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HomeMy WebLinkAboutLETTER Radiology Requirements 420 Steamer Dr 101 2019-11-12 November 12, 2019 Brigitte Foust, Imaging Director Estes Park Medical Center 555 Prospect Lane Estes Park, CO 80517 Brigitte, Enclosed is my report on the shielding requirements for the radiographic room at Estes Park Health, located at 420 Steamer Drive, Unit 101. This analysis has been conducted according to the recommendations of the National Council on Radiation Protection (NCRP report #147). The shielding has been designed to limit exposure to all personnel, both occupationally exposed and non-occupationally exposed, to less than 2 millirems per week in all areas adjacent to the X-ray room. This analysis is based on information provided by Kelly Hammack of Carestream, Chuck Jordan and by yourself. Partial plans of the facility are shown in the attached drawings. Wall sections are indicated by reference letters in these drawings. The recommended shielding barriers for these walls are shown in the attached tables. The shielding has been designed for the specific equipment, workload, occupancy and application described by the individual(s) requesting the analysis. Any change in the equipment, workload, applications, or occupancy of adjacent areas may result in a change in the shielding requirements. All such changes, now or in the future, should be reviewed by a qualified physicist to determine the need for any adjustments in shielding. Shielding materials should not be changed or substituted without a review of the adequacy of the substituted shielding materials. Any questions concerning the recommendations in this report or the need for further analysis of the shielding requirements should be addressed to me. Sincerely, Steven M. Jones, M.S., DABR Consulting Radiological Physicist CDPHE Qualified Expert #120013 attachments: Shielding Analysis Report Reviewed by SAFEbuilt 12/04/2019 LOCATION:Estes Park Health DATE:November 12, 2019 420 Steamer Drive, Unit 101 ROOM:X-ray Room Estes Park, CO 80517 EQUIPMENT:Radiographic / DR PHONE: WORKLOAD:160 patients/week MINIMUM SHIELDING EXISTING REQUIRED WALL SEGMENT PROTECTED AREA REQUIRED SHIELDING1 ADDITIONAL SHIELDING2 COMMENTS Exam Room (unrestricted; occupancy = 1) Exam Room (unrestricted; occupancy = 1) Building Exterior (unrestricted; occupancy = 0.05) EVS Room (unrestricted; occupancy = 1) EVS Room (unrestricted; occupancy = 1) Control Area (restricted; occupancy = 1) Corridor (unrestricted; occupancy = 0.2) On Grade (no occupancy) (unrestricted; occupancy = 0) Apartment #7 (full occupancy) (unrestricted; occupancy = 1) 1 existing shielding effectiveness: Wall A'B': Primary beam "pre-shielding" from wall image receptor = 0.85 mm Pb Wall DE Control wall will contain 0.79 mm of lead and also shields this wall section Ceiling: Concrete thickness of 4"-5.5" in ceiling; 13 feet floor to floor distance 2 designation of thickness in pounds is in units of lb/ft2, if applicable NOTES: 1. See attached Shielding Installation Notes for guidelines on installation of lead barriers. 2. Any changes to the type of equipment, occupancy of adjacent areas, or application of the equipment may result in a change in the shielding requirements and should be reviewed by a qualified physicist. PHYSICIST:__________________________________________ Steven M. Jones, M.S. Certified, American Board of Radiology Colorado Department of Health Qualified Expert #120013 0 mm Lead0.55 mm Lead 1.3 mm Lead RADIATION SHIELDING ANALYSIS REPORT Ceiling None 0.26 mm Lead 0 mm Lead 0.79 mm Lead 1.91 mm Lead 0 mm Lead None CD DE DF EA 0.39 mm Lead 0.29 mm Lead None 0.16 mm Lead Floor A'B' AB BC 0 mm Lead 0.85 mm Lead 0 mm Lead 0.55 mm Lead Area 4 feet wide, centered to image receptor holder control wall also provides shielding for this wall section 0.13 mm Lead 1/32" (2-pound) Lead 3/64" (3-pound) Lead 1/32" (2-pound) Lead 1/32" (2-pound) Lead including view window and window frame including door and door frame minimum concrete thickness of 4 inches in ceiling 1/32" (2-pound) Lead 1/32" (2-pound) Lead None None Reviewed by SAFEbuilt 12/04/2019 Exam Room Corridor Estes Park Health X-ray Room EVS Room Corridor Building Exterior A C B D E A' I F B' Reviewed by SAFEbuilt 12/04/2019 SHIELDING INSTALLATION NOTES 1. Lead barriers shall extend to a height of 7 feet above the finished floor unless otherwise specified. 2. All joints between lead sheets should be constructed so that their surfaces are in contact and have an overlap of at least 0.5" such that no gaps exist. 3. All penetrations of the lead shielding (electrical outlets, light fixtures, switches, pipes, ducts, etc.) must be shielded by placing equivalent lead shielding behind the penetration with sufficient overlap to prevent a direct "line-of-sight" from the radiation source. No additional shielding is necessary for nail or screw holes used to secure the shielding, provided the nail or screw remains in the hole as a part of the wall. 4. All doors shall be shielded with the same lead thickness as the adjacent wall unless otherwise specified. Doors should extend as close to the floor as possible. When doors are exposed to direct radiation, special designs may be necessary to prevent excess scatter of radiation under the door. All doors that require lead should have lead lined lock sets and latches and the door frames should be lead lined to overlap the lead in the door and adjacent walls. 5. All windows in the shielded room shall be leaded glass, equivalent to the adjacent wall unless specified otherwise. All window frames shall be lead lined to overlap the adjacent wall. 6. Doors to toilets or dressing rooms opening into x-ray rooms should be provided with one-way opening latches to be opened only from the x-ray room side, unless the toilet or dressing room is accessible only from that x-ray room. 7. A permanent placard should be mounted by the contractor in the room specifying the amount and type of shielding in each of the walls. 8. Any film storage areas around the x-ray installation may require additional shielding of the storage bin to provide for extended storage of film without fogging. 9. The adequacy and proper installation of radiation barriers shall be verified by a qualified expert conducting a radiation protection survey after the x-ray machine has been installed. 10. All rooms are designed for a specific application and for a specific location of equipment and control functions. Any future modification or renovation of an existing x-ray facility, or installation of a new x-ray machine in an existing x-ray facility, shall be reviewed by a qualified expert for determination of shielding requirements. Note: use of the word “shall” indicates a requirement based on current Colorado Department of Public Health and Environment regulations. Reviewed by SAFEbuilt 12/04/2019