160 likes | 167 Views
HOW STAKEHOLDERS IN THE HEALTH SECTOR PERCEIVE THE ORGANIZATION OF RADIATION PROTECTION CONTROLS IN FRANCE. MENECHAL Ph. (SFRP) GAURON Ch.(INRS), FRABOULET P. (AFPPE), KALIFA G. (Saint-Vincent de Paul Hospital), DE WILDE P. (Pitié-Salpétrière Hospital). EXTERNAL ACTORS. ASN. AFSSAPS. Work
E N D
HOW STAKEHOLDERS IN THE HEALTH SECTOR PERCEIVE THE ORGANIZATION OF RADIATION PROTECTION CONTROLS IN FRANCE MENECHAL Ph. (SFRP) GAURON Ch.(INRS), FRABOULET P. (AFPPE), KALIFA G. (Saint-Vincent de Paul Hospital), DE WILDE P. (Pitié-Salpétrière Hospital)
EXTERNAL ACTORS ASN AFSSAPS Work inspectorate DGS Health care facility IRSN Registered organisms CRAM
INTERNAL ACTORS • Manager • CHSCT (Hygiene, Safety and Working Conditions Committee) • Occupational physicians • Radiation Protection Competent Person (PCRP) • Physicists • Radiologists, radiographers • Biomedical engineers...
OCCUPATIONAL PHYSICIAN • a central actor in the French occupational health system • advises directly the employer and the workers about occupational risk management • prevents any harm to workers’ health condition due to work
OCCUPATIONAL PHYSICIAN • Works in collaboration with experts (physicists, PCRP…) • Assesses and improves radiological risk management • Deals with most problems concerning practices, training, management, devices
HOW DOES THE OCCUPATIONAL PHYSICIAN PERCEIVE RADIOPROTECTION CONTROLS? • Relies on sources of information from external controls • Dosimetric results • Workstation studies • Architectural conformities • Carries out medical visits • Internal actors’ role is essential • training actions, procedure controls, advice, equipment • incident investigation, feedback
PCRP • The internal operational link of radiation protection system • Works in collaboration with: • occupational physician • CHSCT • managers... • Acts as an adviser and as an expert
PCRP • Analyses the workplaces • Improves level of occupational expositions • Carries out training and spreads information • Manages risky situations • Enforces regulation • Gives technical advice • Performs active dosimetry, makes sure external controls are performed • Checks working situations
HOW DOES THE PCRP PERCEIVE EXTERNAL CONTROLS? • As an assessment of his job • As supporting and comforting his advice • As a means to dialogue with authorities • Limits to these external controls: • patient exposures controls • assessment of procedures and training levels • Importance of external + internal controls
RADIOGRAPHER • he is the last safeguard • he has essential knowledge • only radiographers are allowed to perform acts with ionising radiation • he receives regular training
RADIOGRAPHER • no contact with external actors • controls take into account mainly the compliance of medical devices and facilities • the regulatory external controls should take into account the training level of radiographers • receive advice from internal actors (PCRP and occupational physician)
THE RADIOLOGIST • Meeting point between the medical indication and the physical requirements • Specific training • Overall view of the different imaging technique • Real partner of clinicians,manufacturers and administators • Knowledge of the risks • RESPECT OF THE EURATOM97/43
THE RADIOLOGIST • PATIENTS • CLINICIANS • RADIOGRAPHERS • ADMINISTRATORS and or BUSINESSMEN • EXTERNAL REGULATORY BODIES • these partners act also as «controllers» • the patient being the «supreme judge»
MANAGER • He is in charge of workers’ safety • Coercive role of external controls • He gets a real idea of compliance level of facilities • Legal guarantee • Advice from internal experts is necessary (PCRP, occupational physician)
Conclusion • CONTROLS ARE APPROVED BY EVERY INTERNAL ACTORS AS A WAY OF KNOWLEDGE • EXTERNAL INSPECTIONS ARE NOT SUFFICIENT TO IMPROVE RADIATION PROTECTION • TECHNICAL COMPLIANCE LEVEL MUST BE COMPLETED BY A CONTROL OF THE MEN