Radiation Safety Physics (RADS) & Imaging with Ionising Radiation (IIR) & Imaging with Non-Ionising Radiation (INIR)

Week 1
Radiographic Survey
CR/DR survey
X-ray local rules review / Week 2
Contingency plan exercise
Fluoro survey
X-ray risk assessment review / Week3
Radiographic survey (DAP & crit exam)
CR/DR survey
X-ray room design & shielding / Week 4
Fluoro survey
Contamination monitor calibration
Week 5
IRR99 audit
Environmental monitoring / Week 6
X-ray dose audit
Cross Calibration / Week 7
Datix review
Datix incident exercise / Week 8
Laser local rules
Laser survey x2
Week 9
UV survey x 2
Laser safety specification / Week 10
Radiotherapy tasks?
Complete outstanding work. / Throughout:
Prior to undertaking or observing a task, relevant protocols and local rules must be read and understood. The contents of the documents should be clarified through discussion with a clinical scientist.
The timetable will change depending upon scheduled work. There are likely to be opportunities to observe / participate in additional tasks depending upon progress and scheduled work.

Competency/Learning Outcome mapping for Training Plan

Key Learning Outcomes / Competences STP work based learning guide / Training task from plan above – knowledge and skills / Good Scientific Practice Competence
RADIATION SAFETY PHYSICS (RADS)
RADS 1 / Undertake risk assessment for a
radiation facility. /
  • X-ray room risk assessment review
/ 2.1.3, 2.2.2,2.2.6,2.2.7,2.3.1,2.3.2, 3.1.6
RADS 1 / Undertake room design from firstprinciples for a diagnostic X-rayfacility and surgical laser facility. /
  • X-ray room design exercise including shielding calculation
  • Laser survey & safety specification exercise
/ 2.1.2, 2.1.3, 2.1.6,3.1.6
RADS 1 / Specify the design and controlfeatures for each of the facilities. /
  • X-ray room risk assessment review & design exercise: document required features of X-ray room
  • Laser survey & safety spec exercise: document required features.
/ 2.1.5, 2.1.6, 2.2.1, 2.3.1, 3.1.11, 3.1.14
RADS 1 / In conjunction with the user developthe local rules procedures for the new facilities. /
  • Review & update local rules for X-ray & laser.
(with RADS 7 & 8, INIR 7) / 2.1.6, 2.2.2, 2.2.6, 2.2.7, 2.3.1,
RADS 2 / Compare the design features andcontrol systems of a facility with thespecified design. /
  • X-ray room survey: perform commissioning survey & critical exam of an existing X-ray facility.
/ 2.1.2, 2.2.1, 2.2.5, 2.3.1
RADS 2 / Calibrate and test equipment that
measures radiation and obtain
measurements required and thesafety features to be tested as part of the critical examination. /
  • X-ray room survey: DAP calibration & critical exam
  • Cross calibration.
/ 2.1.6, 2.2.2, 2.2.3, 2.2.4,
RADS 2 / Compare the results of the critical
examination with relevant legislation, standards and guidance. /
  • X-ray room survey: review critical exam results with clinical scientist / RPA & prepare report.
/ 2.1.6, 2.3.1
RADS 2 / Report findings of the criticalexamination and makerecommendations for improvementswithin specified timescale. /
  • X-ray room survey:document conclusions and recommendations of critical exam
/ 2.1.5, 2.1.5, 2.2.5
RADS 2 / Confirm acceptability of radiationlevels within the defined area ordistance from the source. /
  • Environmental dose survey & report.
/ 2.3.1, 2.2.6, 2.1.6. 3.1.11, 3.1.12
RADS 2 / Confirm that warning devices,interlocks and safety cut-offmechanisms are fully operational. /
  • X-ray room survey: critical exam
/ 2.1.3, 2.2.6
RADS 3 / Assess audit reports, actions plans
and outcomes against legislative
requirements. /
  • Local IRR99 audit (& RSA 93 if available)
/ 2.1.3, 2.3.1, 2.3.2, 3.1.12
RADS 3 / Undertake a simple audit of an area
where radiation is used according to
local standard operating procedures. /
  • Local IRR99 audit: Radionuclide dept survey
/ 2.1.3, 2.2.7
RADS 3 / Report findings; specify degree ofcompliance, recommendations forfurther action and date of follow-upreview. /
  • Local IRR99 audit: Report of radionuclide dept survey
/ 2.1.5, 2.3.2, 2.3.3, 2.3.4
RADS 4 / Participate in, or review, patient
dose audit data to assessoptimisation including the use ofdiagnostic reference levels /
  • X-ray patient dose audit for a department (compare results room to room)
(with IIR 6) / 2.3.1, 2.2.7, 2.1.3, 2.1.4, 2.1.6, 3.1.13, 3.1.14
RADS 5 / Undertake measurements to assess
patient dose and image quality in a
plain X-ray or fluoroscopy room. /
  • Fluoro survey x2
/ 2.1.3, 2.2.4, 2.3.1, 3.1.13, 3.1.14
RADS 5 / Review the outcome of image quality and patient dose measurements and recommend optimisation strategies. /
  • Fluoro survey: reports
  • X-ray patient dose audit: report
/ 2.3.1, 2.3.2, 2.1.5, 3.1.13, 3.1.14
RADS 6 / Select appropriate monitor ordosemeter for the type(s) of radiation to be measured for a range of ionising and non-ionising radiation. /
  • Local IRR99 audit: Radionuclide dept survey radiation equipment review
  • Contamination monitor testing & calibration
  • Rad & Fluoro surveys: detector selection
  • UV surveys: detector selection (UVA/UVB)
/ 2.2.1. 2.2.4, 2.2.5, 2.2.7, 2.2.9
RADS 6 / Ensure selected device is in working order and within calibration. /
  • Contamination monitor testing & calibration
  • Rad / Fluoro / UV surveys: reviews device calibration.
  • Cross calibration (with IIR5)
/ 2.2.3, 2.2.4
RADS 6 / Perform the full range ofmeasurement activities specified,using a range of recording methods. /
  • Contamination monitor testing & calibration
  • Cross calibration
  • Rad / Fluoro / UV surveys
  • Environmental dose survey
/ 2.1.1, 2.1.3, 2.2.3, 2.2.4, 2.3.3, 3.2.1, 3.2.2
RADS 6 / Record the results of measurements accurately and in correct format. / Document results from above measurements / 2.1.3, 2.2.4, 2.3.3, 2.3.4, 3.2.1
RADS 6 / Interpret the significance of
measurements and draw conclusions. / Review data & document conclusions and recommendations in reports for above measurements / 2.1.2, 2.1.5, 2.1.6, 2.2.1, 2.2.4, 2.3.1, 2.3.3, 3.1.3, 3.2.4
RADS 7 / Critically appraise contingency plans within local rules. /
  • Review & update of local rules: review adequacy of contingency plans (or include if not present)
(with RADS 1 & 8) / 2.1.2, 2.1.5, 2.2.1, 2.2.6, 2.3.2
RADS 7 / Identify and plan an exercise torehearse contingency plans (e.g.contamination incident, loss ofsource) /
  • Desktop exercise with Clinical Scientist and/or RPA
/ 2.2.7
RADS 7 / Analyse recent radiation incidents and summarise the types and causes of incidents. /
  • Datix Reports review for an area
/ 2.1.1, 2.1.5, 2.1.6, 2.2.2, 2.2.4, 2.2.6, 2.2.9, 2.3.2, 3.1.2, 3.2.4
RADS 7 / Participate in the investigation of a
radiation incident. /
  • Datix Report exercise with RPA or clinical scientist
/ 2.1.1, 2.1.2, 2.1.3, 2.1.5, 2.3.2, 3.1.2, 3.1.3, 3.1.9, 3.1.11, 3.1.13, 3.2.4
RADS 8 / Perform a critical appraisal of thecontent of local rules againstlegislative requirements for ionisingand non-ionising radiation settings. /
  • Review & update local rules for X-ray & laser
(with RADS 1 & 7) / 2.1.2, 2.1.5, 2.1.6, 2.2.1, 2.3.2
IMAGING WITH IONISING RADIATION (IIR)
IIR 4,5 / Operate a range of quality control
equipment, including ionisationchambers, solid state dosimeter anelectrometer and a kV meter. /
  • Rad Survey x2
  • Fluoro Survey x2
/ 2.2.3, 2.2.4, 2.3.3, 3.2.1
IIR 4,5 / Change image acquisitionparameters and review the effecton themeasurements made usingquality control equipment. /
  • Rad Survey x2
  • Fluoro Survey x2
/ 2.1.1, 2.1.3, 2.1.6, 2.2.4, 2.3.3, 3.1.3, 3.2.1
IIR 4,5 / Operate a basic range ofradiographic and fluoroscopic X-rayequipment under supervisionand perform qualityassurancetests. /
  • Rad Survey x2
  • Fluoro Survey x2
  • CR/DR survey x2
/ 2.1.1, 2.1.3, 2.2.3, 2.2.4, 2.2.7, 2.3.3, 3.2.1
IIR 4,5 / Undertake image quality tests on a
radiographic or fluoroscopicsystem. /
  • Fluoro Survey x2
  • CR/DR survey x2
/ 2.1.1, 2.1.3, 2.2.4, 2.3.1, 2.3.3, 3.1.3, 3.1.14, 3.2.1
IIR 5 / Undertake cross-calibration of anionisation chamber or solid statedosimeter. /
  • Cross calibration
  • X-ray room survey: DAP calibration
(with RADS 6, IIR 6) / 2.1.5, 2.2.3, 2.2.4, 2.3.1, 2.3.4, 3.2.1
IIR 5 / Measure the parameters of an
automatic exposure control. /
  • Rad Survey x2
/ 2.2.3, 2.2.4, 2.3.3, 3.1.14
IIR 6 / Undertake a patient dose audit and
present the results, includingreference to appropriate dosereference levels. /
  • X-ray patient dose audit
(with RADS 4) / 2.1.1, 2.1.2, 2.1.5, 2.1.6, 2.2.2, 2.2.4, 3.1.2, 3.1.14, 3.1.17, 3.2.2, 3.2.4
IIR 6 / Measure the performancecharacteristics of a dose areaproduct meter against a calibratedreference ionisation chamber. /
  • X-ray room survey: DAP calibration
(with RADS 6, IIR 5) / 2.2.3, 2.2.4, 2.3.1, 2.3.4, 3.2.1
IIR 6 / Measure or calculate patient doses
for a range of examinations,
including the estimation of foetaldose. /
  • X-ray patient dose audit
  • Datix Report exercise: foetal dose
/ 2.1.5, 2.2.1, 2.2.4, 2.2.9, 2.3.2, 3.1.2, 3.1.14, 3.1.17, 3.2.2, 3.2.4
IIR 6 / Calculate the risks and the riskfactors associated with patientdoses. /
  • X-ray patient dose audit
  • Datix Report exercise & Datix spreadsheet review
/ 2.1.5, 2.1.6, 2.2.6, 3.1.2, 3.1.3, 3.1.4, 3.1.9, 3.1.11, 3.1.17, 3.2.4
IMAGING WITH NON-IONISING RADIATION (INIR)
INIR 5 / Measure and record the output of a
range of equipment, e.g. lasers, UV
and physiotherapy ultrasound. /
  • UV Survey x2
/ 2.1.1, 2.1.3, 2.2.3, 2.2.4, 2.3.3, 2.3.4, 3.2.1
INIR 6 / Perform safety and quality controlchecks on a range of equipment, e.g. lasers, UV and physiotherapyultrasound. /
  • UV Survey x2
  • Laser Survey x2
/ 2.2.3, 2.2.4, 2.3.3, 2.3.4, 3.2.1
INIR 6 / Measure and analyse quantitative
measurements of non-imaging
equipment performance. /
  • UV Survey x2
/ 2.1.1, 2.1.2, 2.1.3, 2.2.3, 2.1.5, 2.1.6, 2.2.1, 2.2.4, 2.3.1, 2.3.3, 2.3.4, 3.1.3, 3.1.14, 3.2.7, 3.2.4
INIR 7 / Work safely in rooms where exposure to non-ionising radiation may present a hazard. /
  • UV Survey x2
  • Laser Survey x2
  • Review laser local rules
/ 2.2.4, 2.2.6, 2.2.7, 3.2.1
INIR 7 / Perform a risk assessment of a non-ionising radiation facility. /
  • Laser Survey: report / analysis x2
/ 2.1.2, 2.1.5, 2.1.6, 2.2.1, 2.2.6, 2.2.7, 2.3.2
RADIOTHERAPY PHYSICS (RP)
RP 2 / Perform a radiation protectionroom survey and discuss theresults with your training officer. /
  • Environmental monitoring & IDR survey of R.T. treatment room
/ 2.1.1, 2.1.5, 2.1.6, 2.2.3, 2.2.4, 2.3.1, 3.2.1
RP 2 / Perform a radiation riskassessment and discuss theresults with your training officer. /
  • Risk assessment review of RT treatment room
/ 2.1.5, 2.1.6, 2.2.1, 2.2.6, 2.2.7, 2.3.2
Author / Owner / Revision / Active Date / Review date / Page
SM / MW / 1 / 28/10/2014 / 28/10/2015 / 1 of 7
This document is uncontrolled when printed. Check Revision BEFORE use!

Task / Competency Grid

Task / RADS / IIR / INIR / RP
RADS 1 / RADS 2 / RADS 3 / 4 / 5 / RADS 6 / RADS 7 / 8 / IIR 4,5 / IIR 5 / IIR 6 / 5 / INIR6 / INIR7 / RP2
X-ray Risk Assessment / X / X
X-ray room design / X / X
Laser survey x2 / X / X / X / X / X
Laser safety spec / X / X
X-ray LR / X / X / X
Laser LR / X / X / X / X
Fluoro x2 / X / X / X / X / X / X / X / X / X / X / X
Rad inc DAP & crit ex x2 / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X
Cross Calibration / X / X / X / X / X / X
CR/DR x2 / X / X
Environ survey / X / X / X / X
IRR99 audit / X / X / X / X
X-ray dose audit / X / X / X / X / X
Con Mon test/cal / X / X / X / X / X
UV x2 / X / X / X / X / X / X / X / X / X
Contingency exercise / X
Datix review / X / X
Datix report / X / X / X
RT env survey / X
RT RA / X

GSP Mapping

GSP / RADS / IIR / INIR / RP
RADS 1 / RADS 2 / RADS 3 / 4 / 5 / RADS 6 / RADS 7 / 8 / IIR 4,5 / IIR 5 / IIR 6 / 5 / INIR6 / INIR7 / RP2
2.1.1 / X / X / X / X / X / X / X / X / X / X
2.1.2 / X / X / X / X / X / X / X / X / X
2.1.3 / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X
2.1.4 / X
2.1.5 / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X
2.1.6 / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X
2.2.1 / X / X / X / X / X / X / X / X / X / X
2.2.2 / X / X / X / X / X
2.2.3 / X / X / X / X / X / X / X / X / X / X / X / X
2.2.4 / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X
2.2.5 / X / X / X
2.2.6 / X / X / X / X / X / X / X / X / X / X
2.2.7 / X / X / X / X / X / X / X / X / X / X
2.2.8
2.2.9 / X / X / X
2.3.1 / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X / X
2.3.2 / X / X / X / X / X / X / X / X / X / X / X
2.3.3 / X / X / X / X / X / X / X / X / X / X / X / X
2.3.4 / X / X / X / X / X / X / X
3.1.1
3.1.2 / X / X / X / X / X
3.1.3 / X / X / X / X / X / X
3.1.4 / X
3.1.5
3.1.6 / X / X
3.1.7
3.1.8
3.1.9 / X / X
3.1.10
3.1.11 / X / X / X / X
3.1.12 / X / X
3.1.13 / X / X / X / X
3.1.14 / X / X / X / X / X / X / X / X / X
3.1.15
3.1.16
3.1.17 / X / X / X
3.2.1 / X / X / X / X / X / X / X / X / X / X / X / X
3.2.2 / X / X / X
3.2.3
3.2.4 / X / X / X / X / X / X / X

Throughout all 1.1 Professional Practice competencies should be covered, in addition 1.2.4, 1.2.5 and all of 1.3 Working with Colleagues – this will be assessed by supervisors and feedback given where appropriate

Author / Owner / Revision / Active Date / Review date / Page
SM / MW / 1 / 28/10/2014 / 28/10/2015 / 1 of 7
This document is uncontrolled when printed. Check Revision BEFORE use!