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Ionising Radiation (Medical Exposures) Regulations

Below is information relating to your responsibilities under the Ionising Radiation (Medical Exposures) Regulations (IR(ME)R).

One Dorset IR(ME)R Policy

Royal College of Nursing NMR Guidelines

British Institute of Radiology NMR Statement

Diagnostic Imaging Department responsibilities for NMRs

Below sets out the responsibilities of the Diagnostic Imaging Department for the governance of non-medical referrers (NMRs), referring to DCH.

The NMR governance team includes:

  • Chair of the Medical Exposures Group
  • Imaging Department Manager
  • Senior Radiographer/s
  • Medical Physics Expert
  • Radiologist/s.

Responsibilities

  • Make appropriate documentation available to referrers
  • Approve, adjust or reject applications
  • Process applications and liaise with applicants/ delegating clinicians as required
  • Agree scope of entitlement (inclusion criteria) for individual NMRs
  • ·Keep up to date records of referrers
  • Determine and advise on the level of training required relating to the Ionising Radiation (Medical Exposure) Regulations 2017 (IRMER)
  • Ensure that referrers have undertaken initial IRMER training prior to accepting imaging requests
  • Offer update IRMER training
  • Ensure that referrers are aware of any update/revisions of IRMER regulations that may be applicable to their practice
  • Audit NMRs to ensure requests are appropriate, adhere to their requesting agreement and demonstrate professionalism and accountability in referring patients for diagnostic imaging procedures
  • Monitor audit compliance with IRMER 2017
  • Radiographers have the right to question a request for imaging before they justify the imaging exposure. These queries should be addressed in the first instance to the named referrer
  • Remove requesting privileges if standards are not met and communicate this to the referrer.

Employers procedure documents

Correct Identification of the Individual to be Exposed to Ionising Radiation

Identification of Individuals Entitled to Act as Referrer

Establishing Pregnancy Status for Procedures Involving Ionising Radiation

Management of Incidents Relating to the Use of Ionising Radiation

Carrying out of Clinical Audit

Making, Amending and Cancelling X-ray Imaging Referrals

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