Radiation Health Refresher

1. Radiation Health Refresher Amanda Anderson, LT, MSC, USN Radiation Health Program Manager Naval Undersea Medical Institute

2. References Radiological Controls for Shipyards, NAVSEA 389-0288 Radiation Health Protection Manual, NAVMED P-5055

3. Topics RHT reporting requirements Dose Investigations/ Estimates RHO support

4. RHT Reporting Requirements Annual Report to NDC Annual Report to NAVSEA 08 SITREPS

5. Annual Report to NDC Who: Personnel onboard Dec 31st who have been monitored for exposure during the calendar year while assigned to your command. Due: April 1st or within 30 days of receipt of final exposure information Individuals who received 00.000 rem must be reported. If the a badging period spans Jan 1, the year in which the mid-point of the exposure period occurs will be the year in which the entire exposure for that period is reported. Individuals who received 00.000 rem must be reported. If the a badging period spans Jan 1, the year in which the mid-point of the exposure period occurs will be the year in which the entire exposure for that period is reported.

6. Annual Report to NAVSEA 08 Who: Personnel on board Dec 31st whose exposure was primarily associated with Naval nuclear propulsion plants. Visitors and personnel who transferred to a non-reporting command during the calendar year. Personnel who separated from organization during the calendar year. Due: Must be received at NAVSEA 08 by Jan 31st. Send preliminary report if LiF results are not available. Retain report indefinitely. Radiographer who received 51% of his exposure from licensed radiography sources would not be included. -Visitors whose commands report to Navsea08 would not be included.Retain report indefinitely. Radiographer who received 51% of his exposure from licensed radiography sources would not be included. -Visitors whose commands report to Navsea08 would not be included.

7. SITREPS Who: Personnel who transfer, retire, or terminate employment before Dec 31st. Due: Within 30 days of detachment from command or within 30 days of receipt of final exposure, whichever is later. Only report the exposure for that calendar year for personnel who are terminating employment or transferring. Only report the exposure for that calendar year for personnel who are terminating employment or transferring.

8. SITREPS Who: Visitor or TDY personnel whose parent command does not submit reports to NDC. Due: Within 30 days of departure from command or within 30 days of receipt of final exposure, whichever is later. Send report to NDC.Send report to NDC.

9. SITREPS Who: Personnel exceeding exposure limits of Table III, Ch. 4 of the P-5055. Due: Within 30 days from when it was determined that an exposure limit was exceeded. If in exposure is exceeded in a single incident for TEDE, eye dose, or shallow, send �Immediate� message and/or telephone to BUMED. Follow up with NAVMED 6470/1 within 24 hrs. Review Ch4 of the P-5055 for limits. Forward report on NAVMED form 6470/1. Submit to Chief, BUMED, Attn: Undersea Medicine and Radiation Health Division.Review Ch4 of the P-5055 for limits. Forward report on NAVMED form 6470/1. Submit to Chief, BUMED, Attn: Undersea Medicine and Radiation Health Division.

10. SITREPS Who: Personnel who exceed TEDE, eye dose, or shallow limits of Table III, Ch. 4 of the P-5055 in a single incident. Due: �Immediate� message and/or telephone to BUMED. Follow up with NAVMED 6470/1 within 24 hrs. Review Ch4 of the P-5055 for limits. Forward report on NAVMED form 6470/1. Submit to Chief, BUMED, Attn: Undersea Medicine and Radiation Health Division.Review Ch4 of the P-5055 for limits. Forward report on NAVMED form 6470/1. Submit to Chief, BUMED, Attn: Undersea Medicine and Radiation Health Division.

11. SITREPS Who: Personnel who receive TEDE greater than 25 rem, eye dose greater than 75 rem, or shallow dose greater than 250 rad. Due: �Immediate� message and/or telephone to BUMED. Follow up with NAVMED 6470/1 within 24 hrs. Review Ch4 of the P-5055 for limits. Forward report on NAVMED form 6470/1. Submit to Chief, BUMED, Attn: Undersea Medicine and Radiation Health Division.Review Ch4 of the P-5055 for limits. Forward report on NAVMED form 6470/1. Submit to Chief, BUMED, Attn: Undersea Medicine and Radiation Health Division.

12. Dose Investigations/ Estimates Any instance in which a TLD reading is suspect shall be investigated. Complete investigation within 10 working days of identification of a suspect TLD reading. Art. 233: Instances requiring investigation: -abnormal glow curve. -30/30 rule (P-5055) -unexpectedly high or low dose for the work that was performed. Report result of investigation to Navsea 08 if assigned dose differs by >100 mRem. (Art 110) Art. 233: Instances requiring investigation: -abnormal glow curve. -30/30 rule (P-5055) -unexpectedly high or low dose for the work that was performed. Report result of investigation to Navsea 08 if assigned dose differs by >100 mRem. (Art 110)

13. Dose Investigation Evaluation of potential exposure from radiological work and any other potential sources. Describe how device was lost, damaged, or destroyed. Complete dose estimate. Copies of calculations, surveys, etc. Report must be signed by MO or RHO. -If command does not have an MO or RHO, then the report must be signed by the MDR and XO. -Investigation does not go into health record. -Retain investigation indefinitely.-If command does not have an MO or RHO, then the report must be signed by the MDR and XO. -Investigation does not go into health record. -Retain investigation indefinitely.

14. Dose Estimate Based on �best estimate� from the following methods: Exposure time & radiation levels. Dose of other personnel performing similar work. Individual�s previous dose history while performing similar work. Pocket dosimeter reading if available. �Best estimate�- What should the dose have been had it been properly monitored? -Contact regional RHO for anything out of the ordinary. the purpose of the best estimate form is to determine �What should the dose have been had it been properly monitored?�-Contact regional RHO for anything out of the ordinary. the purpose of the best estimate form is to determine �What should the dose have been had it been properly monitored?�

15. RHO Support RHO onsite Regional RHO

16. RHO onsite Maintain 2-way communication Provides mentorship in radiation health Fosters professional development Relies on your technical expertise 2-way communication- lines of communication should always be open between the RHO and RHT. This is how you maintain an effective radiation health program and grow professionally. Mentorship- Your RHO has expertise in the area of health physics or medical physics. As an RHT you should be pursuing professional certifications and advanced education, such as NRRPT. Your RHO can help guide you in your pursuit. Professional development- Your RHO should be helping you to achieve the next step in your career path. Where are there leadership opportunities for you? Are you being entrusted with increasing responsibility? Is it reflected in your fitrep? Your technical expertise- Your RHO relies on you for your technical expertise. Do you have a good working knowledge of SAMs? Are you keeping RADIACs properly calibrated? How do your medical records look? 2-way communication- lines of communication should always be open between the RHO and RHT. This is how you maintain an effective radiation health program and grow professionally. Mentorship- Your RHO has expertise in the area of health physics or medical physics. As an RHT you should be pursuing professional certifications and advanced education, such as NRRPT. Your RHO can help guide you in your pursuit. Professional development- Your RHO should be helping you to achieve the next step in your career path. Where are there leadership opportunities for you? Are you being entrusted with increasing responsibility? Is it reflected in your fitrep? Your technical expertise- Your RHO relies on you for your technical expertise. Do you have a good working knowledge of SAMs? Are you keeping RADIACs properly calibrated? How do your medical records look?

17. Regional RHO Contact Specialty Leader or ETL to receive contact information for regional RHO. Specialty Leader: CDR Glennon COM: (202) 762-3447/ DSN: 762-3447 bkglennon@us.med.navy.mil ETL: HM1 Gain COM: (860) 694-2876 ext.113/ DSN: 694-2876 omgain@us.med.navy.mil Provide assistance as necessary. Answer any radiation health questions.Provide assistance as necessary. Answer any radiation health questions.