Proposed Topic (Most preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Authors (including presenting author) :
Ng CS(1), Wong KF(1), Wong CY(1), Fung CW(1), Yue SS(1), Ng YB(1)
Affiliation :
(1)Department of Medicine & Geriatrics, United Christian Hospital
Introduction :
In Ward 9B, a medical neurology unit, video electroencephalograph (EEG) monitoring is performed to continuously record the brain's electrical activity while monitoring patients through video cameras. By integrating SPECT scans with video EEG monitoring, healthcare professionals gain a better understanding of underlying neurological conditions. To ensure the safe integration of SPECT scans, it is crucial to handle Technetium-99m (Tc-99m), a radioactive substance used in the scans, safely. This project aims to develop protocols for the safe handling, storage, preparation, and administration of Tc-99m while prioritizing patient care and minimizing radiation risks.
Objectives :
1. Develop and implement comprehensive protocols for the safe handling, storage, and administration of Tc-99m.
2. Establish radiation safety measures to protect patients, staff, and the environment from unnecessary radiation exposure.
3. Provide training and education to nurses on radiation safety practices related to Tc-99m handling.
Methodology :
1. Conducted a risk assessment to identify potential radiation hazards in the medical unit.
2. Formed a workgroup to develop guidelines for handling radioactive substances.
3. Held an inter-departmental meeting involving medical neurologists, nurses, radiologists, medical physicists, and OSH representatives to discuss workflow and address concerns.
4. Prepared a dedicated storage area with appropriate shielding and security measures for the radioactive substance.
5. Create a radioactive substance spillage kit with regular checking.
6. Arranged nurses to undergo body checks to obtain the "Certificate of Fitness for Employment in Radiation Work."
7. Provided training sessions for nurses on handling and administering the radioactive substance, radiation safety principles, proper use of personal protective equipment (PPE), and emergency response procedures.
8. Conducted a spillage drill to allow nurses to practice and become more familiar with the necessary protocols.
Result & Outcome :
This project created guidelines for handling Tc-99m, provided radiation safety training for nurses, and conducted a spillage drill. These efforts have established a culture of radiation safety in the medical neurology unit, ensuring the well-being of patients and healthcare professionals.
