A space for the professionals on asn.fr The professionals have a dedicated space where they can find forms and regulatory texts, along with publications aiming to provide explanations or assistance in the application of the regulations. Practical tools for concrete application of the regulations Radiation protection regulations have undergone major changes in the Public Health Code and the Labour Code alike. The ASN Guides give recommendations, present the means ASN considers appropriate for achieving the objectives set by the regulations, and share methods and good practices resulting from lessons learned from significant events. In 2023, ASN published revised versions of two ASN guides on transport: Guide No. 44 – Quality management system applicable to the transport of radioactive substances and Guide No. 29 – Radiation protection in radioactive substance transport activities. The guide New regulatory radiation protection provisions applicable in medical and dental radiology of October 2021 was updated in October 2023. ASN met the radiology professionals at the French Radiology Days (JFR) in Paris in October, and the radiation protection professionals at the congress of the French Society for Radiation Protection (SFRP) in Dijon in June. During these events, ASN presented the changes in the regulations, particularly the new registration system and the verifications of equipment and workplaces, in the form of a quiz and practical sheets. A radiotherapy seminar to build ASN’s oversight of tomorrow On 15 March 2023, ASN brought together the radiotherapy professionals to assess the results of the fifteen years of quality initiatives in radiotherapy. Some 250 participants asked about how the quality initiatives contribute to the performance of the care system, in a context of greater complexity, fewer resources and major innovations. The quality-safety culture has significantly improved since 2008 and the main safety fundamentals are in place in the radiotherapy departments. The seminar nevertheless brought to light a risk of “routinisation” and loss of momentum in the continuous improvement initiatives. It established the need to reflect collectively upon the simplification of these initiatives and the choosing of indicators that are result-oriented rather than process-oriented. ASN will continue its reflections in collaboration with all the radiotherapy actors in order to adapt its oversight. 1.2.2 A platform to facilitate on-line procedures The regulatory procedures are gradually undergoing their digital transformation on the on-line services portal at asn.fr. ASN thus aims to facilitate the procedures for professionals, which helps to promote the culture of safety. Twelve declaration and notification forms were already available (including the declarations for possessing devices and sources and reporting events in the transport of dangerous goods). As of 1 July 2021, entry into effect of the new simplified authorisation system – the registration system – has been accompanied by the placing on line of 15 new registration application forms available to nuclear activity supervisors in the industrial, medical, veterinary and research sectors. ASN thus introduced a dematerialised procedure as soon as the new regulations came into effect. 1.2.3 Media for sharing good practices The Patient safety – Paving the way for progress bulletin was created in March 2011 to disseminate the lessons learned from significant radiation protection events to medical professionals. Since July 2019 it alternates between subjects devoted to radiotherapy, diagnostic medical imaging (conventional, computed tomography scanning and nuclear medicine) and Fluoroscopy-Guided Interventional Practices (FGIPs). Produced by multidisciplinary working groups coordinated by ASN, the newsletter offers a thematic presentation, good practices and recommendations developed by the learned societies of the discipline concerned and the health and radiation protection institutions. Two bulletins were published in 2023. The May issue on the control of medical devices in FGIP, intended for the medical imaging professionals, and the October issue on the prospective risk analysis, for radiotherapy professionals. In the industrial sector, a sheet entitled Éviter l’accident – Appareils électriques émetteurs de rayons X : sécurités et signalisations en installation (Avoiding accidents – Electrical devices emitting X-rays: safety systems and signalling in the installation facility) was published in May 2023. It aims to remind users of the importance of complying with the safety devices and the indications informing of the risk, to protect people against accidental exposure when conducting non-destructive inspections using industrial radiography. These publications are available on asn.fr. Coordinated by ASN through the Advisory Committee of Experts for Radiation Protection (GPRP), the national guide Medical response in a nuclear or radiological emergency was completely recast by a group of experts comprising physicians and medical personnel, including teams from the Emergency Medical Assistance Service (SAMU) and the Emergency Medical and Resuscitation Service (SMUR), the fire brigade and experts in radiation protection, internal dosimetry and bioassays. Intended for the healthcare and civil security actors, this reference work covers the initial management and care of victims of nuclear or radiological emergencies, ranging from accidental exposure in the professional environment to a radiological emergency situation or terrorist action. The 2023 issue incorporates the organisational changes that have come about since 2008 and the new contamination treatment protocols and means. Fully updated and supplemented, its layout has also been revisited further to a study of usages to adapt it to the needs of the professionals in the field. This Medical response to nuclear or radiological emergencies guide is presented as operational sheets enabling the necessary information to be found whatever the situation: treatment in the event of irradiation, action to take in the event of contamination, procedure for removing clothing, means of protection, etc.). It also includes the possible treatments and dosage for each radionuclide. NATIONAL GUIDE – MEDICAL RESPONSE IN A NUCLEAR OR RADIOLOGICAL EMERGENCY National Guide JUNE 2023 MEDICAL RESPONSE IN A NUCLEAR OR RADIOLOGICAL EMERGENCY H H ASN Report on the state of nuclear safety and radiation protection in France in 2023 185 • 05 • Informing the public 05 15 08 11 04 14 06 07 13 AP 03 10 02 09 12 01
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