J Am Vet Med Assoc. 2021 Oct 15;259(8):919-926. doi: 10.2460/javma.259.8.919.
To describe self-reported radiation safety practices by equine veterinary technicians in North America and identify factors associated with these practices.
154 equine technicians.
An electronic questionnaire regarding radiation safety practices during the use of portable x-ray equipment was sent to 884 members of the American Association of Equine Veterinary Technicians and Assistants. Data were summarized, and various factors were evaluated for associations with reported safety practices.
221 of 884 (25.0%) questionnaires were completed, including 154 by equine technicians who had been involved in equine radiography as x-ray tube operators, cassette holders, or both in the previous year. Lead apron use was suboptimal, reported as "always" for 80.0% (104/130) of tube operators and 83.1% (123/148) of cassette holders. Approximately 20% of participants never wore thyroid shields, and approximately 90% never wore lead eyeglasses. Almost 50% of participants did not have lead eyeglasses available. Although > 55% of participants always held the x-ray equipment by hand, 58.4% (73/125) of tube operators and 25.0% (35/140) of cassette holders never wore gloves. Cassette holders wore lead gloves and personal radiation dose-monitoring devices significantly more frequently than did tube operators.
Compliance of North American equine technicians with radiation safety recommendations by the National Council on Radiation Protection and Measurements was suboptimal. Improvements in radiation safety training and education, strengthening the connection between academic institutions and private practices, and greater availability and requirement of personal protective equipment use by senior clinicians and employers might aid in improving safety practices.
描述北美兽医技师在使用便携式 X 射线设备时自我报告的辐射安全实践,并确定与这些实践相关的因素。
154 名马兽医技师。
向美国兽医技师协会和助理协会的 884 名成员发送了一份关于在使用便携式 X 射线设备时辐射安全实践的电子问卷。对数据进行了总结,并评估了各种因素与报告的安全实践之间的关联。
在 884 份问卷中,有 221 份(25.0%)完成,其中包括 154 份来自过去一年中参与过马射线照相的马兽医技师,他们担任过 X 射线管操作员、暗盒持有者或两者。使用铅围裙的情况并不理想,报告显示 80.0%(104/130)的管操作员和 83.1%(123/148)的暗盒持有者“始终”使用。大约 20%的参与者从未佩戴过甲状腺屏蔽,大约 90%的参与者从未佩戴过铅眼镜。几乎 50%的参与者没有备用铅眼镜。尽管超过 55%的参与者始终用手握住 X 射线设备,但 58.4%(73/125)的管操作员和 25.0%(35/140)的暗盒持有者从不戴手套。暗盒持有者比管操作员更频繁地佩戴铅手套和个人辐射剂量监测设备。
北美马兽医技师对美国国家辐射防护与测量委员会辐射安全建议的遵守情况并不理想。通过加强学术机构与私人实践之间的联系,改善辐射安全培训和教育,并增加高级临床医生和雇主对个人防护设备使用的要求和可用性,可能有助于提高安全实践水平。