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Medical Physics Update Photophysics Sub Group
Nadia Latif Clinical Scientist, NHS Grampian Photonet National Managed Clinical Network
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Photonet Standard 5b Photophysics sub group review
– annual audit results – dosimetry and calibration protocols – variations in Photonet and local centres data – Patient and staff safety arrangements – Staff training
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Variations in Irradiance Measurements
UV Cabinets 5b.7- Variations in irradiance measurements between the Photonet and the local centre should be <20% - Variations for some centres >20% - Standardise UV meter calibration - Calibration at Ninewells - Variations for all centres <20%
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Lightweight Phototherapy Phantom
The Control of Artificial Optical Radiation (AOR) at Work Regulations 2010 Phantom proposal NSS released funding Medical Devices Department, NHS GGC Eliminate risk of UV exposure
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Irradiance Measurements
Hand and Foot Unit Photonet dosimetry visits Increased workload of Photonet technician Draft dosimetry protocol Variations review after first round of measurements
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Evidence of Staff Training and Continual Competence (5b.6)
Difference in local training documents What standard staff should be trained to? Generic Document for Scotland Draft document developed and discussed
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MED Testers Calibration of MED testers
Photonet responsible for governance not the service Local Medical Physics Departments lack resources Ninewells agreed to provide calibration services
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MPD Tester Temperature issue Decision
- Temperature of the unit reaching very high (75°C within 15 minutes) - British Standards temperature of device in contact with the patient should not exceed 48°C Decision - Decided not to pursue the use of the handheld MPD device at the present time and to continue to use the Davlin patches and bank of lights.
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Phototherapy Equipment Feedback
New units - Davlin UVB Cabinet – easier for wheel chair user - Waldman 5002 UVB cabinet Problems -Davlin unit - tripped due to electrical faults - Waldman longer exposure due to sensor blockage by patient’s hands.
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Investigation of Different Types of Eyewear and Faceshields
Operator and patient protection No correlation between price and protection level Protection between 300nm – 400nm New faceshield or eyewear? Britton J, Eadie E, Turner D. An investigation of different types of eyewear and face shields in protecting patients and operators from the harmful effects of ultraviolet radiation. Photodermatol Photoimmunol Photomed. 2019;00:1–9.
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Use of Wide Angled camera
For checking worn out lamps Limit UV exposure of Staff Simple to Use – mobile/laptop Cost effective way of eliminating risk of UV exposure
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PUVA Patients Glasses Lack of uniform guidance Transmission checks
Prescription glasses fails transmission criteria? Decision made to develop a uniform guidance for Scotland
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Thank You Nadia Latif Photophysics Sub Group Clinical Scientist, NHSG
Photonet National Managed Clinical Network Thank You Photophysics Sub Group Nadia Latif Clinical Scientist, NHSG
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