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Handling Patient Emergencies During Radiopharmaceutical Therapy
Nichole M Maughan1, Jacqueline E Zoberi2, Jose L Garcia-Ramirez2
1Department of Radiation Oncology, Washington University School of Medicine, St Louis, Missouri; Department of Radiation Oncology, Intermountain Health, Provo, Utah.
A new protocol standardizes emergency response for patients undergoing radiopharmaceutical therapy (RPT). This ensures patient safety while minimizing radiation exposure and contamination risks for hospital staff.
Area of Science:
- Oncology
- Nuclear Medicine
- Radiation Safety
Background:
- Radiopharmaceutical therapy (RPT) is an expanding treatment.
- Emergencies during RPT require rapid response but staff may lack radiation safety knowledge.
- Prioritizing patient well-being while managing radiation risks is crucial.
Purpose of the Study:
- To develop a standardized protocol for managing patient emergencies during RPT.
- To ensure patient stabilization, reduce staff radiation exposure, and limit contamination spread.
Main Methods:
- A multidisciplinary team (authorized user, radiation safety officer, medical physicist, nurse, RPT staff, quality/safety coordinator) was formed.
- The hospital's existing rapid response protocol was modified.
- Specific roles were assigned for traffic control, patient care, and radiation monitoring.
Main Results:
- A modified rapid response protocol was created, incorporating radiation safety measures.
- Team members have defined responsibilities, including radiation monitoring and gatekeeping.
- A concise informational card was developed for rapid response teams.
Conclusions:
- Standardized protocols are essential for managing uncommon RPT emergencies.
- Adapting existing rapid response plans can effectively address RPT patient needs.
- Proactive planning improves safety and efficiency during critical events.
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