| Autor: |
HARRIS, A. M., GREAVES, C. D., TAYLOR, C. M., TAYLOR, C., SEGASBY, C. A., TINDALE, W. B. |
| Zdroj: |
Nuclear Medicine Communications; August 2003, Vol. 24 Issue: 8 p939-942, 4p |
| Abstrakt: |
The introduction of the Ionising Radiation Medical Exposure Regulations 2000 in Great Britain required every nuclear medicine investigation to be justified by a practitioner holding an appropriate Administration of Radioactive Substances Committee ARSAC certificate. The task of authorizing the radiation exposure may be performed by the practitioner direct authorization or delegated to an appropriately trained operator working to written guidelines approved by the practitioner delegated authorization. In this study, we look at the process of implementation, audit and review of a set of Delegated Authorization Guidelines DAG. The process of drafting the DAG is outlined. Following the introduction of the DAG, an audit of nuclear medicine referrals was performed at two sites for a period of 3 months. Each referral was compared with the DAG to determine whether it matched the criteria set out. If it did not match, it was further categorized as being due to 1 insufficient referral information or 2 clinical indication not included in the DAG. All nonmatching requests were reviewed by the practitioner. Four hundred and thirtyseven of 632 69 referrals fitted the DAG, 12 n75 required clarification from the referrer before fitting with the criteria and 19 n120 were directly authorized by the practitioner. From those referrals that were directly authorized, some additional indications were identified and the DAG were subsequently revised. In conclusion, a delegated authorization procedure for nuclear medicine investigations can be implemented successfully. Regular audit is essential. This study identified the need to improve the format of the request card and to obtain additional referral information from the referrer. © 2003 Lippincott Williams & Wilkins |
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