The checklist for the use of Ionising Radiation in Primary Dental Care. Not fully compliant

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1 The checklist for the use of Ionising Radiation in Primary Dental Care Health and Safety Executive (HSE) 1 The practice has registered with the HSE that radiographic equipment is being used on the premise and confirmed compliance with IRR17 by 6/2/ HSE have confirmed receipt of notification and this available in the practice. Radiation Protection File includes the name and contact details of: 3 Radiation Protection Supervisor (RPS) 4 Radiation Protection Adviser (RPA) 5 Medical Physics Expert (MPE) or RPA to act as MPE 6 The Legal person the employer Radiation Protection File includes the Local Rules and IR(ME)R written procedures 7 There is a written risk assessment of the use of Ionising radiation within the practice 8 The staff have been informed and trained following the risk assessment of the use of Ionising Radiation 9 The controlled area within each surgery has been identified and there If not, the for

2 is a written description of the controlled area 10 There are arrangements for restricting access to each controlled area. 11 There are working instructions intended to reduce exposure to ionising radiation 12 There are contingency plans to address reasonably foreseeable accidents whilst using ionising radiation in dental practice 13 There is a written annual review of the need to designate any staff as classified persons 14 There are written arrangements for use of dosemeter films/ badges within the practice 15 The written results of dosemeter films/ badges are saved and discussed annually with the RPA 16 There are written arrangements for pregnant staff in respect of ionising radiation 17 There are Written procedures for all medical procedures 18 There is a written procedure for the correct identification prior to a radiographic (x-ray) exposure 19 There is a written procedure for making enquiries of female patients of If not, the for

3 child bearing age to establish if the individual is or may be pregnant 20 There is a written procedure for the assessment of patient dose 21 There is a written procedure for the use of diagnostic reference levels (DRLs) 22 There is a written protocol (guideline exposure settings) for every standard projection for each x-ray machine 23 There is written guidance on justification for individual patient radiographic (x-ray) exposure 24 There is a method for informing patients of the risks and benefits of Ionising Radiation 25 There is written guidance for carers and comforters exposed to a radiographic (x-ray) exposure that must include established dose constraints 26 There is a method for authorising each radiographic (x-ray) exposure to ensure that there is a record that justification has taken place 27 There is a written procedure for carrying out and recording of a clinical evaluation of each radiographic (x-ray) exposure If not, the for

4 28 There are written arrangements for investigating and reporting incidents, such as excessive exposure of patients or staff, including the notifying of appropriate authorities 29 The dose investigation level is recorded in the Local Rules

5 30 There is evidence of annual review of the Local Rules to ensure the document remains up to date and effective X-ray Equipment 31 There is a written record of the critical examination undertaken by the installer of the x-ray equipment 32 There is a written record of the acceptance test before the x-ray equipment is put into clinical use 33 There are written arrangements and evidence of the maintenance and servicing of all the x-ray equipment 34 There is a written record of the safety testing of all the x-ray equipment (every 3 years) 35 There is a written inventory of all the x-ray equipment within the practice Quality Assurance (QA) in Dental Radiography 36 The Practice has a written Quality Assurance programme for 37 There are regular audits of the Quality Assurance programme 38 There is evidence that every radiograph taken in the practice is assigned an image quality rating (NRPB standards) IR(ME)R staff roles and training If not, the for

6 39 Every staff member understands the duties of the IR(ME)R Referrer, Practitioner and Operator 40 A written record of all IR(ME)R practitioner and operator training (every 5 years) 41 There is written evidence of Induction training for all new staff for safe use of x-ray equipment and the contents of the Radiation Protection file 42 There is written evidence of on-going training for all staff for safe use of x- ray equipment, the contents of the Radiation Protection file and their duties as employees If not, the for Checklist completed by. Date Numbers of statements/ questions that require action (please include all numbers).. the practice expects to be.

7 Annual Review date.. If you have any comments/ suggestions/ feedback about this checklist, please contact Sue Stokes by on