RESUMO
This paper aims to demonstrate the importance of the regulatory inspections carried out by the Brazilian regulatory body in the area of nuclear medicine. The main aspects observed during the inspections are presented as well as the time evolution of the non-compliances, according to their occurrence by type. We also evaluate factors concerning the working of the nuclear medicine facility responsible for solving the non-compliances. The results suggest a decrease of occurrence of non-compliances with time that can be related to the strictness of the inspections and the awareness of the personnel in the nuclear medicine facilities. An analysis of radiation dose exposure levels for the professionals involved in nuclear medicine was carried out; although dose values are below regulatory dose limits, their occurrence is not decreasing satisfactorily. Results indicate the need for staff training and commitment of the responsible nuclear medicine facility staff to the radiological protection procedures. Our results also emphasise the importance of continuous coercive actions to improve the level of radiological protection in nuclear medicine facilities in compliance with the standards established by the national regulatory authority and international recommendations.
Assuntos
Regulamentação Governamental , Fidelidade a Diretrizes/estatística & dados numéricos , Medicina Nuclear/estatística & dados numéricos , Medicina Nuclear/normas , Guias de Prática Clínica como Assunto , Proteção Radiológica/legislação & jurisprudência , Proteção Radiológica/estatística & dados numéricos , Brasil , Medicina Nuclear/legislação & jurisprudênciaRESUMO
We have reviewed the legislation about the quality control of dose calibrator. The importance of verifying the correct work of these instruments, is fundamental in daily practice of radiopharmacy and nuclear medicine. The Spanish legislation establishes to include these controls as part of the quality control of radiopharmaceuticals, and the program of quality assurance in nuclear medicine. We have reviewed guides and protocols from international eminent organizations, summarizing the recommended tests and periodicity of them.
Assuntos
Calibragem/normas , Controle de Qualidade , Doses de Radiação , Compostos Radiofarmacêuticos/administração & dosagem , Medicina Nuclear/legislação & jurisprudência , Medicina Nuclear/normas , Reprodutibilidade dos Testes , EspanhaRESUMO
Los objetivos de este informe son: Evaluar la situación de la radioprotección en Bolivia, analizando aspectos le legislación, reglamentación y utilización. Evaluar la situación de la radiología diagnóstica y terapeútica en Bolivia, analizando aspectos de: recursos humanos, equipos, estadísticas, mantenimiento, protección radiológica y control de calidad en los servicios de diagnóstico por imagen, radiodiagnóstico, radioterapia y medicina nuclear. Los apéndices contiene: No.1 Cronograma de trabajo; No.2 Comisión boliviana de energía nuclear: Ley de protección y seguridad radiológica; No.3 Instituto Boliviano de Ciencia y Tecnología Nuclear (IBTEN):Centro de protección radiológica; No.4 IBTEN Reglamentos de protección radiológica; No.5 IBTEN Requisitos para habilitación de una instalación con fuente de radiación ionizante; No.6 Fuentes de radiación en Bolivia; No.7 Visita al Hospital de Clínicas de La Paz; No.8 Visita al Hospital Obrero No.1 Caja Nacional de Salud, La Paz; No.9 Visita al Hospital Obrero No.8 de la Caja Nacional de Salud, La Paz; No.10 Visita al instituto regional de gastroenterología bolivano-japones Cochabamba, Bolivia; No.11 Visita al Hospital Clínico Viedma, Cochabamba; No.12 Visita al Hospital Obrero No.2 de la Caja Nacional de Salud Cochabamba, Bolivia; No.13 Visita al Centro de Tomografía Computarizado Holy Croos; No.14 Visita al Centro Médico Quirúrgico Boliviano-Belga; No.15 Ministerio de Previsión Social y Salud Pública Escuela Técnica de Salud Boliviana-Japonesa de Cooperación Andina; No.16 Programa de control de calidad en Radiodiagnóstico; No.17 Incidencia de cáncer en La Paz: registro de cáncer de La Paz; No.18 Visita al Instituto Nacional de Medicina Nuclear- La Paz; No.19 Visita al Centro de Medicina Nuclear de Cochabamba; No.20 Acceso a NUCMED y a Archivos de NUCMED a traves de BITNET; No.21 Material bibliográfico donado por HSS/RAD