CPR
3:	
Standards	For	Protection		
      Against	Radiation	
             Belinda	Dancel-San	Juan,	MD,	MSc	
PNRI	CPR	3	
Ê  Establishes	the	basic	requirements	for	the	safety	of	radiation	
   sources	
Ê  Establishes	standards	for	protection	against	ionizing	
   radiation	arising	from	the	use	of	radioactive	materials	and	
   related	activities	
PNRI	CPR	3	
Ê  Purpose	is	to	control	all	activities	involving	radioactive	
   material	in	such	a	manner	that	the	total	dose	to	an	individual	
   does	not	exceed	the	Standards	prescribed	in	this	Part	
   Ê  except	exposures	to	radiation	from	the	natural	background	
      sources	or	medical	diagnosis	and	therapy,		
Radiation	Protection	and		
Safety	Requirements	
a.    Description	of	the	radiation	protection	and	safety	
      organization,	including	its	functions,	responsibilities	of	
      individual	assignments,	and	qualification	and	training	of	
      these	individuals	
	
Radiation	Protection	and		
Safety	Requirements	
b.    Description	of	the	duties	and	responsibilities	of	the	RHSO	
c.    Description	of	the	radiation	facility	
Radiation	Protection	and		
Safety	Requirements	
d.    Number	and	type	of	equipment	and	devices	incorporating	
      radioactive	substances,	instruments	and	monitoring	devices	
      used	and	their	proper	maintenance	
e.    Arrangement	made	for	the	assessment	of	the	occupational	
      exposure	of	workers	on	the	basis	of	individual	monitoring	
      and	the	maintenance	of	exposure	records	
		
Radiation	Protection	and		
Safety	Requirements	
f.    Methods	for	the	implementation	of	the	program	that	
      includes	radiation	exposure	control,	control	of	the	
      workplace,	monitoring	of	the	workplace	and	assessment	of	
      the	consequences	of	radioactive	releases	
Radiation	Protection	and		
Safety	Requirements	
g.    Methods	for	evaluating	the	performance	of	radiation	
      protection	and	safety	program	that	will	include	program	
      reviews,	audits,	corrective	actions	and	follow-up	
Radiation	Protection	and		
Safety	Requirements	
h.     Emergency	plan	for	responding	to	any	accident	that	results	
       in	the	release	of	radioactive	material	to	the	environment	
       which	includes:	
      1.	protection	of	workers	
      2.	intervention/protective	action	
      3.	emergency	procedures	
Justification	of	Practices	
Ê  No	practice	or	source	within	a	practice	shall	be	adopted,	
   introduced	or	conducted	except	under	a	license	issued	by	
   PNRI	
Ê  Any	practice	or	source	within	a	practice	should	only	be	
   authorized	when	there	is	sufficient	benefit	to	compensate	for	
   the	potential	radiation	harm	it	might	cause	
  Justification	of	Practices		
Ê  The	following	practices	are	not	justified	when	they	would	result	in	
   an	increase	(by	deliberate	addition	of	radioactive	substances	or	by	
   activation)	in	the	activity	of	the	associated	commodities	or	
   products:	
   Ê  Practices	involving	food,	beverages,	cosmetics	or	any	product	
      intended	for	ingestion,	inhalation	or	percutaneous	intake	to	a	human	
      being	
   Ê  Practices	involving	the	frivolous	use	of	radiation	in	products	such	as	
      toys	and	personal	jewelry	
Optimization	of	Protection	and	Safety	
Ê  Protection	and	safety	shall	be	optimized	in	order	that	the	
   magnitude	of	individual	doses,	the	number	of	people	
   exposed	and	likelihood	of	incurring	exposures	are	kept	as	low	
   as	reasonably	achievable	(ALARA)	
   Ê  Except	for	therapeutic	medical	exposures	
Optimization	of	Protection	and	Safety	
Ê  Take	into	account	the	design,	plan	and	subsequent	conduct	
  of	practices	and	activities	
Dose	Limits	
Ê  Exposure	of	individuals	shall	be	restricted	so	that	the	total	
   effective	dose	or	the	total	equivalent	dose	to	relevant	organs	
   or	tissues	does	not	exceed	the	dose	limits	
Ê  Does	not	apply	to	medical	exposures	from	authorized	
   practices	
PNRI	Dose	Limits		
Type	of	Dose	Limit	       Occupational	Dose	           Dose	Limits	for	
                          Limits	                      Members	of	the	Public	
Effective	Dose	            20	mSv	per	year	averaged	    1	mSv	in	a	year	
                          over	5	consecutive	years,	   In	special	circumstances,	
                          with	no	single	year	         an	effective	dose	of	up	to	5	
                          exceeding	50	mSv	            mSv	in	a	single	year	
                                                       provided	that	the	average	
                                                       dose	over	5	consecutive	
                                                       years	does	not	exceed	1	
                                                       mSv	per	year	
Equivalent	Dose	to	the	   150	mSv	in	a	year	           15	mSv	in	a	year	
Lens	of	the	Eye	
Equivalent	Dose	to	the	   500	mSv	in	a	year	           50	mSv	in	a	year	
Skin	
Equivalent	Dose	to	the	   500	mSv	in	a	year	           --	
Extremities	(Hands	and	
Feet)	
                                                                     Source:	pnri.dost.gov.ph	
Dose	Limits	for	Young	Apprentices,	
Trainees	and	Students	
Ê  No	person	under	16	years	shall	be	subjected	to	occupational	
    exposure	
Ê  No	person	under	the	age	of	18	shall	be	allowed	to	work	in	a	
    controlled	area	unless	supervised	and	only	for	training	
    purposes	
	
Dose	Limits	for	Young	Apprentices,	
Trainees	and	Students	
Ê  For	apprentices	16-18	years	old	who	are	training	for	
   employment	involving	exposure	to	radiation	and	for	students	
   of	age	16	to	18	who	are	required	to	use	radioactive	sources	in	
   the	course	of	their	studies	
   Ê  Effective	dose	of	6	mSv	in	a	year	
   Ê  Equivalent	dose	to	the	lens	of	the	eye	of	50	mSv	in	a	year	
   Ê  Equivalent	dose	to	the	extremities	or	the	skin	of	150	mSv	in	a	
      year	
Conditions	for	Pregnant	Workers	
Ê  Female	worker	shall	notify	the	institution	about	her	
   pregnancy	in	order	that	her	working	conditions	maybe	
   modified	
Ê  Work	conditions	modified	in	order	to	ensure	that	the	fetus	be	
   afforded	the	same	level	of	protection	as	required	for	
   members	of	the	public	
Ê  Not	to	exceed	1	mSv	in	a	year	
    Contamination	Level	Limits	
Ê  Contain	radioactive	material	or	avoid	contamination	of	surfaces	
    accessible	to	persons	or	property	in	excess	of	these	limits	over	an	
    average	area	of	300	cm2	
Ê  Under	conditions	where	contamination	is	suspected	or	may	have	
    occurred,	there	should	be	periodic	surveys	to	determine	levels	of	
    contamination	
    Ê  Should	be	kept	ALARA	
	
Classification	of	Work	Areas	
Ê  Controlled	areas	
  Ê  Rooms	for	preparation,	storage	and	injection	of	the	
     radiopharmaceuticals	
  Ê  Imaging	rooms	and	waiting	areas	due	to	potential	risk	of	
     contamination	
Ê  Supervised	areas	
  Ê  The	rest	of	the	nuclear	medicine	department	
Controlled	Areas	
Ê  Display	a	warning	symbol	
Ê  Restrict	access	to	controlled	areas	by	means	of	
   administrative	procedures	(work	permits)	and	by	physical	
   barriers	(locks)	
Ê  Provide,	as	appropriate,	at	entrances	
   Ê  Protective	clothing	and	equipment	
   Ê  Monitoring	equipment	
   Ê  Suitable	storage	for	personal	clothing	
Controlled	Areas	
Ê  Provide,	as	appropriate,	at	exits	
   Ê  Equipment	for	monitoring	contamination	of	skin	and	clothing,	
      or	any	object	being	removed	from	the	area	
   Ê  Washing	or	showering	facilities	
   Ê  Suitable	storage	for	contaminated	protective	clothing	and	
      equipment	
Personnel	Monitoring	Devices	and	
Protective	Equipment	
Ê  Personnel	monitoring	devices	
Ê  Protective	clothing	
Ê  Protective	respiratory	equipment	
Ê  Protective	aprons	and	gloves	and	organ	shields	
Precautionary	Requirements	
Ê  Posting	of	radiation	areas	
   Ê  “CAUTION,	RADIATION	AREA”	OR	“DANGER,	HIGH	
      RADIATION	AREA”	
Precautionary	Requirements	
Ê  Labeling	of	containers	
   Ê  “CAUTION,	RADIOACTIVE	MATERIAL”	or	“DANGER,	
        RADIOACTIVE	MATERIAL”	
    	
Records,	Reports	and	Notifications	
Ê  Radiation	Safety	Protection	and	Safety	Program	
  Ê  Shall	be	retained	for	3	years	
Ê  Reports	of	overexposure	and	excessive	levels	and	
  concentrations	
  Ê  Exposure	to	individuals	in	excess	of	the	dose	limits	
  Ê  Report	within	30	days	
  Records,	Reports	and	Notifications	
Ê  Reports	of	theft	or	loss	of	radioactive	material	
   Ê  Notify	PNRI	immediately	
   Ê  Report	within	30	days	
Ê  Notification	of	incidents	
   Ê  Any	incident	that	may	have	caused	exposure	of	the	whole	body	in	
      excess	of	0.05	Sv	OR	release	of	radioactive	material	so	that	if	the	
      individual	is	present	in	the	area	for	24	hours,	the	individual	has	an	
      intake	in	excess	of	1	occupational	annual	limit	on	intake	
   Ê  Notify	PNRI	within	24	hours	
    	
Emergency	Exposure	Situations	
Ê  Establish	an	emergency	plan	in	case	of	an	accident	that	could	
    involve	their	radiation	sources	
	
Emergency	Plan	
Ê  Identification	of	each	type	of	accident	involving	radioactive	
   materials	for	which	protective	actions	may	be	needed	
Ê  System	for	classifying	accidents	as	alerts	or	site	area	
   emergencies	
Ê  Means	and	methods	for	detecting	each	type	of	accident	in	a	
   timely	manner	
Ê  Description	of	the	means	and	equipment	for	mitigating	the	
   consequences	of	each	type	of	accident,	including	the	means	
   to	protect	workers	on	site	
  Emergency	Plan	
Ê  Description	of	the	methods	and	equipment	to	assess	releases	of	
   radioactive	materials	
Ê  Description	of	the	responsibilities	of	emergency	response	
   personnel	
Ê  Provisions	for	training	of	emergency	response	groups	for	
   conducting	emergency	drills	and	exercise	
Ê  Description	of	measures	to	restore	the	facility	to	safe	normal	
   condition	after	an	accident	
Thank	you!	
  belinda.sanjuan@gmail.com