IMPLEMENTASI PENCEGAHAN PAPARAN RADIASI YANG TIDAK DIPERLUKAN (UNNECESSARY EXPOSURE) DALAM PROSEDUR OPTIMISASI PROTEKSI RADIASI PASIEN DI INSTALASI RADIOLOGI DIAGNOSTIK

Abstract

Radiation protection aims to reduce unnecessary radiation exposure and minimize the potential harmful effects of ionizing radiation. Medical exposure is needed to help establish the diagnosis, if the procedure is carried out correctly, the patient will receive clinical benefits that are greater than the risks involved. Under certain conditions, unnecessary radiation exposure (unnecessary exposure) can be accepted by patients. The aims of this research are to classify unnecessary radiation exposure (unnecessary exposure), conduct a review of optimization efforts based on unnecessary radiation exposure data and identify and recommend preventive measures that can be taken. The method used in this study is descriptive qualitative by direct observation and interviews with radiation workers. The results of the classification of causes of unnecessary radiation exposure to patients from the results of repeated exposures include collimation factors, artifacts, positioning, uncooperative patients, movement unsharpness, human error, aircraft factors and exposure factors. Efforts that have been made to prevent unnecessary exposure include preparing SPOs for examinations in treatment rooms, provision of mobile shielding, use of PPE (gonad shields) for pediatric patients, implementation of dose audits and image QC, evaluation and monitoring of service quality assurance, application of procedures and optimization measures. Recommendations that can be given include providing ongoing training for radiation workers, creating a cultural socialization and radiation safety program, creating a reporting and monitoring system for the implementation of radiation protection, and increasing awareness of radiation workers. Keywords: optimization, radiation protection, unnecessary exposure.