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Pregnancy Declaration, Instruction and Dosimetry Evaluation - research uthscsa

Pregnancy Declaration, Instruction and Dosimetry Evaluation - research uthscsa 2025

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The document is a Pregnancy Declaration, Instruction & Dosimetry Evaluation form for employees at the University of Texas Health Science Center at San Antonio. It outlines the process for voluntarily declaring pregnancy, the associated risks of occupational radiation exposure, and the fetal dose limits during pregnancy. The form includes sections for personal information, instructions provided to the employee regarding radiation safety, dosimetry evaluation options, and acknowledgments of understanding. It emphasizes compliance with Texas Administrative Code regulations regarding radiation exposure for pregnant workers.

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What is the declaration of pregnancy?

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.

What is declaration of pregnancy in radiology?

These regulations establish the Declaration of Pregnancy, a voluntary written notification of pregnancy submitted to Radiation Safety. With the Declaration of Pregnancy, the worker grants consent to her employer to limit the dose to 0.5 rem (5 mSv) throughout the pregnancy.

What is the declaration of pregnancy for radiation?

If a declaration of pregnancy is made, the worker consents to her employer to limit her radiation dose to a total effective dose equivalent (TEDE) of 500 mrem (5 mSv) throughout the pregnancy. If no declaration is made to the employer, her occupational dose limits remain the same.

Why should a pregnant radiographer declare a pregnancy?

A pregnant worker can continue working in an X-ray department as long as there is reasonable assurance that the fetal dose can be kept below 1 mGy during the pregnancy. It is important to ensure that pregnant women are not subjected to unnecessary discrimination.