Chapt 1 Questions Flashcards
(29 cards)
What is the purpose for which radiation workers receive focused medical examinations (RME)?
Radiation workers receive focused medical examinations to establish whether or not cancer is present which would medically disqualify a person from receiving occupational radiation exposure
What is the name of the form that documents Ionizing Radiation Medical Examinations?
NAVMED 6470/13
What are the types of Ionizing Radiation Medical Examinations?
- Pre-placement Examination
- Reexamination
- Situational Examination
- Termination Examination
Who is authorized to perform Ionizing Radiation Medical Examinations?
Physicians, NPs, PAs
Provided they have undergone the appropriate BUMED training
If a NP or PA performs the RME, what are the review/countersign requirements?
Only a physician can sign as a reviewer
They must be an RHI, RAM, or UMO and this MUST be documented in the signature block
If a 26yo qualified radiation worker received a PE on 8 MAR 2013, their next reexamination cannot exceed what date?
Cannot exceed last day of APR 2018
<50 - exam every 5yrs
Reexamination must be performed NO LATER THAN one month following the anniversary (month year) of the previous radiation physical
A person is 43yo and gets a RE on 17MAR2017. What the the due dates for the next 3 REs. DOB is 5JUN.
- APR2022 - age 48
- <50yrs - exam every 5yrs, must be performed no later than one month following the anniversary of previous examination - JUL2026 - Age 52
- <50yrs - exam every 5yrs NOT to exceed age 52
- anniversary date resets with birthday (5JUN) - AUG2028 - Age 54
- >50yrs - exam every 2yrs, must be performed no later than one month following the anniversary of previous examination
What do you do if a person separates from active duty without finishing their RME Termination Examination?
If a TE is not completed or not performed, the following will be done:
- a NAVMED 6470/13 will be prepared and completed to the maximum extent practicable
- The reason why the form is incomplete will be recorded in Summary of Abnormal Findings (section 14), of the NAVMED 6470/13
If a Situational Exam is to be performed, what information in addition to any usual RME documentation or comments is required?
A Situational Examination (SE) has medical history that MUST CONTAIN summary statements which provide the basis for performing the SE - block 14
What type of RME is required?
A radiation worker who’s last physical was performed 4yrs and 9mo ago
Reexamination (RE)
What type of RME is required?
A new recruit being considered for assignment as a radiation worker
Pre-placement examination (PE)
What type of RME is required?
A person who ingested or inhaled greater than 50% of an Annual Limit of Intake
Situational Exam (SE)
What type of RME is required?
A radiation worker who is scheduled to separate from the Navy within 180 days
Termination examination (TE)
What type of RME is required?
A non-radiation worker who was monitored for ionizing radiation on board a nuclear powered vessle
An Ionizing Radiation Medical Examination (RME) is NOT required
What type of RME is required?
A civilian who was once an active duty Navy radiation worker being considered for duties as a radiation worker again
Pre-placement examination
What type of RME is required?
A Navy diver who will be monitored for radiation exposure sporadically
An Ionizing Radiation Medical Examination (RME) is NOT required
What type of RME is required?
A female radiation worker with a valid PE (3yrs ago) that becomes pregnant
An Ionizing Radiation Medical Examination (RME) is NOT required
What type of RME is required?
A radiation worker who recently turned 52 whose last physical was performed 3yrs ago
Reexamination
What type of RME is required?
You discover a person who received a PE in boot camp 7yrs ago, but never completed radiation worker training and currently has no documented exposure to ionizing radiation in their medical record
An Ionizing Radiation Medical Examination (RME) is NOT required
What type of RME is required?
A nuclear trained radiation worker transferring to shore duty for the next 3yrs whose last physical was performed 2yrs ago
An Ionizing Radiation Medical Examination (RME) is NOT required
or
Reexamination
What type of RME is required?
A person who received a PE in boot camp 5yrs ago, but never completed radiation worker training an currently has documented exposure to ionizing radiation in their medical record as a non-radiation worker
Termination examination
What type of RME is required?
A visitor that will need to transit a radiation area sporadically
An Ionizing Radiation Medical Examination is not required
What type of RME is required?
A person that would not normally required an exam but exceeds 500mrem a year
Pre-placement examination
What type of RME is required?
A nuclear trained officer who reports from shore duty whose previous physical was performed 6yrs ago
Reexamination - explain why there is a lapse
