Radiology Department

Radiological Department of clinical Oncology dispensary or hospital where is treatment of patients with sources of ionizing radiation. Radiology Department consists of three functional blocks with special equipment and sources: block treatment sealed radioactive preparations, block treatment of open radioactive sources (in the form of solutions) and a block of telehomecare.
Treatment unit sealed radioactive drugs (see) consists of the storage, filling, washing and sterilization, handling, operating and special chambers, where the patients entered radioactive drugs on the so-called active beds. In a typical radiological departments have 6, 12 and 18 of active beds. All radioactive sources are simply accounting by a responsible custodian of the unit and are contained in protective containers (see Containers radioisotope). Responsible saver issue of radioactive drugs at a special request of the doctor-radiologist nurse working in packaging. In filling radioactive drugs carefully check mark special tags that make up sets for each patient, and then either implement them in special medical forms (applicators)or sterilized before the introduction of the tumor. In handling and operating rooms radioactive drugs administered to the patients, most often in the uterus or vagina, after which patients are placed on the active berths. The duty nurse takes on receipt patients who entered drugs, and provides further care. If the patient drugs fall out, on-duty nurse notes in the journal of the exact time of loss, and fell drugs placed in a special work safety Deposit box. After the period of treatment of patients newly transported in manipulative, where drugs are extracted and passed in the washer. In washing cleaning preparations, sterilization and their preparation for re-use.
In the block that uses the open (liquid) drugs, also has storage, filling, washing and manipulative. The walls and the floors of these rooms in radioactive contamination need quickly and reliably process. The staff in this unit in a special protective clothing, plastic materials and rubber gloves. At the end of work employees are dosimetric control (see) and in the presence of radioactive contamination of clothing or footwear is made decontamination. Patients who entered liquid preparations, placed in a special chamber with bathrooms with the special sewage system. There they are in a few days or weeks until such time as the level of radiation in their bodies, and also excrement will not be reduced to the maximum allowable. In the block of strict accounting of the expenditure of radioactive drugs, and all procedures are registered in a special journal. There is also a log radiometric control and decontamination.
In the block of telehomecare produce external irradiation stationary or ambulatory patients using gamma-ray apparatus (see). Treatment is carried out under the direction of a physician, in the presence of the nurse puts the patient at the special treatment table. It sets the gamma apparatus necessary for irradiation position and centers on the irradiated field replaceable tube, which should fit to touch the body of the patient. Then the staff leaves procedural, densely closes a security door and includes the apparatus with the help of remote control. To turn the box on the radiation intensity in the vicinity of it is negligible.
After the machine is procedural creates a high dose of radiation and the presence of the personnel in it are prohibited. Monitor patients for the session is made from the control room using industrial TV or a window with a protective glass (see Antiradiation protection). In case of dismissal of the patient irradiation interrupt. Exposure data (the amount of radiation dose on the surface of the body and the duration of the session) nurse under medical control registers in special procedural magazine. After irradiation patients are not dangerous to others and are in General mode. Cm. also Gamma therapy.