Nuclear or Radiological Terrorism, Rapid Response to 09
Nuclear or Radiological Terrorism, Rapid Response to 09 : (3) Patient Management 1: How do you know if someone is contaminated? (a) Radiological contamination cannot be detected without specialized equipment (See Appendix C for information on radiation survey instrumentation). (b) When conducting a radiation survey of the patient, the technician should initially conduct a scan of the face, hands, and feet using a standard radiation survey instrument. If the meter results are positive, then the technician should conduct a thorough survey (5-8 minutes per person). The speed of the survey should not exceed 2 inches per second, and the distance between the probe and the patient should be approximately 1 inch. Staff should consider covering the survey probe in plastic to prevent contamination of the instrument. (See also the REAC/TS Website for additional information on patient scanning. www.orau.gov/reacts/intro.htm). (c) Ensure that data recorded from radiation detection instrumentation is understandable to clinical practitioners. (d) The provider should arrange for bioassays if internal contamination is suspected (5) Body fluids used for laboratory analysis include blood, urine, feces, nasal and saliva swabs, sputum, vomitus, and wound secretions
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