2017.05放射应知应会.pdf
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1、放射安全管理制度1、各诊疗设备专人负责安全,科室领导应定期检查落实安全措施。2、科室在一楼底层时,对外门窗应安装铁栅栏门。3、各室机房设置位置要合理,应考虑到周围环境的安全。要有足够的面积和高度,周围墙壁、门窗均应到达防护标准。4、须配备受检防护用品,如腰系防护巾,防护三角等以及监测设备、报警仪器。5、放射科候诊处应到达防护要求。患者一般不得在机房候诊。6、在摄片时,必须要有封顶的防护铅垒,不宜用铅屏风代替。7、医护人员接触 X 线时,必须戴铅眼镜、铅手套、铅帽及铅围裙等防护用品。女性放射工作人员在妊娠的最初4 个月,应防止直接接触放射线工作。妊娠妇女有禁止检查的醒目标示。8、在放射诊疗设备室
2、门上应挂符合标准要求的留神电离辐射警示标志和张贴有关警示标语。9、放射设备工作时应检查红色警示灯是否正常,开机时门窗应关闭。10、尽量减少受检者的X 线照射,防止重复检查。对非受检部位应加强防护。儿童、孕妇及妇女月经期间尤应重视,必须接受检查时,应尽量减少下腹部接受不必要的照射剂量。除危重患者外,检查室内应减少陪人或尽量缩短陪伴时间,家属陪同病人进入射线室时应穿带防护用品。放射防护规章制度1.认真贯彻、执行放射性同位素与射线装置安全和防护条例。2.检查室及操作室必须严格、定期接受国家有资质检测单位检测合格后方可使用。3.闲杂人员不得进入检查室。4.检查前确认检查室防护门已完全关闭并反锁。5.使
3、用各种成像参数,以减少曝光量。6.受到辐射的医务人员,除登记其、受照射日期及照射次数以及使用的放射诊断技术外,应定期查血至正常为止;必要时应暂时脱离射线环境。7.一般情况下,患者性腺及射线敏感器官屏蔽。8.室内除放置必要的配套设备外,不得放置任何其它杂物。9.放射工作人员须进行就业前体检和定期体检,接受个人剂量监测、防护知识培训及法规教育,经考核合格后,方可上岗,做到“个人剂量档案、健康档案、放射性同位素与射线装置档案”三档齐全。放射防护安全管理制度一、开展放射诊疗工作应具有符合国家相关标准和规定的放射诊疗场所和配套设施。二、具有质量控制与安全防护专兼职管理人员和管理制度,并配备必要的防护用品
4、和监测仪器。三、放射诊疗工作人员应经过相关培训取得放射工作人员证,遵守国家有关放射防护管理法律法规。文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P
5、10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码
6、:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9
7、S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D1
8、0 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X
9、3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J
10、4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10四、从事放射治疗工作人员应取得卫生部大型医用设备上岗证,并定期接受放
11、射防护知识培训和健康体检,放疗科主任负责放疗科质量保证和放射安全防护管理工作。五、从事放射诊疗工作必须依照标准和有关标准的规定配备必要的个人放射防护装置,佩戴个人剂量监测装置。六、放射装置场所必须设置放射性警示标志和必要的安全防护联锁装置、辐射报警装置和工作信号指示装置。七、建立放射安全防护管理组织,切实做好放射安全防护工作,发生放射安全事故立即启动应急预案,并报上级主管部门。八、严格执行操作规程,定期做好放射装置的维修保养、剂量监测和环境辐射监测工作,并建立检查记录档案。辐射防护和安全保卫制度一、认真做好防火、防盗、防雷、防电工作。二、做到透视、摄片、CT 扫描检查时关闭好门窗。三、摄片、C
12、T 检查时仔细阅读临床申请单,明确检查部位及检查目的,去除被检查者部位的体外异物,体位摆放要标准,严格按照所需要的投照部位调节好照射野,选择好投照条件,除投照部位应采取适当的防护措施和用品,尽量防止重复拍片。四、工作场所安装工作信号指示灯和电离辐射警示标志。并有“留神电离辐射”的中文注释,决不随意拆除;制订的相关管理制度、安全操作规程应悬挂在工作场所内。文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T
13、3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档
14、编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2
15、N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7
16、D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO
17、5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P
18、5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW
19、6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10五、发生放射事故应立即启动放射事件应急预案,六、严格操作规程及标准使用,保养好各检查设备,做好维修记录。七、摄片和 CT 扫描中,除正在接受检查的检查者危重病人需要陪护人员除外其余人员不应留在机房内,防止不必要的射线照射。八、上班人员必须佩戴个人计量器和防护用品,按时按规定更换新计量器。九、上下班时注意检查设备各零部件和地线,防范不必要的损失和伤害。十、正确掌握“急、重、危”患者在抢救条件下的摄片和CT 扫描
20、技能及应急处理措施。十一、做好增感屏的保养维护,清洁卫生工作。如发现有污渍,发霉时及时更换新的增感屏,减少漏诊和误诊情况发生。放射科医学影像设备定期检测制度根据卫生部放射诊疗管理规定 制定本科室医学影像设备定期检测制度。1、新安装、维修或更换重要部件后的医学影像设备,应当经省级以上卫生行政部门资质认证的检测机构对其进行检测,合格后方可启用。2、定期进行稳定性检测、校正和维护保养,由省级以上卫生行政部门资质认证的检测机构每年至少进行一次状态检测。3、按照国家有关规定检验或者校准用于放射防护和质量控制的检测文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码
21、:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9
22、S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D1
23、0 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X
24、3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J
25、4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S1D4T3P10文档编码:CF2N9S3J7D10 HO5X3Y6P5J4 ZW6S
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