Survey of self-reported radiation safety practices among North American veterinary technicians involved in equine radiography using portable x-ray equipment

Alexandra F. Belotta From the Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 5B4, Canada.

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Monique N. Mayer From the Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 5B4, Canada.

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Niels K. Koehncke Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK S7N 5B4, Canada.

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James Carmalt From the Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 5B4, Canada.

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Fernando P. Freitas From the Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 5B4, Canada.

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Cheryl L. Waldner From the Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 5B4, Canada.

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Abstract

OBJECTIVES

To describe self-reported radiation safety practices by equine veterinary technicians in North America and identify factors associated with these practices.

SAMPLE

154 equine technicians.

PROCEDURES

An electronic questionnaire regarding radiation safety practices during the use of portable x-ray equipment was sent to 884 members of the American Association of Equine Veterinary Technicians and Assistants. Data were summarized, and various factors were evaluated for associations with reported safety practices.

RESULTS

221 of 884 (25.0%) questionnaires were completed, including 154 by equine technicians who had been involved in equine radiography as x-ray tube operators, cassette holders, or both in the previous year. Lead apron use was suboptimal, reported as “always” for 80.0% (104/130) of tube operators and 83.1% (123/148) of cassette holders. Approximately 20% of participants never wore thyroid shields, and approximately 90% never wore lead eyeglasses. Almost 50% of participants did not have lead eyeglasses available. Although > 55% of participants always held the x-ray equipment by hand, 58.4% (73/125) of tube operators and 25.0% (35/140) of cassette holders never wore gloves. Cassette holders wore lead gloves and personal radiation dose–monitoring devices significantly more frequently than did tube operators.

CONCLUSIONS AND CLINICAL RELEVANCE

Compliance of North American equine technicians with radiation safety recommendations by the National Council on Radiation Protection and Measurements was suboptimal. Improvements in radiation safety training and education, strengthening the connection between academic institutions and private practices, and greater availability and requirement of personal protective equipment use by senior clinicians and employers might aid in improving safety practices.

Abstract

OBJECTIVES

To describe self-reported radiation safety practices by equine veterinary technicians in North America and identify factors associated with these practices.

SAMPLE

154 equine technicians.

PROCEDURES

An electronic questionnaire regarding radiation safety practices during the use of portable x-ray equipment was sent to 884 members of the American Association of Equine Veterinary Technicians and Assistants. Data were summarized, and various factors were evaluated for associations with reported safety practices.

RESULTS

221 of 884 (25.0%) questionnaires were completed, including 154 by equine technicians who had been involved in equine radiography as x-ray tube operators, cassette holders, or both in the previous year. Lead apron use was suboptimal, reported as “always” for 80.0% (104/130) of tube operators and 83.1% (123/148) of cassette holders. Approximately 20% of participants never wore thyroid shields, and approximately 90% never wore lead eyeglasses. Almost 50% of participants did not have lead eyeglasses available. Although > 55% of participants always held the x-ray equipment by hand, 58.4% (73/125) of tube operators and 25.0% (35/140) of cassette holders never wore gloves. Cassette holders wore lead gloves and personal radiation dose–monitoring devices significantly more frequently than did tube operators.

CONCLUSIONS AND CLINICAL RELEVANCE

Compliance of North American equine technicians with radiation safety recommendations by the National Council on Radiation Protection and Measurements was suboptimal. Improvements in radiation safety training and education, strengthening the connection between academic institutions and private practices, and greater availability and requirement of personal protective equipment use by senior clinicians and employers might aid in improving safety practices.

Contributor Notes

Address correspondence to Dr. Belotta (alexandra.belotta.vet@gmail.com).
  • 1.

    NCRP. Radiation protection in veterinary medicine. Bethesda, Md: NCRP, 2004;148.

  • 2.

    McKnight AL. Digital radiography in equine practice. Clin Tech Equine Pract 2004;3:352360.

  • 3.

    D’Souza E, Barraclough R, Fishwick D, et al. Management of occupational health risks in small-animal veterinary practices. Occup Med (Lond) 2009;59:316322.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Surjan Y, Ostwald P, Milross C, et al. Radiation safety considerations and compliance within equine veterinary clinics: results of an Australian survey. Radiography 2015;21:224230.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Mayer MN, Koehncke NK, Belotta AF, et al. Use of personal protective equipment in a radiology room at a veterinary teaching hospital. Vet Radiol Ultrasound 2018;59:137146.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Mikkelsen MA, Ottesen N, Knutsen BH, et al. Lack of radioprotection knowledge and compliance in Norwegian equine ambulatory practice. Vet Radiol Ultrasound 2019;60:265272.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Mayer MN, Koehncke NK, Taherian AC, et al. Self-reported use of x-ray personal protective equipment by Saskatchewan veterinary workers. J Am Vet Med Assoc 2019;254:409417.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Mayer MN, Koehncke NK, Sidhu N, et al. Use of protective hand shielding by veterinary workers during small animal radiography. Can Vet J 2019;60:249254.

    • Search Google Scholar
    • Export Citation
  • 9.

    Freitas FP, Koehncke NK, Waldner CL, et al. Self-reported radiation safety behaviors among veterinary specialists performing fluoroscopic procedures. J Am Vet Med Assoc 2021;in press.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Ellis KL, Morton AJ, Hernandez JA, et al. Radiation exposure to personnel obtaining equine appendicular radiographs using a handheld generator. J Equine Vet Sci 2019;73:7074.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Widmer WR, Shaw SM, Thrall DE. Effects of low-level exposure to ionizing radiation: current concepts and concerns for veterinary workers. Vet Radiol Ultrasound 1996;37:227239.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Doll R, Wakeford R. Risk of childhood cancer from fetal irradiation. Br J Radiol 1997;70:130139.

  • 13.

    Milacic S. The incidence of malignant neoplasms in individuals working in areas of ionizing radiation in hospitals. J BUON 2008;13:377384.

    • Search Google Scholar
    • Export Citation
  • 14.

    Hupe O, Ankerhold U. Dose to persons assisting voluntarily during X-ray examinations of large animals. Radiat Prot Dosimetry 2008;128:274278.

  • 15.

    Stewart FA, Akleyev AV, Hauer-Jensen M, et al. ICRP publication 118: ICRP statement on tissue reactions and early and late effects of radiation in normal tissues and organs—threshold doses for tissue reactions in a radiation protection context. Ann ICRP 2012;41:1322.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Dauer LT, Ainsbury EA, Dynlacht J, et al. Guidance on radiation dose limits for the lens of the eye: overview of the recommendations in NCRP Commentary No. 26. Int J Radiat Biol 2017;93:10151023.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Ainsbury EA, Bouffler S, Dorr W, et al. Radiation cataractogenesis: a review of recent studies. Radiat Res 2009;172:19.

  • 18.

    Phillips B, Duran EB. Rejection criteria for defects in lead apparel used for radiation protection of x-ray workers. Vancouver, BC, Canada: British Columbia Centre for Disease Control, 2003;27.

    • Search Google Scholar
    • Export Citation

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