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RADIATION SAFETY TRAINING MANUAL

CHAPTER 10
EMERGENCY PROCEDURES


CHAPTER 10 Table Of Contents

A. NOTIFICATION OF THE RADIATION SAFETY OFFICE

B. MANAGEMENT OF RADIATION INCIDENTS

C. PERSONNEL CONTAMINATION

D. EMERGENCY TELEPHONE NUMBERS

E. INJURY AND CONTAMINATION

1. INGESTION
2. CONTAMINATED WOUNDS
3. SKIN CONTAMINATION
4. HAND WASHING METHOD


An important aspect of radiation safety is being prepared for the unexpected. The following steps are to be taken should an accident occur despite precautionary measures. The information presented in Chapter 6 of the University of California, San Francisco (UCSF) Radiation Safety Manual should be completely reviewed.

A. NOTIFICATION OF THE RADIATION SAFETY OFFICE

Notify the Radiation Safety Office as soon as possible of any accident involving ionizing radiation. This includes, but is not limited to, accidental direct radiation exposure, extensive contamination of floors and work surfaces, or contamination of laboratory personnel. If it is anticipated that a procedure may result in contamination or other hazard, prior approval from the Radiation Safety Office is required.

B. MANAGEMENT OF RADIATION INCIDENTS

Major area contamination involving potential health hazard:

1. In the event of spread, or a suspected spread, of radioactive contamination over a significant portion of a room or larger area:
 
a. Vacate the area, leaving behind clothing and other articles which may be contaminated.
b. Keep all persons out of the area, except for monitoring and rescue teams.
c. Call the Radiation Safety Office immediately.
d. Do not attempt decontamination except as expressly directed by the Radiation Safety Office.
2. Minor contamination (uCi) amounts involving no immediate health hazard:
 
a. Notify everyone in the room and area at once.
b. Monitor personnel before they leave and then change clothes or lab coat, as necessary.
c. Put on disposable gloves to prevent contamination of your hands. Wash your hands first if they are contaminated -- following the UCSF Radiation Safety Manual procedures for decontamination of the hands and skin.
d. Survey, mark, or block off the contaminated area with warning signs or labels.
e. Use absorbent paper or absorbent material on the spill to limit the spread of contamination.
f. Notify the Radiation Safety Office of the accident as soon as possible. Call 476-1300 or 9-911.
g. Start decontamination procedures as soon as possible Normal cleaning agents, or commercial decontamination agents should be adequate. Put on shoe covers and begin procedures by using paper towels with the decontamination agent. Scrub from the outermost edges of the contaminated areas and work inward, reducing the area that is contaminated.
h. Put all contaminated objects and cleaning materials into containers to prevent spread of contamination.
i. In the case of large spills, block off the area. Assign a person equipped with a survey meter and wipe test the materials to help prevent the accidental spread of contamination.
j. Decontaminate the area to background count rates. There should be no removable contamination on the surface after decontamination.
k. Report the accident to the Principal Investigator, Laboratory Supervisor, and the Radiation Safety Officer.

C. PERSONNEL CONTAMINATION

In the event that persons are contaminated as a result of a contamination incident:

1. Administer first aid measures, as necessary.
 
2. Remove the person from the contaminated area and hold at a transfer point.
 
3. Report the incident immediately to the Radiation Safety Office.
 
4. Flush the contaminated skin area with water and soap using care not to abrade the skin.
 
5. Refer suspected internal contamination immediately to the Radiation Safety Office.
 
6. Personnel are not to leave UCSF property for the purpose of decontaminating themselves unless specifically advised to do so by the Radiation Safety Office.
 

Note: If applicable, have a survey meter available to monitor the area, clothing, shoes, etc. and to prevent the spread of contamination.

D. EMERGENCY TELEPHONE NUMBERS

The Office of Environmental Health and Safety Radiation Safety Office 24 hour Emergency Response number is:

  • 206-8111 at San Francisco General Hospital only
  • 9-911 at all other locations.

E. INJURY AND CONTAMINATION

1. INGESTION
 
Treat ingestion of radioactive material like any other acute poisoning. Induce vomiting rapidly by swallowing large volumes of water and stimulate the throat with the fingers. Mild emetics (an agent that induces vomiting) may be added to the water. Repeat this once or twice. The Radiation Safety Officer must be notified immediately after the ingestion.
 
2. CONTAMINATED WOUNDS
 
Any wounds from radioactive contaminated glassware, instruments, or needles should be treated immediately. Wash the injured area under a strong stream of water. (See procedures described in Sections 3 and 4 below.)
 
3. SKIN CONTAMINATION
 
The best method of decontamination is thorough washing with soap and water (See washing procedures described in this Section and Section 4 below.), unless the contamination is very localized. For localized decontamination, swabbing of a masked area is preferable, as this prevents the spreading of the contamination.
If the nature of the contaminant is known, a suitable reagent may be used to immerse the skin, followed by washing. Detergents and wetting agents are also useful. Organic solvents must not be used as they may increase skin penetration.
 
4. HAND WASHING METHOD
 
a. Wash for 2 or 3 minutes under tepid water, using a mild and pure soap. Create a lather using light scrubbing, to avoid eroding the skin and causing further penetration. Pay attention to the areas between fingers and under nails and to the outer edges of the hands, which are often neglected. Rinse thoroughly and monitor.
 
b. If monitoring still reveals contamination, rinse again using a soft brush to create a lather. Rinse and lather repeatedly.
 
c. Apply lanolin or hand cream to prevent chapping.
 
If contamination is still evident, the above procedures may be used in the order presented. Contact the Radiation Safety Officer.

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