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Research ArticlePROFESSIONAL DEVELOPMENT

Radiological Emergency Preparedness: A Survey of Nuclear Medicine Technologists in the United States

Miriam E. Van Dyke, Lisa C. McCormick, Norman E. Bolus, Jesse Pevear and Ziad N. Kazzi
Journal of Nuclear Medicine Technology September 2013, 41 (3) 223-230; DOI: https://doi.org/10.2967/jnmt.113.124677
Miriam E. Van Dyke
1Department of Clinical and Diagnostic Sciences, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama
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Lisa C. McCormick
2Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama
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Norman E. Bolus
1Department of Clinical and Diagnostic Sciences, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama
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Jesse Pevear III
3Survey Research Unit, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama; and
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Ziad N. Kazzi
4Department of Emergency Medicine, Emory University, Atlanta, Georgia
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Article Figures & Data

Tables

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    TABLE 1

    Descriptive Variables

    VariableDescriptionn
    Credentials (n = 846)Certified (NMTCB or ARRT)833 (98.46%)
    Other13 (1.54%)
    Missing4
    Region of United States (n = 832)Northeast334 (40.14%)
    Northwest117 (14.06%)
    Southeast222 (26.68%)
    Southwest159 (19.11%)
    Missing18
    Years of work experience (n = 847)<20 y364 (42.98%)
    ≥20 y483 (57.02%)
    Missing3
    Work setting (n = 841)Academia51 (6.06%)
    Hospital502 (59.69%)
    Outpatient center166 (19.74%)
    Other122 (14.51%)
    Missing9
    Has the facility in which you work adopted and implemented an emergency preparedness plan that includes radiological disaster preparedness? (n = 836)Yes514 (61.48%)
    No322 (38.52%)
    Missing14
    Have you attended radiation emergency preparedness training in the last 5 y? (n = 839)Yes296 (35.28%)
    No543 (64.72%)
    Missing11
    Equipment availability
     Scintillation γ-camera (n = 832)Yes758 (91.11%)
    No74 (8.89%)
    Missing18
     Well counter (n = 832)Yes715 (85.94%)
    No117 (14.06%)
    Missing18
     Geiger counter (n = 837)Yes810 (96.77%)
    No27 (3.23%)
    Missing13
     Thyroid probe (n = 817)Yes535 (65.48%)
    No282 (34.52%)
    Missing33
     Portal monitor (n = 782)Yes148 (18.93%)
    No634 (81.07%)
    Missing68
     Portable multichannel analyzer (n = 790)Yes173 (21.90%)
    No617 (78.10%)
    Missing60
    • View popup
    TABLE 2

    Radiation Detection, Monitoring, and Imaging Equipment Availability by Work Setting

    SettingScintillation γ-cameraWell counterGeiger counterThyroid probePortal monitorPortable multichannel analyzer
    Academia28 (57.14%)37 (74.00%)46 (92.00%)31 (63.27%)12 (25.53%)16 (34.04%)
    Hospital495 (99.40%)455 (91.55%)499 (100.00%)420 (85.37%)113 (24.25%)130 (27.54%)
    Outpatient center147 (90.74%)134 (82.21%)163 (98.79%)36 (23.08%)10 (6.45%)8 (5.16%)
    Other83 (70.34%)85 (73.28%)97 (82.91%)45 (39.13%)12 (11.01%)19 (17.12%)
    • Data are number of devices.

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    TABLE 3

    Knowledge of the Use of Equipment in a Radiological Response by Years of Work Experience

    <20 y of work experience (n)≥20 y of work experience (n)
    EquipmentYesNoYesNoχ2P
    Scintillation γ-camera (n = 839)268 (74.44%)92 (25.56%)309 (64.51%)170 (35.49%)9.44630.0021
    Well counter (n = 833)129 (36.34%)226 (63.66%)134 (28.03%)344 (71.97%)6.50280.0108
    Geiger counter (n = 837)212 (58.56%)150 (41.44%)304 (64.00%)171 (36.00%)2.56810.1090
    Thyroid probe (n = 837)349 (96.94%)11 (3.06%)456 (95.60%)21 (4.40%)1.01230.3144
    Portal monitor (n = 810)196 (55.06%)160 (44.94%)279 (61.45%)175 (38.55%)3.36730.0665
    • View popup
    TABLE 4

    Continuing Education, Familiarity with Preparedness Materials, and Volunteer Programs

    Continuing education and preparedness materialsYes (n)No (n)Missing (n)
    Does VOICE or other continuing education programs include training for radiological disaster procedures? (n = 821)218 (26.6%)603 (73.4%)29
    Are you familiar with the REMM program provided by the U.S. Department of Health and Human Services? (n = 836)190 (22.7%)646 (77.3%)14
    Are you familiar with the CDC’s guidance titled, “Use of Radiation Detection, Measuring, and Imaging Instruments to Assess Internal Contamination from Intakes of Radionuclides?” (n = 834)191 (22.9%)643 (77.1%)16
    Are you a member or have you signed up to volunteer through any of the following?
     ESAR-VHP (n = 840)18 (2.1%)822 (97.9%)10
     MMRS (n = 833)8 (1.0%)825 (99.0%)17
     MRC (n = 835)18 (2.2%)817 (97.8%)15
    • View popup
    TABLE 5

    Differences in Familiarity and Willingness to Respond by Radiological Preparedness Training

    No training in the last 5 yTraining within the last 5 y
    ParameterYes (n)No (n)Yes (n)No (n)Missing (n)χ2P
    Familiarity with REMM (n = 834)69(12.78% )471 (87.22%)120 (40.82%)174 (59.18%)1685.3880<0.0001
    Familiarity with CDC guidance (n = 832)81 (15.03%)458 (84.97%)109 (37.20%)184 (62.80%)1852.9616<0.0001
    Willingness to respond to…
     Nuclear reactor accident (n = 768)404 (84.70%)73 (15.30%)276 (94.85%)15 (5.15%)8214.15160.0002
     Nuclear weapon detonation (n = 825)437 (82.14%)95 (17.86%)265 (90.44%)28 (9.56%)2510.26200.0014
     Dirty bomb detonation (n = 831)451 (83.83%)87 (16.17%)273 (93.17%)20 (6.83%)1914.76700.0001
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Journal of Nuclear Medicine Technology: 41 (3)
Journal of Nuclear Medicine Technology
Vol. 41, Issue 3
September 1, 2013
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Radiological Emergency Preparedness: A Survey of Nuclear Medicine Technologists in the United States
Miriam E. Van Dyke, Lisa C. McCormick, Norman E. Bolus, Jesse Pevear, Ziad N. Kazzi
Journal of Nuclear Medicine Technology Sep 2013, 41 (3) 223-230; DOI: 10.2967/jnmt.113.124677

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Radiological Emergency Preparedness: A Survey of Nuclear Medicine Technologists in the United States
Miriam E. Van Dyke, Lisa C. McCormick, Norman E. Bolus, Jesse Pevear, Ziad N. Kazzi
Journal of Nuclear Medicine Technology Sep 2013, 41 (3) 223-230; DOI: 10.2967/jnmt.113.124677
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