SAFE USE OF FLUOROSCOPY AND PERSONAL PROTECTION EQUIPMENT IN TRAUMA & ORTHOPAEDICS

Area of Science:

• Medical Imaging
• Radiation Safety
• Orthopaedic Surgery

Background:

• Fluoroscopy is essential in trauma and orthopaedic (T&O) procedures for visualization and decision-making.
• Ionizing radiation exposure poses risks to patients and theatre staff.
• Awareness and appropriate use of personal protective equipment (PPE) are key to mitigating radiation exposure.

Purpose of the Study:

• To assess radiation hazard awareness among T&O theatre staff.
• To evaluate the level of PPE usage in T&O procedures.
• To determine knowledge of relevant radiation safety guidelines (BOA and local trust policy).

Main Methods:

• A prospective audit conducted via an anonymous online survey in June-July 2023.
• Survey distributed to healthcare professionals in T&O theatres across two hospital sites.
• Data collected on radiation hazard awareness, PPE use, guideline knowledge, and training.

Main Results:

• Only 59% of respondents were fully aware of radiation hazards; awareness varied by profession.
• Less than half knew local trust policies (49%) or British Orthopaedic Association (BOA) guidelines (39.6%).
• Suboptimal PPE use was observed, with only 46% using a full lead apron/skirt, coat, and thyroid shield; 84% never used eye protection.

Conclusions:

• Significant gaps exist in T&O staff's awareness of radiation safety guidelines and their application.
• Suboptimal PPE utilization indicates a need for improved radiation safety practices.
• Recommendations include mandatory training, increased awareness campaigns, regular audits, and clinical governance discussions.