Figure 7.1: accessible version
Published 4 August 2021
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Flow diagram showing how cumulative air kerma (CAK) can be used as a reference level to anticipate skin damage.
1. Pre-procedure 바카라 사이트“ has patient undergone fluoroscopically guided procedure within 14 days?
Yes
Check for any sign of skin injury. If found, try to keep this area out of the primary beam 바카라 사이트“ go to question 2.
No
Go to question 2.
2. During procedure 바카라 사이트“ does CAK (skin dose) reading reach 2,000 mGy?
Yes
Radiographer to alert the operator. Operator to consider if a change of beam entry area / projection is possible to spare patient skin dose 바카라 사이트“ go to question 3.
No
No further action.
3. At end of procedure 바카라 사이트“ is final CAK (skin dose) > 3,000 mGy?
Yes
Go to question 4.
No
No further action.
4. At end of procedure 바카라 사이트“ is final CAK (skin dose) between 3,000 and 5,000 mGy?
Yes
Issue 바카라 사이트˜Low dose바카라 사이트™ peak skin dose (PSD) pack. Clinician to sign skin dose advice form and discuss the dose with the patient. The form should be placed in the patient바카라 사이트™s notes. Radiographer to record issuing of PSD pack.
No
Issue 바카라 사이트˜Moderate dose바카라 사이트™ PSD pack. Clinician to sign skin dose advice form and discuss the dose with the patient. The form should be placed in the patient바카라 사이트™s notes. Radiographer to record issuing of PSD pack.