The Risk of Radiation Exposure To Assisting Staff in Urological Procedures

A Literature Review

Tarun Jindal, MS

Disclosures

Urol Nurs. 2013;33(3):136-139. 

In This Article

Recommendations

Even if results of this limited review appear to be reassuring, assisting staff should be aware of the potential risk of the stochastic effects of radiation. Necessary precautions are mandatory for personnel exposed to any amount of radiation. These include the use of lead aprons to shield the body, thyroid shields to protect the thyroid, and eye glasses to protect the ocular lens. Assistants should distance themselves as much as technically feasible from the site of radiation. If not actively involved in the procedure, assistants should withdraw behind the lead screens. This can help in reducing radiation exposure (Wrixon, 2008, Rehani et al., 2010). It is also recommended that all assisting staff wear dosimeters so individual radiation exposure can be recorded. It is important that technical staff perform periodic checks on the fluoroscopy machines so excessive radiation dosing is not delivered (Kumar, 2008).

Radiological protection is essential and should form an integral part of the instruction of urologists and allied medical personnel who use radiation routinely as per ICRP recommendations. Interventional procedures that depend on fluoroscopy are technically demanding. Clinicians, therefore, need to be well versed with these procedures and also be conscious regarding the requirements of proper radiological protection. At least 15 hours of training for urologists and allied staff in radiological protection have been recommended (Rehani et al., 2010).

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