IR(ME)R Flashcards

(21 cards)

1
Q

what does IR(ME)R stand for

A

ionising radiation (medical exposure) regulations

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2
Q

IRMER came into force 2017 then amended in 2018 and 2024

A
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3
Q

what does IRMER protect

A

patients

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4
Q

if IRMER is breached it is prosecuted under what law

A

criminal low (not civil law)

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5
Q

IRMER ROLES:
employer
referrer
practitioner
operator
medical physics expert
duty of trainee

A
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6
Q

what is IRMER definition of a referrer

A

registered healthcare professional and be identifiable by as an accepted referrer by the imaging departmetn

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7
Q

referrers must supply sufficient medical data in order to justify to practitioner there is net benefit to irradiating the patient

A
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8
Q

what 4 things should imaging referral have

A
  • clinical diagnosis
  • clinical findings on examination
  • available hisology
  • previous imging
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9
Q

referrer repsonsibilities/things needed on referral form?

A

ID
NAME
ADRESS
DOB
NHS NO
AREA TO EXAMINe
clinical info
LMP

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10
Q

under IRMER, the employer is responsible for waht

A

providing framework within which professionals undertake their functions

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11
Q

employer has responsibility for identifying referral criteria and making sure they are available to referrer, what do they use to do this

A

iRefer,

the RCR guidelines supplements by local departmental referral criteria

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12
Q

employer responsibilities overall?

A

list of operators, medical referrers, IRMER practiotions allowed to authorise

department protocol
recording dose
display RDL
audits
risk management
clinical governance

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13
Q

what does DRL stand for

A

diagnostic reference level

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14
Q

define practitioner

A

registered health carer profession entitled in accordance with employers procedure to take responsibility for an individual exposure to a registered health care professional thats entitled to take responsibility for ‘ justification of’ exposure

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15
Q

operator guidelines are the final IRMER check

YOU MUST JUSTIFY and ensure patient has consented

A
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16
Q

what anatomy needs LMP checked

A

any scan between diaphragm and knees

17
Q

what do u wanna look for to check an exposure is justified

A

request from approved referer
recent date
signed
request matches clinical detail
authorised
LMP checled
dose is according to DRL and local exposure chart

18
Q

what does ALARP stand for

A

as low as reasonably practicable

19
Q

what are some post processing responsibilities

A

record dose, number of exposures

report over exposure if DRL exceded

radiographer name signed

date

LMP

ensure details logged into RIS

20
Q

what does RIS and PACS stand for

A

radiology imaging system (the core system for the electronic management of medical imaging departments)

picture archive communicating system (securely store and digitally transmit electronic images and clinically-relevant reports.)

21
Q

students aren’t entitle to authorise or justify, must have radiographer signature