Competencies Radiation Safety Devices(3)

[Insert Facility Name]

Competency Verification Tool—Perioperative Services

Practice: Radiation Safety (Radiation Protective Devices) – RN or Team Member

Name: Date:

Competency Statement: The perioperative RN or team member has completed facility- or health care organization-required education and competency verification activities related to protective devices designed to reduce exposure to ionizing radiation received during therapeutic, diagnostic, or interventional procedures performed in the perioperative environment.1

1. Guideline for radiation safety. In: Guidelines for Perioperative Practice. Denver, CO: AORN, Inc.

Outcome Statement: Personnel are free from signs and symptoms of radiation injury.

Competency Statements/Performance Criteria / Verification Method
[Select applicable code from legend at bottom of page] / Not Met
(Explain why)
DEM/
DO/DA / KAT / S/SBT/
CS / V / RWM/
P&P / O
1. Verbalizes that radiation protective devices are provided for every procedure that involves x-ray or fluoroscopy.
2. Inspects radiation protective devices for defects before each use.
3. Recognizes that
a. radiation safety devices are visually inspected and x-rayed at the time of purchase,
b. x-rayed annually and whenever damage is suspected,
c. labeled with the last test date,
d. documentation of leaded device testing is accomplished in accordance with [facility-specific policy] and maintained in [facility-specific location].
4. Disinfects radiation protective device as specified in [facility-specific policy].
5. Hangs lead apron and thyroid shield vertically or stores flat and not folded.
6. Verbalizes a review of facility or health care organization policies and procedures related to radiation protective devices.
7. Participates in assigned quality improvement activities related to radiation protective devices.
Concurrent competency verification of the following is recommended
· Radiation safety, minimizing patient exposure; / · radiation safety, minimizing personnel exposure; and
· additional competencies related to radiation safety as determined by the facility or health care organization. / ·

DEM/DO/DA = Demonstration/Direct Observation/Documentation Audit KAT = Knowledge Assessment Test

S/SBT/CS = Skills Laboratory/Scenario-based Training/Controlled Simulation V = Verbalization

RWM/P&P = Review of Written or Visual Materials/Policy/Procedure Review (Specify P&P #s ______) O = Other: ______