Pregnant radiation worker 2026

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  1. Click ‘Get Form’ to open the Declaration of Pregnancy form in the editor.
  2. Begin by entering your full name in the designated field at the top of the form.
  3. In the section for estimated date of conception, provide the month and year only.
  4. Review the NRC definitions and regulations provided in the document to ensure you understand your rights and responsibilities as a declared pregnant worker.
  5. Sign and date the form at the bottom, confirming that you have read and understood the information regarding dose limits.
  6. Submit your completed form to Radiation Safety – EHS at the specified address.

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The radiation travels a very short distance, so the effects are mostly to the tumor. You might still have to limit contact with other people for up to 1 week after treatment. Its especially important to avoid close contact with children and pregnant people.
A radiation worker who becomes pregnant should notify her department head or supervisor and the Radiation Safety Office (RSO) as early as possible. If the employee chooses not to declare the pregnancy to the RSO, additional controls and monitoring for her radiation exposure cannot be implemented.
116: Limitation of Exposure to Ionizing Radiation recommends an effective dose limit for radiation exposure to a member of the general public of 100 mrem/year (1 mSv/year) and an equivalent dose limit for the fetus of an occupationally exposed individual of 50 mrem (0.5 mSv) per month during the pregnancy.

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