiation Tags on Lef t Wrist.
- 5. Area rarks and numbers will be visible outside of any primary covering intended to limit spread of smearable contamination.
B.
Transportation 1.
Transportation officer will check following before releasing vehicles a) Patient is tagged with nedical and radiation tag, b) Patient is enshrauded'in plastic.
c) Vehicle driver is wearing film badsv and/or pencil. dosimeter on back.
d) Health Physics survey indicates driver need no additional shielding.
e) Health Physics is accompanying patient or will arrive at hospital wi th pati ent.
f) Vehicle is appropriately marked for radiation.
g) Driver knows which hospital entrance to use.
b) Nursing supervisor at hospital has been notified as to patient departure and radiation status.
2.
Driver bill take vehicle to.aorgue - Basement Entrance of J. C. Blair Memorial Hospital in Huntington, Pennsylvania.
3.
No person will disembark from vehicle until a health physiciet gives permi ssion.
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Fical t b phy,i c ii t will nisc permission for disembarkation from w hicle and entry of patient to hotoital only after he is ceridin reception word is prepared.
5
" Doctor's Parking Lot" entrance wili closed as soon as patient schicle enters.
6.
After patient transfers from vehicle, the vehicle will be parked in lot so as not to obstruct entrance to reception ward.
7.
VeFicie cciu.r will rcmain with and in vehicle to serve as a guard until elect ed for.*clease by health physicist.
fi.
Vehicle or $ cr if and when released will return with vehicle to plant si g51 for final radiation survey.
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e Preparetion for Hospital Reception o
o of Radiation Casualtier IV.
Pr i mar y Rc9i,-* ion Di teuer {lfrt A.
Definit' oar The Pg rrary pysnital Alert will be maJe in order to notify the hospit61 thot an 4.ccident involving rec 14 tion has occvrred.
It is 8
censumed that.ba casualty situation would be unevaluated at this time.
Mr spi t al Aler
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B.
The Peirw y C.
The i,vi,ing surei,isor on receipt sf s primory hnspital alert will corn o;' 41J o u ' t the followinn t.or sonnel and dupartment s:
1.
lociologist and/or WRay Department 2.
tbsp; t al Arimini strator,
Anes thc:;i ologi s t
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Operating room nursing team C.
Hospi t al securi ty ser s ice 6.
Hospital maintenance service 7.
Hospital central supply service 6.
Hosp ta! t.er i l e equi ptren t and supply service 9.
Hospital Eocrgency Room
- 10. Hemstolor/ Laaoratory
- 11. Blood Bank I
- 12. Tw surgeons 13.
Pharmacy D.
The nursing supervisor will upon reception of the radiation alert be easily reached by telephone at all times.
If necessary phe should appoint a " telephone substitute" who can receive messages.
i V.
Hospital Radiation Casualty Alert l-A. -Definitions The Hospi tal Radiation Casualty Alert refer,s to the notifi-4ts!m. urn kat runft Abthtc nf'~'
cation of the shifbaur-une 7944ar that hospitalization of casualties will occur.
B.
The nursing supervisor will ascertain whether the casungties are:
1.
Non radiation casualties 2.
External crposure radiation casualties l
3.
Casualties with smearable contamination 9
1 C.
In case of casualties falling into class 81 and/or 2 the radiation alert i
l will be rescinded. These patients will be admi tted in the usual manner through the emergency room.
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D.
In the ca*,5 of re,5%It !cs (nlling into the ceternr y of 9 ) (i.e. patients with t rA ia'<
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Defint t ' ).a 7.M
/i v t u, Erv.r-c ie v plan rt'fers to those operations and re ca d ar.- e
+3 wi'l.e put into uf f.ct at the hospital in expectation e f' <- -. i s ' sg r.a t i e n u t avi t.g ene cr ab l e c ont ami na t i on on t he i r bodi e s.
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ocee ;wr to..s (.nd departments previously alerted will be asked to repor t or t.end a reprncntative to the main conference room imediately for spec i f i c cs si gnnen'. c.
C.
Irmt'l e t e lu r.> re s
- 1. The "r'orgse Ent once Parking Lot" will be cleared of all cars.
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- 2. A hosp; t al at1 c. t%nt '.n 11 be l
a) direcid to e.sait the patient vehicle at the entrance to the "r.orcus Entrance Darking Lot".
b) He will be instructed not to allow anyone to discrnbark from the patient vehicle until a heelth physicist arrives anC gives such permi ni on, c) He will renain on guerri in the parking lot until all contaminated vehic.les hn e left.
d) He will not allow any-non-contaminated vehicle to enter or leaw the parking lot.
- 3. The Emergeacy Poom will be notified not to receive any radiation patients but to refer them to the " Morgue Entrance Parking Lot".
- 4. All nursiv statiov. and the Operating Room will be notified that the phernacy.rcy he closed.
They.are requested to obtain sufficient drugs l
for the.3 ext shift.
- 5. A corapstent. person will be locked into the pharmacy as soon as all nursing stations have-received their drugs. The pharmacy door will be sealed wi th adhesive tape over all cracks.
D.
Preparation g Radiction Reception Ward
- 1) location The Radiation Reception Ward will be those rcNviv, in the basement to the left of the "t4orgue Entrance" (see flor piens).,
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- 2) The entire Radiation Reception Ward will be considered a " control o
ej area" once o contenineted patient enters.
- 3) Rocns designatcd as a) eluat?an bl Deennt wi..at ic1
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c) D:!;ert Servite d) on.- sti.;
tr..m will be cleared of all movable furniture.
- 4) /'i :)on n. o _.,. 1 5 be cove ed with brown wrapping paper (60 pound r_ i d t l,e n,' t i pl e,, nut:, of riew:.p7per.
- 5) F.t -nt h v i c. Po, n:
This is the i oor in which patlents wi11 remain air-
$2< r t.r..i nat i or, and intnedi a te trea ttnen t.
It will be supplied
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- 6) Evaluation Pw:
This is the room intu which the Estient will be ini tiaTIy brwght for evaluation.
It will be supplie4 withe
.5) Patient trev on whccis b) Ec W e nt.uf 3 (2) c) Puctch'e 1igSt d) We'.:n W. w. o buckta (large) e) Sci <soa:. h ace (2)
- 7) Deco.ta i e t ien r yinn This is the room where n major effort will be made to remove si$Ea7able contar.tination.
It will be supplied with:
a) EqC P..i t stanno (2) b) Sof + scrubbing '; rushes, indi 'idual'y wrapped (24) c) Six (6) yars r,f Phisobex d', Bulb syringes (2) e) Cotton tipped applicators (1 package) f) Cotton balls (2 boxes) g) 4" x 4" G uze (2 packages) h) 2000 cc Saline i) TV stand j) Basins (2) k) Rubber tubbing connector to fanc.et
- 1) Wivec cream (1 jar) m) Paper cups (! package) n) 1cels (6) f-) Adhesive tape (2")
B', Operatina Room i
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a a) Floors and walls will be covered with sterile drapes b) Operating table
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4-d) IV stands (2) c) Operating lif 5 f) Anesthia di spensing equipment g) Cisposal buckets (2) 9)
Suoply Depot:
All equipment and supplies other than that mentioned alone will b'e held out side the centrol area in the room opposite the clevitor. This will includes a) Emergency drugs a
b) Saline solutions c) Glucosc solutions d) Emergency room suture ki ts c) Scissors f5 Fo ceps g) Hemostats h) Bandages i) Fersonnel supplies (see VI 12) j) Plant supplied equipment (see VI 13)
- 10) With the arrival of supplies from the plant, plastic covering should be applied to the floor of the decontamination room. Remainder of plant suoplied tquipment goes to the supply depot.
- 11) Whe. - th: R.i i c io, Reception Ward is equipped all personnel should be d
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..i.p ds stationed at the entrances (i.e. inside and
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12)
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Defini tiont Personnel supplies refers to those It'd.To't" cut iEEg'and pro t ec t i v ne. vices issued to all persons entering the " control area".
Thosa supplied are kept in the Supply Depot (see VI 9).
a) Surgical caps b) Surgical c: rub suits c) Surgicol masks d) Plastic gloves c) Film badges f) Pencil dosine ' er s g) Respirators (if necessary) h) Adhesive tape i) Plastic sheets j) Surgical gowns k) Plastic shoe covers
- 13) Hospital ecuipment and supplies brought from plant. These are to be kept in Supply Depot (see VI 9 and 12) r a) GM Counters - 2 b) Cuty Pics - 2 c) Film badges - 30 d) Pencil dosireters - 20 e) Percil dosimeter chargers and readers - 1 f) F C :ter paper (for smears) - 12 boxes g) Radiation Sign 3 f
Radiation Area - 6 Radiation Field - 6 Radioactive Materials - 4 rolls
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e h) Plastic 36" wide - 500 feet i) Plastic Bags - 200 j) Radiation " mark off" rope - 500 feet k) "Steo-off" pads - 12
- 1) Shoc covers - 100 pairs m) Oust respirators - 2 n) Batteries for radiation detectors - 6 o) Alpha detection - I p) Plastic gloses - 100 pairs 14.
Portable X-Ray Unit:
This unit wi11 be moved into the Supply Depot.
It will be drapped with sheets.
plastic to minimize contamination.
Electrical outlets with proper adapters will be installed in the operating room.
VM.
MontaminationProcedures A.
Standards and Obiectives 1.
Definition:
Decontamination of patients refers to taose techniques used to remove radio materials from on or in the body of a patient.
2.
The Icvel of radioactive contamination that is acceptable on patients ideally i s _Ze " > or "no radioac ti vi ty abavu background". However, in emergency situations it may be necessary to postpbne any or complete decontamination in order to execute operations that are life si.ving.
3.
It may happen that decontamination of skin surfaces will become ineffective at radiation levels two or three time background.
In these cases ratner than risk..' in injury by continuing active de-contamination wait 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> a% resurvey. Usually the radiation level will have dropped to background levels.
B.
General f,cns'.derations
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V 1.
Evaluation of extent and degree of contamination nust be done initially and recurrently in order to guide personnel in decontamia6 tion pro-This is even more important where there is a possibility of cecures.
internal deposition of radionuclide within the body of the patient.
2.
Adequate records of contamination and decontamination twst be kept.
3 All patients who are contaminated should have their urines collected for a number of successive 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> periods for determination of interna 11y deposited. radicactive nuclides.
4 Major efforts should be neade to pre,ent body absorption of radioactive materials.
The, ime barrier minimizing body abscrTonlf radioactive material is tne skin.
Do not injure the skin.
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s-HIGH P',DT ATIO!! EVACUATIO'1 PIA!!
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The Rich Radiation Evacuation Plan will bo put into effnet by :,ounding This alam is initiated fro.r. the Reactor Control Roon.
the evncuation alam.
It shall be counded after an invest'gation has been nade which shows that the causcLof automatic reacter plant high radiation alams is the recult of high radiatien levels in tne centainment vessel and that this source of radiation at or beyonel the security fence in excesa cf 2 mr/hr.
produces a radiati ACTIO!.' BY PL'JJ_T ?EILL.J.ML CSEM! PLA'!T Upon hearing the evacuation alam, the steam plant control room operator will ndvise personnel in isolated plant areas of the evacuation alam.
4 The steam plant will be shutdown in accordance with established e
emergency procedures.
Daly those personnel necessary for pinnt shutdown (Sce
"'&ergency Evacuation Procedure - Saxton Station") chall remain in the plant.
Theseperpnnelshalld0nrespirators.
All other presonnel not necessary for plant shutdown shall evacuate the plant in an orderly manner, retreating to the scale house via the macadam driveway.
!PJCIEJ:R PLUJT The nuclear plant will be shutdown in accordance with Emergency Instructionsbr"EnergencyShutdown"-501.
Control room personnel will dor. respirators, begin t; shutdown plad according to "Lnergency Operating Procedures", and notify the Radiation Emergency Upon completing shutdown they will retreat via their private automobiles to T ei.=.
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Skin breaks, abrasions, lacerations etc. should be kept free of radioactive materials, if aircady contaminateri, skin breaks should recei s e priori ty 3 decoIIIar-ination.
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In decontamination, with the exception of contaminated skin breaks, star 6 to decont aminate the areas where higher levels of contamination are n.esent.
7.
1.ocalization of contaminated areas with drapes and tepe should be done to prevent spread of radioactive nuclides to " clear" areas or areas of lesser contamination. Cover and protect areas not beino inmediately decent ami nst t d.
P.
Repeatedly check degree of contsnination of those reagents and equipment used in deconta.1iination.
You cannot clean up a " low level" area with a highly contaminated brush or detergent.
C.
Decontamination Technique:
Skin Sten I E v alua t ion 1.
Read radiation marking tag.
2.
Determine which creas will be decontaminated and in what order giving priority to skin breaks and highest levels of contamination.
3.
Re:e e covering of contaminated area to be cleaned.
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1 Survey.rea with " smear", " swab" or GM counter.
4 5.
Record survey results.
Step 11 Decontamination:
Intact Surface 1
Localize area of contamination with plastic sheet and tape to pre-ve' t further contamination of patient.
2.
Gently wipe off loose contamination W th gauze moistened with phisobex.
3.
Discard contaminated gauze into waste disposal bag.
c k.
Repeat cleansing using cotton balls or cotton tipped applicators moi stened wi th phi sobex.
Rub skin gently to produce good detergent action.
D,o, not produce skin redness.
o 5.
Resurvey erea and survey phi sobex, 6.
Repeat cleansing until coittamination is removed or until level of contamination does not decrease appreciably.
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7.
In case whe c cnntaniination is still present skip to step III.
8 Where contamination has been remo~ed apply Nivea cream, cover area and proceed to next area for decontamination.
Note:
Surveys between cleansings should be done every 2 or 3 minutes and recorded.
Never dip cleansing instrument into phisobex.
Pour the phisobex into the gauze or brush.
Step !!!
1.
Repeat Step II using another detergent such as Tide, Dref t, Oxydal etc. and t. oft skin brush.
Do not use soap. Do not use lava 3 2.
If con:anination is still present go to Step IV.
Step IV l.
Prepare 4% Potassium Perm. qganate solution.
2.
Prepare 4% Sodium Disulfite solutfon.
3.
Point contcminated area wi th Potassium Permenganate.
4 Allow solution to dry on skin.
5.
Repeat paintire procedure untti skin is almost Eleck using new applicators each time.
I 6.
Rub the darkened skin area with %diura Bisulfite solution discarding applicators after each-use.
7.
Repeat 6 until skin has just a light brown coloration.
B.
Remove Sodium Bisulf ate wi th water moistened gaure or cotton.
9.
Cleanse area with phisohex.
10.
Survey.
11 If contamination remains, repeat i tems 3 to 10 once more.
12.
If contamination persists, repeat item 3 to 10 but substituting Hydregen Peroxide for Phisobex in step 9.
- 13. Af ter removal of contamination apply tilves cream and cover area. -
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Decontamination Technique:
Skin Breaks Step I 1.
Sursey and record finoints using a moistened cotton applicator.
2.
Irrigate wound with copiut, amounts of water making sure no con-tanination is wt.shed into the wound.
3 Carefully deconta iinste intact skin surf ace around would (see VI!c).
4 Resurvey wound and record.
S.
Continua irsigation with water and surveys until no radioactivity is deto:tr.bic.
+e 6.
Treat wound in usual medical fashion.
7.
Cover wound and seal vith plastic and tape - make sure covering i s water proof.
Do not flush wound with antiseptics unless this is part of ywr usual medical treatment. Do not flush wound with chelating agents.
8.
If wound contamination persists, continue to Step !!.
Step II 1.
Be certain irrig. tion is no longer effective in decontaminating the wound.
2.
Have the Health Physicist evaluate the internal body burden expected from the residual contamination.
3.
The Health Physicist in conjunction with a surgeon determines the feasibility and necessity of renoving contaminated tissue.
4 If surgery is decided upon, the area-around the wound is decon-tvninated completely.
C.
If possible a " block disection" of the wound is done.
6.
All tissuc rcmoted is surveyed.
7.
The wound is closed and covered.
5 Note: At times it has been necessary to close the contaminated wound and return at a later date for excesion.
E.
Decontamination Technique:
General Body Step I 1.
Survey entire body and record.
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- 2. _ Mark wi th lipstick very high icvel areas to receive priori ty.
3.
Cont aminated persens should shower using Phisobex a) ma'<e ef for t not to contaminate hairy areas if f,ree of radluactivi-ty initially.
b) use precautions to i resent contamin tion from entering body openings.
4 Survey entire bury cgain r.arking highert levels found.
5.
Pepeat 1, 2, 3, 4 6.
Repeat 5 until contamination is removed or continue to Step II.
Step II 1.
For general body contamination with ligh levels of radioactivity.
?ocali cd areas of contamination usually remain. When showering teccomes inef fective and localizeo areas of contamination remain, shi f t to localized.,
deconta.Tination technique.
2.
Repeat surseys and roccrd results frequently.
F.
Occentcminatic..i Technique: Eyes Step I 1.
Irrigate with copious amounts of water.
Shift to normal saline
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es soon as gossible.
2.
Sursey irrigation fluid at frequent intervals and record results.
3.
Af ter decontamination treat irrigation induced conjunctivitis as usual.
G.
Decuntamination Techniques Body entrance.cavi ties Step I 1.
Survey and record results.
2.
Make sure that cavity is really contaminated and not surrounding area.
3 Evaluate and decenteminate surrounding area.
4 Irrigate wi th copious amounts _ of water or normal saline.
5.
Centlysswab with moistened cotton tipped a;.plicator.
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6.
Resurvey.
7.
Repeat 4 and 5.
8.
Resurvey.
9.
If necessary and not irritating, use cotton tipped applicator moistened with Phisobox.
- 10. Do not injure or becak Pucosa.
H.
Decontamination Techni cpe Hair Areas Step I 1.
Survey and record.
2.
Wrap or position patient to avoid spread cf contamination.
3.
tiash with Phisobex.
4 Dry with clean uncontaminated towel. 00 FOT_ SHAVE HAIR - If ne:essary, bair may be cut, but _ do not injure skin.
5.
Resurvey end record.
6.
Reccet 2 to 5 until decontaminated.
Step II 1.
Repeat Step I using another detergent such as Tide Dref t, Hemesol etc.
Step III 1.
Repeat Step I using dilute Hydrochloric Acid.
-VI!!. Waste Dispotal "7
y A.
Contaminated t!ater will be flushed into the ordinary drains. Feucets will be lef t open to ensure adequate dilution.
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B.
Contaminated Disposable Supplies will be put into alar.ic bags for di sposi tion.
C.
Contaminated Equipment will_ remain in the control area until decon.
t aminated.
IX.
Personnel Disposi tion i
A.
All persons entering the control area will be dressed and equipped as indicated in VI 12. _
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B.
All persons in the control area will shcwer and change clothing before leaving tt.L control area.
C.
All persons upon leaving the control area will present themselves at the control point for pti extt survey.
[
0, in case soowering f acili ties out si de of th: basenent radiatiot, control area are utilized, these secondary showers will be considered a control area and procedure C will apply here.
E.
In the case where secondary showering facilities are utilized, persons in the basement radiation control area wil; still change clothes and present themselves for survey at the control poiret in the basement.
They 5:ill then be escorted singlely or in groups to the secondary showering f acili ties.
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f.
All personnel when (Messed in their street clothes will again report to a control point tc. c final survey which will be recorded.
G.
All personnel will be requested to collect three successive 2f4 her urine specinens for anclysis of radioactivity.
f X.
Limits of Pcer,wcl Ex+crnr.1 Radiation Exposure.
A.
All practirs' effoi ts will be made to reduce personnel exposure to less thar. 300 nrea.
B.
In those irstances when the situation demands the allowance of greater personnel exposures, hospital personnel will be considered in the same category as indestrial radiation workers and the quarterly radiation limit set by tbc National Ccmittee on Radiation Protection of 1250 wem wi11 pertein.
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