提升病室X光輻射防護安全性

Promotion of Ward Radiation Protection Safety

本專案之目的在提升病室中的X光輻射防護。藉由現況分析，針對單位中的人員、設備與制度等三方面進行探討。結果發現：在人員方面，護理人員的輻射防護認知率為45.61％、未依規定配合輻射防護措施的病患及家屬分別為24％與16.66％；在設備方面，所有的操作皆缺乏鉛屏風的設置；在制度方面，則欠缺管制區域的設立、未設定工作標準，以及沒有舉辦在職教育課程。接著針對上述問題進行改善方案，方案內容包括：增設鉛屏風與X光照射警示標誌牌、制定病室輻射防護安全工作標準、舉辦輻射防護在職教育、以及給予病患與家屬衛教資訊並引導其配合護理人員執行輻射防護作業等。在方案施行後，全程符合病室X光輻射防護措施操作之比例，由原先的0％提升至100％。

The purpose of this project was to enhance the safety of the ward from radiation hazard. Current radiation protection practice in the ward had been evaluated from 3 aspects including personnel, facilities, and policies. First, regarding personnel, 45.61% of nursing staff have full recognition on radiation protection. Around 24% of the patients and 16.66% of their families did not follow the protocol of radiation protection. Second, about the facilities, all investigated wards were short of lead shields. Last, regulations of radiation control areas and standard operation procedures and provision of continuing education programs were all insufficient. Therefore, we designed this special project to install more lead shields and radiation hazard warning signs, to set up standard operation procedures for ward radiation protection, to hold continuing education courses about radiation protection, and to educate patients and their families to cooperate with radiation protection procedures under nursing staff’s guidance. After the project had been implemented, the rate of standard practice of radiation protection in the ward increased from 0% to 100%.