Safe handling and shielding instructions in case of a dislodged source:
If Cs-137 or Ir-192 seeds are found outside the patient, leave the source
where it is and contact the RSO or Radiation Oncology. They will use forceps
to place the source(s) into a lead container. Both forceps and a lead container
will be placed in the patient room (usually in the bathroom) by the Radiation
Oncology staff. If sources are found outside the patient, contact the RSO and
Radiation Oncology immediately.
Patients are restricted to their rooms while the
seeds remain implanted. Once the seeds are removed and RSO has performed a
survey to verify that no seeds remain, radiation precautions and patient
restrictions are no longer necessary.
No visitors that are under 18 years of age or are pregnant should enter
the room. Other visitors are limited as to the time they may stay in the
room and to the distance they must maintain from the patient, depending on
the radiation level of the patient. All visitors are encouraged to stay
behind shielding whenever possible, especially if they plan to stay for
longer periods of time. The room will be mapped out on the patient
information form on the door, and radiation levels will be noted for each
of the room.
Bed-side lead shields will be placed around the patient's
care instructions will be posted at the entrance of the patient's room.
Once the seeds have been removed, the patient is no
longer restricted to their room
These patients do not become contaminated in any way
and only present a radiological concern when the sources are implanted. The
concern is due to the sources themselves and not from the patient.
External exposure precautions only (see the "Basic
Radiation Safety" section)