{"id":119,"date":"2025-01-31T19:14:57","date_gmt":"2025-01-31T19:14:57","guid":{"rendered":"https:\/\/isgmevzuat.tr\/?page_id=119"},"modified":"2025-01-31T19:14:57","modified_gmt":"2025-01-31T19:14:57","slug":"iyonlastirici-radyasyon-ve-radyonuklit-kullanilarak-sunulan-saglik-hizmetleri-hakkinda-yonetmelik","status":"publish","type":"page","link":"https:\/\/isgmevzuat.tr\/index.php\/iyonlastirici-radyasyon-ve-radyonuklit-kullanilarak-sunulan-saglik-hizmetleri-hakkinda-yonetmelik\/","title":{"rendered":"\u0130YONLA\u015eTIRICI RADYASYON VE RADYON\u00dcKL\u0130T KULLANILARAK SUNULAN SA\u011eLIK H\u0130ZMETLER\u0130 HAKKINDA Y\u00d6NETMEL\u0130K"},"content":{"rendered":"\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
Madde Ad\u0131<\/th>Madde<\/th>A\u00e7\u0131klama<\/th>\n<\/tr>\n<\/thead>\n
Ama\u00e7<\/td>MADDE 1<\/td>(1) Bu Y\u00f6netmeli\u011fin amac\u0131; sa\u011fl\u0131k hizmeti sunumu kapsam\u0131nda iyonla\u015ft\u0131r\u0131c\u0131 radyasyon ve radyon\u00fcklit kullan\u0131larak tetkik, te\u015fhis ve tedavi ama\u00e7l\u0131 uygulanan radyoloji, n\u00fckleer t\u0131p, radyasyon onkolojisi hizmetleri ile a\u011f\u0131z, di\u015f ve \u00e7ene radyolojisi hizmetlerinin sunuldu\u011fu binalar\u0131n vas\u0131flar\u0131n\u0131, iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131 nedeni ile \u0131\u015f\u0131nlanmalara kar\u015f\u0131 hastalar ve \u00e7al\u0131\u015fan g\u00fcvenli\u011fine ili\u015fkin usul ve esaslar\u0131 ve iyonla\u015ft\u0131r\u0131c\u0131 radyasyon ve radyon\u00fcklit kullan\u0131larak y\u00fcr\u00fct\u00fclen faaliyetlerde \u00e7al\u0131\u015fan personele verilecek sa\u011fl\u0131k iznini belirlemektir.<\/td>\n<\/tr>\n
Kapsam<\/td>MADDE 2<\/td>(1) Bu Y\u00f6netmelik, iyonla\u015ft\u0131r\u0131c\u0131 radyasyon ve radyon\u00fcklit kullan\u0131larak sa\u011fl\u0131k hizmeti sunan sa\u011fl\u0131k kurum ve kurulu\u015flar\u0131 ile buralardan sa\u011fl\u0131k hizmeti alan ki\u015fileri ve buralarda g\u00f6rev yapan personeli kapsar.<\/td>\n<\/tr>\n
Dayanak<\/td>MADDE 3<\/td>(1) Bu Y\u00f6netmelik, 19\/4\/1937 tarihli ve 3153 say\u0131l\u0131 Radiyoloji, Radiyom ve Elektrikle Tedavi ve Di\u011fer Fizyoterapi M\u00fcesseseleri Hakk\u0131nda Kanunun 3 \u00fcnc\u00fc maddesi, 14\/7\/1965 tarihli ve 657 say\u0131l\u0131 Devlet Memurlar\u0131 Kanununun 2 nci ve 103 \u00fcnc\u00fc maddeleri ile 7\/5\/1987 tarihli ve 3359 say\u0131l\u0131 Sa\u011fl\u0131k Hizmetleri Temel Kanununun ek 11 inci maddesine dayan\u0131larak haz\u0131rlanm\u0131\u015ft\u0131r.<\/td>\n<\/tr>\n
Tan\u0131mlar ve k\u0131saltmalar<\/td>MADDE 4<\/td>(1) Bu Y\u00f6netmelikte ge\u00e7en;
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\na) A\u011f\u0131z, di\u015f ve \u00e7ene radyolojisi merkezi: Sa\u011fl\u0131k kurum ve kurulu\u015flar\u0131 b\u00fcnyesinde bir a\u011f\u0131z, di\u015f ve \u00e7ene radyoloji uzman\u0131n\u0131n sorumlulu\u011funda veya mesle\u011fini serbest olarak icra etme yetkisine sahip a\u011f\u0131z, di\u015f ve \u00e7ene radyoloji uzman\u0131 taraf\u0131ndan tetkik ve\/veya te\u015fhis ama\u00e7l\u0131 radyoloji hizmeti sunulan ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131nca ruhsatland\u0131r\u0131lan veya faaliyet izni verilen merkezleri,
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\nb) Bakanl\u0131k: Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131n\u0131,
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\nc) Doz s\u0131n\u0131rlar\u0131: N\u00fckleer D\u00fczenleme Kurumu taraf\u0131ndan radyasyonla \u00e7al\u0131\u015fanlar ve halk i\u00e7in belirlenen doz s\u0131n\u0131rlar\u0131n\u0131,
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\n\u00e7) Giri\u015fimsel radyolojik tetkik\/tedavi: G\u00f6r\u00fcnt\u00fcleme ama\u00e7l\u0131 veya iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131 kullan\u0131larak ger\u00e7ekle\u015ftirilen tan\u0131sal ve tedavi ama\u00e7l\u0131 t\u0131bbi i\u015flemleri,
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\nd) G\u00f6zetimli alan: Kontroll\u00fc alan olarak de\u011ferlendirilmeyen ve ki\u015fisel doz \u00f6l\u00e7\u00fcm\u00fc gerektirmeyen, ancak radyasyonla \u00e7al\u0131\u015fanlar\u0131n radyasyona maruz kalma potansiyelinin bulunmas\u0131 nedeniyle, alandaki radyasyon seviyelerinin d\u00fczenli olarak izlenmesini gerektiren ve radyasyonla \u00e7al\u0131\u015fanlar i\u00e7in ard\u0131\u015f\u0131k be\u015f y\u0131l\u0131n ortalamas\u0131 olan y\u0131ll\u0131k doz s\u0131n\u0131rlar\u0131n\u0131n 1\/20\u2019 sinin a\u015f\u0131lma olas\u0131l\u0131\u011f\u0131 olup 3\/10\u2019unun a\u015f\u0131lmas\u0131 beklenmeyen alanlar\u0131,
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\ne) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon: Maddesel ortamdan ge\u00e7erken onunla etkile\u015ferek iyon \u00e7iftleri olu\u015fturabilen X \u0131\u015f\u0131n\u0131, gama \u0131\u015f\u0131n\u0131 gibi elektromanyetik \u0131\u015f\u0131nlarla, kinetik enerjileri olan y\u00fckl\u00fc par\u00e7ac\u0131klar, a\u011f\u0131r iyonlar ve serbest n\u00f6tronlar gibi tanecik karakterli \u0131\u015f\u0131n\u0131mlar\u0131,
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\nf) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131: \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon \u00fcreten veya yayan cihazlar ile radyoaktif kaynaklar\u0131,
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\ng) Kontroll\u00fc (denetimli) alan: Radyasyondan korunmay\u0131 sa\u011flamak veya radyoaktif kirlili\u011fin yay\u0131lmas\u0131n\u0131 \u00f6nlemek amac\u0131 ile \u00f6zel kurallar\u0131n uyguland\u0131\u011f\u0131, radyasyonla \u00e7al\u0131\u015fanlar\u0131n ki\u015fisel doz izlemelerinin yap\u0131ld\u0131\u011f\u0131, giri\u015f \u00e7\u0131k\u0131\u015flar\u0131n kontrole tabi oldu\u011fu ve g\u00f6revi gere\u011fi radyasyonla \u00e7al\u0131\u015fanlar i\u00e7in ard\u0131\u015f\u0131k be\u015f y\u0131l\u0131n ortalamas\u0131 olan y\u0131ll\u0131k doz s\u0131n\u0131rlar\u0131n\u0131n 3\/10\u2019undan fazla radyasyon dozuna maruz kalabilecekleri alanlar\u0131,
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\n\u011f) Lisans: Radyoloji, n\u00fckleer t\u0131p, radyasyon onkolojisi ile a\u011f\u0131z, di\u015f ve \u00e7ene radyolojisi merkezleri b\u00fcnyesinde iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131 ile faaliyet y\u00fcr\u00fctmek \u00fczere N\u00fckleer D\u00fczenleme Kurumu taraf\u0131ndan verilen yetkiyi,
\n
\nh) Merkez: Radyoloji, n\u00fckleer t\u0131p, radyasyon onkolojisi ile a\u011f\u0131z, di\u015f ve \u00e7ene radyolojisi merkezlerini,
\n
\n\u0131) NDK: N\u00fckleer D\u00fczenleme Kurumunu,
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\ni) N\u00fckleer t\u0131p merkezi: Sa\u011fl\u0131k kurum ve kurulu\u015flar\u0131 b\u00fcnyesinde bir n\u00fckleer t\u0131p uzman\u0131n\u0131n sorumlulu\u011funda veya mesle\u011fini serbest olarak icra etme yetkisine sahip n\u00fckleer t\u0131p uzman\u0131 ger\u00e7ek ki\u015filer veya en az % 51 hissesi n\u00fckleer t\u0131p uzman\u0131na ait olan \u00f6zel hukuk t\u00fczel ki\u015fileri taraf\u0131ndan tetkik, te\u015fhis ve\/veya tedavi ama\u00e7l\u0131 n\u00fckleer t\u0131p hizmeti sunulan ve Bakanl\u0131k\u00e7a ruhsatland\u0131r\u0131lan veya faaliyet izni verilen merkezleri,
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\nj) Radyasyon alan\u0131: Planlanm\u0131\u015f \u0131\u015f\u0131nlanmalar nedeniyle halk i\u00e7in belirlenen y\u0131ll\u0131k doz s\u0131n\u0131rlar\u0131n\u0131n \u00fczerinde \u0131\u015f\u0131nlanma olas\u0131l\u0131\u011f\u0131 olan alanlar\u0131,
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\nk) Radyasyonla \u00e7al\u0131\u015fan: \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131yla y\u00fcr\u00fct\u00fclen faaliyetlerde g\u00f6revi gere\u011fi halk i\u00e7in belirlenen doz s\u0131n\u0131rlar\u0131n\u0131n \u00fczerinde \u0131\u015f\u0131nlanma olas\u0131l\u0131\u011f\u0131 olan ki\u015fiyi,
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\nl) Radyasyon onkolojisi hizmetleri: \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kullanarak hastal\u0131klar\u0131n tedavisini ama\u00e7layan, uygulanacak tedavi y\u00f6ntemlerini, radyasyonun etkilerini ve t\u00fcm\u00f6rlerin davran\u0131\u015flar\u0131n\u0131 inceleyen, g\u00f6r\u00fcnt\u00fcleme i\u015flemleri, radyoterapi, kemoradyoterapi, hormonal tedavi, e\u015f zamanl\u0131 hedefe y\u00f6nelik ila\u00e7lar veya immunoterapi, destek tedaviler, hipertermi, klinik ara\u015ft\u0131rma, kan ve kan \u00fcr\u00fcnleri \u0131\u015f\u0131nlamalar\u0131 kapsam\u0131ndaki uygulama hizmetlerini,
\n
\nm) Radyasyon onkolojisi merkezi: Sa\u011fl\u0131k kurum ve kurulu\u015flar\u0131 b\u00fcnyesinde bir radyasyon onkolojisi uzman\u0131n\u0131n sorumlulu\u011funda tetkik, te\u015fhis ve\/veya tedavi ama\u00e7l\u0131 radyasyon onkolojisi hizmetleri sunulan Bakanl\u0131k\u00e7a faaliyet izni verilen merkezleri,
\n
\nn) Radyasyondan korunma sorumlusu: Sa\u011fl\u0131k kurum\/kurulu\u015flar\u0131nda radyasyon uygulamas\u0131n\u0131n t\u00fcr\u00fcne g\u00f6re NDK taraf\u0131ndan belirlenmi\u015f nitelikleri ta\u015f\u0131yan, yetkilendirilen ki\u015fi veya yetkilendirilmek \u00fczere ba\u015fvuran ki\u015fi taraf\u0131ndan y\u00fck\u00fcml\u00fcl\u00fcklerinin yerine getirilmesini teminen g\u00f6revlendirilen ve NDK taraf\u0131ndan yetkilendirilen ki\u015fiye verilen yetki kapsam\u0131nda uygun g\u00f6r\u00fclen ki\u015fiyi,
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\no) Radyofarmas\u00f6tik: Yap\u0131s\u0131nda radyon\u00fcklit ve hedefleyici molek\u00fcl i\u00e7eren ve n\u00fckleer t\u0131p uygulamalar\u0131nda tan\u0131sal g\u00f6r\u00fcnt\u00fcleme ve tedavi amac\u0131yla kullan\u0131lan kimyasal bile\u015fi\u011fi,
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\n\u00f6) Radyoloji hizmetleri: \u0130nsan v\u00fccudunun belirli bir kesiminin ya da t\u00fcm\u00fcn\u00fcn t\u0131bbi ama\u00e7l\u0131 g\u00f6r\u00fcnt\u00fclerinin elektriksel, sonik veya iyonla\u015ft\u0131r\u0131c\u0131 radyasyon gibi birbirinden farkl\u0131 y\u00f6ntemlerle elde edilmesiyle normal fizyolojik durumlar\u0131n\u0131n veya mevcut hastal\u0131klar\u0131n ortaya \u00e7\u0131kar\u0131ld\u0131\u011f\u0131, belirli durumlarda yap\u0131lan giri\u015fimsel t\u0131bbi i\u015flemlerle hastal\u0131klar\u0131n tan\u0131 ve tedavisinin yap\u0131ld\u0131\u011f\u0131 hizmetleri,
\n
\np) Radyoloji merkezi: Sa\u011fl\u0131k kurum ve kurulu\u015flar\u0131 b\u00fcnyesinde bir radyoloji uzman\u0131n\u0131n sorumlulu\u011funda veya mesle\u011fini serbest olarak icra etme yetkisine sahip radyoloji uzman\u0131 ger\u00e7ek ki\u015filer veya en az % 51 hissesi radyoloji uzman\u0131na ait olan \u00f6zel hukuk t\u00fczel ki\u015fileri taraf\u0131ndan tetkik, te\u015fhis ve\/veya tedavi ama\u00e7l\u0131 radyoloji hizmeti sunulan ve Bakanl\u0131k\u00e7a ruhsatland\u0131r\u0131lan veya faaliyet izni verilen merkezleri,
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\nr) Radyon\u00fcklit: Do\u011fal veya n\u00fckleer reaksiyon \u00fcr\u00fcn\u00fc elementlerin radyoaktif formunu,
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\ns) Radyon\u00fcklit tedavi: N\u00fckleer t\u0131p merkezinde tedavi ama\u00e7l\u0131 kullan\u0131lan alfa, beta veya gama \u0131\u015f\u0131n\u0131 yayan radyon\u00fcklitlerin hastalara intraven\u00f6z, oral veya di\u011fer yollar ile verilmesi i\u015flemini,
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\n\u015f) Sa\u011fl\u0131k izni: 3153 say\u0131l\u0131 Kanunun ek 1 inci maddesi ile 657 say\u0131l\u0131 Kanunun 103 \u00fcnc\u00fc maddesi kapsam\u0131nda iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131 ile \u00e7al\u0131\u015fanlara verilecek izni,
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\nifade eder.<\/td>\n<\/tr>\n
Bina durumu ve fiziki \u015fartlar<\/td>MADDE 5<\/td>(1) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131 ile faaliyetlerin y\u00fcr\u00fct\u00fclece\u011fi alanlar, ilgili mevzuata uygun olarak yap\u0131 kullan\u0131m izni al\u0131nm\u0131\u015f binalarda a\u00e7\u0131l\u0131r.
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\n(2) NDK mevzuat\u0131 kapsam\u0131nda birinci grup radyasyon uygulamalar\u0131 ile ikinci grup radyasyon uygulamalar\u0131n\u0131n y\u00fcr\u00fct\u00fclece\u011fi merkezler okul, kre\u015f, mesken ve benzeri yerlere biti\u015fik olamaz.
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\n(3) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131 ile faaliyetlerin y\u00fcr\u00fct\u00fclece\u011fi alanlar\u0131n mek\u00e2nsal tasar\u0131m\u0131, teknik hususlar ve uygunluk \u00f6l\u00e7\u00fctleri radyasyondan korunma a\u00e7\u0131s\u0131ndan NDK mevzuat\u0131 kapsam\u0131nda d\u00fczenlenir.
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\n(4) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131n\u0131n bulundu\u011fu odalar\u0131n boyutlar\u0131, ortama sa\u00e7\u0131lan radyasyon dozu ve z\u0131rhlama gerektiren duvarlarda z\u0131rh kal\u0131nl\u0131\u011f\u0131 dikkate al\u0131narak radyasyondan korunma ve radyasyon g\u00fcvenli\u011finin optimizasyonu sa\u011flanacak \u015fekilde tasarlan\u0131r.
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\n(5) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131n\u0131n bulundu\u011fu alanlara giri\u015f ve \u00e7\u0131k\u0131\u015flar kontroll\u00fc \u015fekilde sa\u011flan\u0131r.
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\n(6) Radyasyon alanlar\u0131n\u0131n giri\u015flerinde ve radyasyon alanlar\u0131nda, uygun radyasyon uyar\u0131 i\u015faretleri bulundurulur.
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\n(7) T\u00fcm oda veya alanlara ait kap\u0131larda, s\u00f6z konusu oda veya alan\u0131n ne ama\u00e7la kullan\u0131ld\u0131\u011f\u0131n\u0131 belirten tabela bulundurulur.
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\n(8) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131n\u0131n bulundu\u011fu odalar, ba\u015fka bir ama\u00e7 i\u00e7in kullan\u0131lamaz.
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\n(9) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131n\u0131n bulundu\u011fu kontroll\u00fc alanlardan fiziki olarak ayr\u0131lm\u0131\u015f alanlar, kontroll\u00fc alan kapsam\u0131nda yer almaz.
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\n(10) Kumanda odas\u0131, iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131n\u0131n bulundu\u011fu oda ile ba\u011flant\u0131l\u0131 olacak ve g\u00f6rsel takibi sa\u011flayacak \u015fekilde d\u00fczenlenir.
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\n(11) Radyoloji ve n\u00fckleer t\u0131p uygulamalar\u0131nda kumanda \u00fcnitesinin iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131n\u0131n bulundu\u011fu odan\u0131n i\u00e7inde olmas\u0131 durumunda, g\u00f6rsel takibi sa\u011flayacak radyasyon z\u0131rhlanmas\u0131 yap\u0131lm\u0131\u015f olmas\u0131 ve sabit veya hareketli kur\u015fun caml\u0131 paravan bulunmas\u0131 gerekir.
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\n(12) Merkez, giri\u015f katta de\u011filse binada hastan\u0131n tekerlekli sandalye ve sedye ile ta\u015f\u0131nmas\u0131n\u0131 sa\u011flayacak \u015fekilde ilgili mevzuata uygun asans\u00f6r, platform veya lift sistemi bulunmas\u0131 gerekir.
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\n(13) Merkezde, engelli kullan\u0131m\u0131na uygun lavabo ve tuvalet bulundurulur, engellilerin giri\u015f ve \u00e7\u0131k\u0131\u015f\u0131n\u0131 zorla\u015ft\u0131rmayacak ve tekerlekli sandalye ge\u00e7i\u015fini engellemeyecek \u015fekilde d\u00fczenleme yap\u0131l\u0131r.
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\n(14) Merkezde, hizmet alanlar\u0131n\u0131n t\u00fcm kap\u0131lar\u0131n\u0131n, acil durumda \u00e7\u0131k\u0131\u015fa engel olmayacak \u015fekilde otomatik kayar kap\u0131 veya d\u0131\u015far\u0131 do\u011fru a\u00e7\u0131labilen kap\u0131lar olmas\u0131 sa\u011flan\u0131r.
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\n(15) Radyoloji merkezleri, radyasyon alanlar\u0131nda a\u015fa\u011f\u0131daki fiziki kriterleri sa\u011flamak zorundad\u0131r:
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\na) Bilgisayarl\u0131 tomografi, mamografi, tomosentez, kemik-mineral dansitometresi, sabit\/mobil r\u00f6ntgen, anjiografi, sabit\/mobil skopi, floroskopi cihazlar\u0131 ile ERCP ve ESWL i\u015flemlerinin her biri i\u00e7in ayr\u0131 birim olu\u015fturulur.
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\nb) Bilgisayarl\u0131 tomografi biriminde, cihaz odas\u0131 ve kumanda odas\u0131 bulunur, ancak bu birimde yer alan kumanda odas\u0131, cihaz odas\u0131 i\u00e7erisinde yer almaz.
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\nc) Anjiyografi ve floroskopi birimlerinde, cihaz odas\u0131 ve kumanda odas\u0131 bulunur.
\n
\n\u00e7) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131n\u0131n bulundu\u011fu alanda cihaz\u0131n X-\u0131\u015f\u0131n\u0131 t\u00fcp\u00fc, birincil \u0131\u015f\u0131n kap\u0131ya ve \u00e7al\u0131\u015fana y\u00f6nlendirilmeyecek \u015fekilde yerle\u015ftirilir.
\n
\nd) Bilgisayarl\u0131 tomografi, mamografi, kemik-mineral dansitometre, sabit r\u00f6ntgen, sabit skopi ve floroskopi cihaz odalar\u0131na ba\u011flant\u0131l\u0131 veya yak\u0131n konumda hasta mahremiyetine uygun en az iki adet, kilitlenen ve d\u0131\u015fa do\u011fru a\u00e7\u0131lan kap\u0131lara sahip uygun giyinme kabini bulunur, buralardan cihaz odalar\u0131na giri\u015f ve \u00e7\u0131k\u0131\u015flar\u0131n kontroll\u00fc olmas\u0131 ve ayn\u0131 anda yaln\u0131zca bir kabinden cihaz odas\u0131na giri\u015fin yap\u0131lmas\u0131 sa\u011flan\u0131r.
\n
\ne) Giri\u015fimsel radyolojik i\u015flem sonras\u0131 cihaz odas\u0131na yak\u0131n bir g\u00f6zlem odas\u0131 bulunur.
\n
\nf) Radyolojik tetkiklerin raporlama i\u015flemlerinin yap\u0131lmas\u0131 i\u00e7in radyasyon alan\u0131 d\u0131\u015f\u0131nda uygun raporlama odas\u0131\/odalar\u0131 olu\u015fturulur.
\n
\ng) Merkezde biti\u015fik alanlarda kullan\u0131lan iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131n\u0131n kumanda \u00fcnitesi ortak kumanda odas\u0131nda bulunabilir.
\n
\n\u011f) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131n\u0131n bulundu\u011fu alanlara hastalar ve radyasyonla \u00e7al\u0131\u015fanlar d\u0131\u015f\u0131ndaki ki\u015filerin yaln\u0131zca tek kap\u0131dan giri\u015f ve \u00e7\u0131k\u0131\u015f\u0131na izin verilir.
\n
\nh) Cihaz odas\u0131 i\u00e7erisinde kumanda \u00fcnitesine, hasta giyinme kabinlerine ve varsa film\/banyo odas\u0131na ge\u00e7i\u015f kap\u0131lar\u0131n\u0131n bulunmas\u0131na izin verilir.
\n
\n\u0131) Cihaz odas\u0131 i\u00e7inde birden fazla cihaz bulunmaz.
\n
\n(16) N\u00fckleer t\u0131p merkezleri, radyasyon alanlar\u0131nda a\u015fa\u011f\u0131daki fiziki kriterleri sa\u011flamak zorundad\u0131r:
\n
\na) N\u00fckleer t\u0131p merkezlerinde her bir uygulama t\u00fcr\u00fcne g\u00f6re ayr\u0131 alanlar olu\u015fturulur.
\n
\nb) N\u00fckleer t\u0131p merkezlerinde g\u00f6r\u00fcnt\u00fcleme cihazlar\u0131 i\u00e7in kumanda odas\u0131 bulunur. Gama Kamera ve SPECT cihazlar\u0131nda kumanda \u00fcnitesi ve cihaz ayn\u0131 oda i\u00e7erisinde bulunabilir.
\n
\nc) Radyofarmas\u00f6tiklerin haz\u0131rland\u0131\u011f\u0131 s\u0131cak odada, genel havaland\u0131rma sisteminden ba\u011f\u0131ms\u0131z olarak havaland\u0131rmas\u0131 bulunan egzoz sistemine sahip \u00e7eker ocak, tezg\u00e2h, z\u0131rhl\u0131 \u00e7\u00f6p kutusu ve dirseksiz lavabo bulunur.
\n
\n\u00e7) Hastalar i\u00e7in radyofarmas\u00f6tik enjeksiyonunun uyguland\u0131\u011f\u0131, i\u00e7erisinde lavabo ve uygulama koltu\u011fu olan tek ki\u015filik enjeksiyon odas\u0131 bulunur.
\n
\nd) N\u00fckleer t\u0131p merkezleri i\u00e7erisinde yer alan bilgisayarl\u0131 tomografi, MR ve efor cihazlar\u0131 n\u00fckleer t\u0131p hizmeti alan hastalar d\u0131\u015f\u0131nda ba\u015fka hastalar i\u00e7in kullan\u0131lamaz.
\n
\ne) N\u00fckleer t\u0131p \u00fcnitelerinde bulunan t\u00fcm lavabo giderleri s\u00fcrekli ak\u0131\u015f\u0131 sa\u011flayacak dirseksiz (T) ba\u011flant\u0131 ile yap\u0131l\u0131r.
\n
\nf) Radyoaktif kat\u0131 at\u0131klar tahliye edilmeden \u00f6nce bu at\u0131klar\u0131n ge\u00e7ici olarak beklemesi i\u00e7in radyoaktif at\u0131k biriktirme kaplar\u0131 bulunan kap\u0131s\u0131 kilitli tutulan ayr\u0131 bir oda bulunur. Radyoaktif kat\u0131 at\u0131k odas\u0131n\u0131n ortak kullan\u0131m\u0131nda NDK\u2019den uygun g\u00f6r\u00fc\u015f al\u0131n\u0131r.
\n
\ng) Radyoaktif hastan\u0131n hasta kabul b\u00f6l\u00fcm\u00fcne yakla\u015fmas\u0131n\u0131 engelleyecek \u015fekilde d\u00fczenleme yap\u0131l\u0131r ve radyoaktif hasta ile hasta kabul b\u00f6l\u00fcm\u00fcnde g\u00f6revli personel aras\u0131nda uzaktan ileti\u015fim sa\u011flayacak mikrofonlu yan\u0131t sistemi kurulur.
\n
\n\u011f) Radyasyonla \u00e7al\u0131\u015fanlar i\u00e7in dinlenme ve giyinme odas\u0131 ile genel poliklinik odas\u0131 \u00f6zelliklerinde n\u00fckleer t\u0131p uzman\u0131 \u00e7al\u0131\u015fma odas\u0131 bulunur. Yatakl\u0131 radyon\u00fcklit tedavi \u00fcnitelerinde ayr\u0131ca n\u00f6bet\u00e7i personel odas\u0131 bulunur. S\u00f6z konusu odalar radyasyon alan\u0131 d\u0131\u015f\u0131nda olacak \u015fekilde planlan\u0131r.
\n
\nh) Radyoaktif madde verilmemi\u015f hastalar ve refakat\u00e7iler i\u00e7in radyasyona maruz kalmayacak \u015fekilde bekleme alan\u0131 bulunur. Bekleme alan\u0131, sedye ve tekerlekli sandalye park\u0131na kolay ula\u015f\u0131labilir ve dola\u015f\u0131m\u0131 engellemeyecek \u015fekilde tasarlan\u0131r. Bekleme alan\u0131nda rahat g\u00f6r\u00fclebilecek konumda s\u0131ra takip sistemi bulunur.
\n
\n\u0131) Merkezdeki radyasyon alan\u0131nda bulunan \u00e7al\u0131\u015fma y\u00fczeyleri ve t\u00fcm zeminler kolay temizlenebilen, emici olmayan ve p\u00fcr\u00fczs\u00fcz malzemelerle kaplan\u0131r.
\n
\n(17) Radyasyon onkolojisi merkezleri, radyasyon alanlar\u0131nda a\u015fa\u011f\u0131daki fiziki kriterleri sa\u011flamak zorundad\u0131r:
\n
\na) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131n\u0131n bulundu\u011fu alan\u0131n i\u00e7inde, d\u0131\u015f\u0131nda ve giri\u015f kap\u0131s\u0131 \u00fcst\u00fcnde radyasyon \u00fcretiminin a\u00e7\u0131k veya kapal\u0131 oldu\u011funu g\u00f6steren radyasyon uyar\u0131 \u0131\u015f\u0131klar\u0131 bulundurulur.
\n
\nb) Radyoaktif kaynak i\u00e7eren uygulamalarda, radyoaktif kaynaklar\u0131n g\u00fcvenlik ve emniyetinin sa\u011flanmas\u0131 i\u00e7in gerekli \u00f6nlemler al\u0131n\u0131r.
\n
\nc) Radyasyon onkolojisi merkezlerinde tedavi cihazlar\u0131 i\u00e7in ayr\u0131 bir kumanda odas\u0131 bulunur ve cihaz odas\u0131 i\u00e7erisinde kumanda \u00fcnitesi yer almaz. K\u00f6r nokta kalmaks\u0131z\u0131n, \u015fa\u015f\u0131rtma koridoru d\u00e2hil tedavi odas\u0131n\u0131n tamam\u0131n\u0131n g\u00f6r\u00fcnt\u00fclenebilmesi i\u00e7in yeterli say\u0131da kapal\u0131 devre televizyon sistemi bulunur.
\n
\n\u00e7) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131n\u0131n bulundu\u011fu alanda, tedavi esnas\u0131nda kap\u0131n\u0131n a\u00e7\u0131lmas\u0131 durumunda radyasyon \u00fcretimini durduracak devre kesici sisteminin bulunmas\u0131 ve kap\u0131n\u0131n a\u00e7\u0131lmas\u0131 ile radyasyon \u00fcretiminin durdurulmas\u0131 durumunda radyasyon \u00fcretiminin sadece kumanda \u00fcnitesinden tekrar ba\u015flat\u0131labilir olmas\u0131 sa\u011flan\u0131r.
\n
\nd) Lineer h\u0131zland\u0131r\u0131c\u0131, siber b\u0131\u00e7a\u011f\u0131, tomoterapi cihazlar\u0131n\u0131n bulundu\u011fu alanda \u015fa\u015f\u0131rtma koridoru bulunur. \u015ea\u015f\u0131rtma koridoru, sedye ve tekerlekli sandalye dola\u015f\u0131m\u0131n\u0131 engellemeyecek \u015fekilde tasarlan\u0131r.
\n
\ne) Enerjisi 10 MV\u2019nin \u00fczerinde olan lineer h\u0131zland\u0131r\u0131c\u0131 cihazlar\u0131n\u0131n bulundu\u011fu alanlar\u0131n kap\u0131s\u0131, olu\u015fan n\u00f6tronlar\u0131 durdurma \u00f6zelli\u011fine sahip parafin, polietilen gibi malzemeler ile kaplan\u0131r.
\n
\nf) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131n\u0131n bulundu\u011fu alanda ortamdaki ozon seviyesinin izin verilen seviyelere indirilmesini sa\u011flayacak uygun havaland\u0131rma sistemi kurulur.
\n
\ng) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131n\u0131n bulundu\u011fu alanda, acil durumlarda radyasyon \u00fcretimini tamamen kapal\u0131 duruma ge\u00e7irecek acil durum durdurma d\u00fc\u011fmesi bulundurulur.
\n
\n\u011f) Radyoaktif kaynak i\u00e7eren uygulamalarda, elektrik kesintileri ve ar\u0131zalar\u0131 durumunda radyoaktif kaynaklar\u0131 g\u00fcvenli ve emniyetli konumuna alan otomatik sistemlerin bulunmas\u0131 sa\u011flan\u0131r.
\n
\n(18) A\u011f\u0131z, di\u015f ve \u00e7ene radyoloji merkezleri radyasyon alanlar\u0131nda a\u015fa\u011f\u0131daki fiziki kriterleri sa\u011flamak zorundad\u0131r:
\n
\na) Volumetrik di\u015f tomografisi ve panoramik r\u00f6ntgen i\u00e7in ayr\u0131 ayr\u0131 birim olu\u015fturulur. Bu birimlerde cihaz odas\u0131 ve kumanda \u00fcnitesi bulunur.
\n
\nb) \u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kayna\u011f\u0131n\u0131n bulundu\u011fu alanda cihaz\u0131n X-\u0131\u015f\u0131n\u0131 t\u00fcp\u00fc, birincil \u0131\u015f\u0131n kap\u0131ya ve \u00e7al\u0131\u015fana y\u00f6nlendirilmeyecek \u015fekilde yerle\u015ftirilir.
\n
\n(19) Merkezlerin radyasyon alan\u0131na ili\u015fkin fiziki \u015fartlar ile Bakanl\u0131k\u00e7a teknolojik geli\u015fmeler sonucunda kullan\u0131m\u0131na izin verilen ve bu Y\u00f6netmelikte yer almayan iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131na ait fiziki \u015fartlar, ilgili mevzuat h\u00fck\u00fcmlerine uygun olarak sa\u011flan\u0131r.<\/td>\n<\/tr>\n
G\u00fcvenlik<\/td>MADDE 6<\/td>(1) Radyasyondan korunman\u0131n, radyasyon g\u00fcvenli\u011finin ve radyoaktif kaynaklar\u0131n emniyetinin teminine ili\u015fkin NDK taraf\u0131ndan yay\u0131mlanan mevzuat kapsam\u0131nda radyasyon uygulamalar\u0131 y\u00fcr\u00fct\u00fcl\u00fcr. Bu kapsamda NDK taraf\u0131ndan uygun bulunan radyasyondan korunma program\u0131n\u0131n uygulanmas\u0131 sa\u011flan\u0131r.
\n
\n(2) Radyasyonla \u00e7al\u0131\u015fanlar, hastalar ve refakat\u00e7iler i\u00e7in radyasyondan korunmaya y\u00f6nelik ilgili mevzuat kapsam\u0131ndaki gerekli tedbirler al\u0131n\u0131r.
\n
\n(3) Radyasyondan korunmay\u0131 sa\u011flamak \u00fczere uygulaman\u0131n niteli\u011fine g\u00f6re koruyucu giysi ve te\u00e7hizat\u0131n eksiksiz olarak bulundurulmas\u0131, uygun \u015fartlarda muhafaza edilmesi ve kullan\u0131lmas\u0131 sa\u011flan\u0131r.
\n
\n(4) Giri\u015fimsel radyoloji uygulamalar\u0131nda g\u00f6rev alan radyasyonla \u00e7al\u0131\u015fanlar\u0131n, maruz kalacaklar\u0131 radyasyon dozunu s\u0131n\u0131rlayacak ilave radyasyondan koruyucu ki\u015fisel donan\u0131mlar kullan\u0131l\u0131r.
\n
\n(5) N\u00fckleer t\u0131p ve radyasyon onkolojisi merkezlerinde, uygun \u00f6zelliklere sahip, ge\u00e7erli kalibrasyon sertifikas\u0131 olan radyasyon \u00f6l\u00e7\u00fcm cihazlar\u0131 ile radyasyon alanlar\u0131nda ve bu alanlar\u0131n biti\u015fik alanlar\u0131nda radyasyon \u00f6l\u00e7\u00fcmlerinin yap\u0131lmas\u0131, \u00f6l\u00e7\u00fcm sonu\u00e7lar\u0131n\u0131n kay\u0131t alt\u0131na al\u0131nmas\u0131 ve radyasyon \u00f6l\u00e7\u00fcm cihazlar\u0131n\u0131n kalibrasyonlar\u0131n\u0131n belirlenen periyotlarda ilgili mevzuat kapsam\u0131nda yapt\u0131r\u0131lmas\u0131 sa\u011flan\u0131r.
\n
\n(6) Merkezde;
\n
\na) Radyoaktif madde ve benzeri yaralanmalar i\u00e7in t\u0131bbi \u00f6nlemler al\u0131n\u0131r.
\n
\nb) \u0130lk yard\u0131m seti ve yang\u0131n tehlikesine kar\u015f\u0131 yang\u0131n s\u00f6nd\u00fcr\u00fcc\u00fc ile alev s\u00f6nd\u00fcrme \u00f6rt\u00fcs\u00fc gibi g\u00fcvenlik donan\u0131m\u0131 bulundurulur.
\n
\nc) Radyasyonla \u00e7al\u0131\u015fanlara uygulama kapsam\u0131ndaki potansiyel tehlikeler ile g\u00fcvenli \u00e7ekim teknikleri hususunda e\u011fitim verilir ve bu e\u011fitimler kay\u0131t alt\u0131na al\u0131n\u0131r.
\n
\n\u00e7) Olu\u015fabilecek tehlike ve riskler hakk\u0131nda giri\u015f kap\u0131s\u0131, cihaz, donan\u0131m veya ayg\u0131t \u00fczerine ulusal veya uluslararas\u0131 kabul g\u00f6ren simgeler kullan\u0131larak i\u015faretleme veya etiketleme yap\u0131l\u0131r.
\n
\nd) Uygun s\u0131kl\u0131kta hava de\u011fi\u015fiminin sa\u011flanmas\u0131 amac\u0131yla ilgili mevzuata uygun havaland\u0131rma sistemi kurulur.
\n
\ne) Giri\u015f ve \u00e7\u0131k\u0131\u015f noktalar\u0131 ile yang\u0131n \u00e7\u0131k\u0131\u015flar\u0131 ilgili mevzuata uygun \u015fekilde i\u015faretlenir.
\n
\nf) T\u0131bbi ama\u00e7l\u0131 iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131n\u0131n teslim al\u0131nmas\u0131, bulundurulmas\u0131, kullan\u0131lmas\u0131, radyoaktif madde kullan\u0131m\u0131ndan olu\u015fan at\u0131klar\u0131n y\u00f6netimi ve X-\u0131\u015f\u0131n\u0131 t\u00fcp\u00fc kullan\u0131m\u0131ndan olu\u015fan at\u0131klar\u0131n bertaraf edilmesi ile radyasyon tesislerine ve radyasyon uygulamalar\u0131na ili\u015fkin yetkilendirmeler, radyasyon g\u00fcvenli\u011fi, radyoaktif kaynaklar\u0131n emniyeti, radyoaktif maddelerin ta\u015f\u0131nmas\u0131 ve radyasyon acil durumlar\u0131n\u0131n y\u00f6netimi hakk\u0131nda ilgili mevzuat do\u011frultusunda idari ve teknik d\u00fczenlemeler yerine getirilir.
\n
\ng) Hamilelik \u015f\u00fcphesi olan, hamile veya emziren personelin \u00e7al\u0131\u015fma ko\u015fullar\u0131; embriyonun, fet\u00fcs\u00fcn veya emzirilen \u00e7ocu\u011fun radyasyondan korunmas\u0131n\u0131 sa\u011flayacak ve halk i\u00e7in belirlenen doz s\u0131n\u0131rlar\u0131na uyulacak \u015fekilde yeniden d\u00fczenlenir. \u00c7al\u0131\u015fma ko\u015fullar\u0131 hamilelik \u015f\u00fcphesi olan ve hamile personel i\u00e7in hamileli\u011finin geri kalan s\u00fcresinde radyasyon alanlar\u0131nda \u00e7al\u0131\u015fmayacak \u015fekilde, emzirme d\u00f6neminde olan personel i\u00e7in radyoaktif kirlilik riski bulunan radyasyon alanlar\u0131nda \u00e7al\u0131\u015fmayacak \u015fekilde d\u00fczenlenir.<\/td>\n<\/tr>\n
\u0130yonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131 ve radyon\u00fcklit ile \u00e7al\u0131\u015fanlar\u0131n \u00e7al\u0131\u015fma esaslar\u0131<\/td>MADDE 7<\/td>(1) Sadece iyonla\u015ft\u0131r\u0131c\u0131 radyasyonla te\u015fhis, tedavi veya ara\u015ft\u0131rman\u0131n yap\u0131ld\u0131\u011f\u0131 yerler ile bu i\u015f veya i\u015flemlerde \u00e7al\u0131\u015fan personelin haftal\u0131k \u00e7al\u0131\u015fma s\u00fcresi 35 saattir. Bu \u00e7al\u0131\u015fanlar\u0131n, kontroll\u00fc alanlarda ki\u015fisel koruyucu ekipman ve dozimetre kullanmas\u0131 zorunludur.
\n
\n(2) Radyasyonla \u00e7al\u0131\u015facaklar\u0131n, i\u015fe ba\u015flamadan \u00f6nce ve i\u015fe ba\u015flad\u0131ktan sonraki y\u0131ll\u0131k sa\u011fl\u0131k kontrolleri, bu Y\u00f6netmeli\u011fin eki EK-1\u2019de yer alan \u201cRadyasyonla \u00c7al\u0131\u015facaklar\/\u00c7al\u0131\u015fanlar \u0130\u00e7in Sa\u011fl\u0131k Raporu Formu\u201d kullan\u0131larak ilgili sa\u011fl\u0131k kurum ve kurulu\u015fu taraf\u0131ndan yapt\u0131r\u0131l\u0131r.
\n
\n(3) Radyasyonla \u00e7al\u0131\u015fanlar\u0131n \u00e7al\u0131\u015fma \u015fekli, birinci f\u0131krada belirtilen \u00e7al\u0131\u015fma s\u00fcresini a\u015fmamak kayd\u0131yla, hizmetin etkinlik ve s\u00fcreklili\u011finin sa\u011flanmas\u0131 bak\u0131m\u0131ndan vardiya veya n\u00f6bet \u015feklinde d\u00fczenlenebilir.<\/td>\n<\/tr>\n
Sa\u011fl\u0131k izni<\/td>MADDE 8<\/td>(1) Sadece iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kaynaklar\u0131 ve radyon\u00fcklitlerin kullan\u0131ld\u0131\u011f\u0131 kontroll\u00fc alanlarda \u00e7al\u0131\u015fanlara y\u0131ll\u0131k izinlerine ilaveten sa\u011fl\u0131k izni verilir. Radyasyonla \u00e7al\u0131\u015fanlara verilecek sa\u011fl\u0131k izni s\u00fcresi, bu \u00e7al\u0131\u015fanlar\u0131n bir takvim y\u0131l\u0131 i\u00e7erisinde kontroll\u00fc alanlarda fiilen \u00e7al\u0131\u015ft\u0131\u011f\u0131 s\u00fcreler dikkate al\u0131narak bu Y\u00f6netmeli\u011fin eki EK-2\u2019de yer alan \u201cSa\u011fl\u0131k \u0130zni Tablosu\u201dnda belirtilen \u00e7al\u0131\u015fma s\u00fcresine g\u00f6re belirlenir.
\n
\n(2) Mobil r\u00f6ntgen veya skopi gibi hareketli cihazlar\u0131 kullanan radyasyonla \u00e7al\u0131\u015fanlara verilecek sa\u011fl\u0131k izni s\u00fcresi, bu \u00e7al\u0131\u015fanlar\u0131n bir takvim y\u0131l\u0131 i\u00e7erisinde kontroll\u00fc alanlarda fiilen \u00e7al\u0131\u015ft\u0131\u011f\u0131 s\u00fcreler dikkate al\u0131narak bu Y\u00f6netmeli\u011fin eki EK-2\u2019de yer alan \u201cSa\u011fl\u0131k \u0130zni Tablosu\u201dnda belirtilen \u00e7al\u0131\u015fma s\u00fcresine g\u00f6re belirlenir.
\n
\n(3) Kontroll\u00fc alanlarda radyasyonla \u00e7al\u0131\u015fanlar\u0131n maruz kald\u0131klar\u0131 dozlar\u0131n, doz s\u0131n\u0131rlar\u0131n\u0131 a\u015fmas\u0131 h\u00e2linde bu \u00e7al\u0131\u015fanlar i\u00e7in sa\u011fl\u0131k kurum ve kurulu\u015fu taraf\u0131ndan sa\u011fl\u0131k izni hemen kulland\u0131r\u0131l\u0131r.
\n
\n(4) Sa\u011fl\u0131k izni b\u00f6l\u00fcnemez, y\u0131l ge\u00e7i\u015flerinde \u00fcst \u00fcste kullan\u0131lamaz ve di\u011fer y\u0131la aktar\u0131lamaz.
\n
\n(5) Kontroll\u00fc alanlarda radyasyonla \u00e7al\u0131\u015fanlara verilecek sa\u011fl\u0131k izni s\u00fcresi hesaplan\u0131rken do\u011fum, \u00f6l\u00fcm, evlilik ve y\u0131ll\u0131k izin ile ge\u00e7irilen s\u00fcreler, \u00e7al\u0131\u015fma s\u00fcresine dahil edilmez.<\/td>\n<\/tr>\n
Denetim ve yapt\u0131r\u0131m<\/td>MADDE 9<\/td>(1) Merkezlerin faaliyete esas denetimlerinde, bu Y\u00f6netmeli\u011fin 5 inci ve 6 nc\u0131 maddelerinde yer alan h\u00fck\u00fcmlere ayk\u0131r\u0131l\u0131k tespit edilmesi h\u00e2linde, 3359 say\u0131l\u0131 Kanunun ek 11 inci maddesi h\u00fck\u00fcmleri uygulan\u0131r.<\/td>\n<\/tr>\n
H\u00fck\u00fcm bulunmayan h\u00e2ller<\/td>MADDE 10<\/td>(1) Bu Y\u00f6netmelikte h\u00fck\u00fcm bulunmayan h\u00e2llerde, iyonla\u015ft\u0131r\u0131c\u0131 radyasyon kullan\u0131larak sunulan sa\u011fl\u0131k hizmetlerinin planlanmas\u0131 ile bu hizmetlerin sunuldu\u011fu sa\u011fl\u0131k kurum ve kurulu\u015flar\u0131n\u0131n faaliyetleri, standartlar\u0131 ve denetlenmesine ili\u015fkin hususlarda ilgili mevzuat h\u00fck\u00fcmleri uygulan\u0131r.
\n
\n(2) Mesle\u011fini serbest olarak icra etmeye yetkili radyoloji, n\u00fckleer t\u0131p ve a\u011f\u0131z, di\u015f ve \u00e7ene radyolojisi uzmanlar\u0131 taraf\u0131ndan a\u00e7\u0131lan merkezlerle ilgili h\u00fck\u00fcm bulunmayan h\u00e2llerde, ayakta te\u015fhis ve tedavi yap\u0131lan \u00f6zel sa\u011fl\u0131k kurulu\u015flar\u0131n\u0131n tabi oldu\u011fu mevzuat ve ilgili di\u011fer mevzuat h\u00fck\u00fcmleri uygulan\u0131r.<\/td>\n<\/tr>\n
Y\u00fcr\u00fcrl\u00fckten kald\u0131r\u0131lan y\u00f6netmelik<\/td>MADDE 11<\/td>(1) 25\/4\/2022 tarihli ve 5530 say\u0131l\u0131 Cumhurba\u015fkan\u0131 Karar\u0131 ile y\u00fcr\u00fcrl\u00fc\u011fe konulan \u0130yonla\u015ft\u0131r\u0131c\u0131 Radyasyon ve Radyon\u00fcklit Kullan\u0131larak Sunulan Sa\u011fl\u0131k Hizmetleri Hakk\u0131nda Y\u00f6netmelik y\u00fcr\u00fcrl\u00fckten kald\u0131r\u0131lm\u0131\u015ft\u0131r.<\/td>\n<\/tr>\n
Uyum sa\u011flanmas\u0131<\/td>GE\u00c7\u0130C\u0130 MADDE 1<\/td>(1) Bu Y\u00f6netmeli\u011fin y\u00fcr\u00fcrl\u00fc\u011fe girdi\u011fi tarih itibar\u0131yla faal h\u00e2lde bulunan merkezlerin radyasyon alanlar\u0131, bu Y\u00f6netmeli\u011fin y\u00fcr\u00fcrl\u00fc\u011fe girdi\u011fi tarihten itibaren be\u015f y\u0131l i\u00e7inde bu Y\u00f6netmelikte yer alan h\u00fck\u00fcmlere uyumlu h\u00e2le getirilir.
\n
\n(2) Bu Y\u00f6netmeli\u011fin 5 inci maddesinin 14 \u00fcnc\u00fc f\u0131kras\u0131, bu Y\u00f6netmeli\u011fin y\u00fcr\u00fcrl\u00fc\u011fe girdi\u011fi tarih itibar\u0131yla faal halde bulunan mevcut merkezler i\u00e7in uygulanmaz.<\/td>\n<\/tr>\n
Y\u00fcr\u00fcrl\u00fck<\/td>MADDE 12<\/td>(1) Bu Y\u00f6netmelik yay\u0131m\u0131 tarihinde y\u00fcr\u00fcrl\u00fc\u011fe girer.<\/td>\n<\/tr>\n
Y\u00fcr\u00fctme<\/td>MADDE 13<\/td>(1) Bu Y\u00f6netmelik h\u00fck\u00fcmlerini Sa\u011fl\u0131k Bakan\u0131 y\u00fcr\u00fct\u00fcr.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n

EK-1<\/strong><\/p>\n\n\n\n

RADYASYONLA \u00c7ALI\u015eACAKLAR\/\u00c7ALI\u015eANLAR \u0130\u00c7\u0130N<\/strong><\/p>\n\n\n\n

SA\u011eLIK RAPORU FORMU<\/strong><\/p>\n\n\n\n

\u00c7ALI\u015eAN B\u0130LG\u0130LER\u0130<\/strong><\/td><\/tr>
ADI SOYADI<\/strong><\/td>T.C. K\u0130ML\u0130K NO<\/strong><\/td>KURUM S\u0130C\u0130L NO<\/strong><\/td>C\u0130NS\u0130YET\u0130<\/strong><\/td><\/tr>
ERKEK<\/strong><\/td>KADIN<\/strong><\/td><\/tr>
 <\/strong><\/td> <\/td> <\/td> <\/td> <\/td><\/tr>
\u00c7al\u0131\u015ft\u0131\u011f\u0131\/\u00c7al\u0131\u015faca\u011f\u0131 Kurum                                        :<\/strong><\/td> <\/td><\/tr>
\u00c7al\u0131\u015ft\u0131\u011f\u0131\/\u00c7al\u0131\u015faca\u011f\u0131 Kurumdaki Unvan\u0131 ve G\u00f6revi: <\/strong><\/td> <\/td><\/tr>
Radyasyona Maruz Kalma<\/strong>(B<\/strong>irden fazla i\u015faretlenebilir)<\/strong> <\/strong><\/td>X-\u0131\u015f\u0131nlar\u0131na d\u0131\u015far\u0131dan maruziyet                                          :(R\u00f6ntgen cihazlar\u0131, bilgisayarl\u0131 tomografi gibi cihazlarla y\u00fcr\u00fct\u00fclen i\u015fler)<\/td>  <\/td><\/tr>
Radyoaktif maddeler ile do\u011frudan el, cilt temas\u0131                :(\u00d6rne\u011fin; radyofarmas\u00f6tiklerle, brakiterapi kaynaklar\u0131 ile i\u015flemler gibi)<\/td>  <\/td><\/tr>
Son 1 y\u0131ll\u0131k dozimetre \u00f6l\u00e7\u00fcm toplam\u0131 (mSv)                                     :<\/td> <\/td><\/tr>
Di\u011fer (A\u00e7\u0131klay\u0131n\u0131z)  :<\/td> <\/td><\/tr>
Son bir y\u0131l i\u00e7inde ki\u015fisel dozimetri \u00f6l\u00e7\u00fcmlerinde doz limit a\u015f\u0131m\u0131 bildirildi mi?<\/strong><\/td>HAYIR<\/td>EVET (A\u00e7\u0131klay\u0131n\u0131z)<\/td><\/tr>
 <\/td> <\/td><\/tr>
Son bir y\u0131l i\u00e7inde radyasyon kazas\u0131 ge\u00e7irdiniz mi?<\/strong><\/td>HAYIR<\/td>EVET (A\u00e7\u0131klay\u0131n\u0131z)<\/td><\/tr>
 <\/td> <\/td><\/tr>
Son bir y\u0131l i\u00e7inde t\u0131bbi tan\u0131 ve tedavi amac\u0131yla<\/strong>radyasyona maruz kald\u0131n\u0131z m\u0131?<\/strong><\/td>HAYIR<\/td>EVET (A\u00e7\u0131klay\u0131n\u0131z)<\/td><\/tr>
 <\/td> <\/td><\/tr>
Sa\u011fl\u0131k durumunuzla ilgili a\u015fa\u011f\u0131daki belirti ve bulgular var m\u0131?<\/strong><\/td><\/tr>
 <\/strong><\/td>YOK<\/td>VAR (A\u00e7\u0131klay\u0131n\u0131z)<\/td><\/tr>
Ciltte solukluk<\/strong><\/td> <\/td> <\/td><\/tr>
Genel yorgunluk hali<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
Otururken aya\u011fa kalkt\u0131\u011f\u0131n\u0131zda ba\u015f d\u00f6nmesi\/g\u00f6z kararmas\u0131<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
S\u0131k ate\u015fli hastal\u0131klara yakalanma<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
Kolay iyile\u015fmeyen uzun s\u00fcreli enfeksiyonlar<\/strong>(\u00d6rne\u011fin; ishal, mantar enfeksiyonlar\u0131 gibi)<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
Beklenmedik veya uzun s\u00fcrede duran kanamalar<\/strong>(Gaitada veya idrarda gibi)<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
S\u0131k di\u015f eti kanamas\u0131<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
Ciltte morluklar<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
\u00d6zellikle el s\u0131rt\u0131 ba\u015fta olmak \u00fczere radyasyona maruz kalan v\u00fccut b\u00f6lgelerde k\u0131l d\u00f6k\u00fclmesi<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
El cildinde bozukluklar (ciltte kal\u0131nla\u015fma, k\u0131lcal damarlar\u0131n izlenmesi, erken ya\u015fl\u0131l\u0131k belirtileri gibi)<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
G\u00f6rmede bulan\u0131kl\u0131k<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
V\u00fccudunuzdaki (boyun, \u00e7ene alt\u0131, koltuk alt\u0131, kas\u0131k gibi) lenf bezlerinde b\u00fcy\u00fcme<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
                <\/strong>                                   Sa\u011fl\u0131\u011f\u0131mla ilgili yukar\u0131da beyan etti\u011fim bilgiler do\u011frudur.<\/strong> <\/strong>\u00c7al\u0131\u015fan\/\u00c7al\u0131\u015facak Ki\u015finin Ad\u0131 ve Soyad\u0131:<\/strong> <\/strong>                                                       \u0130mza :     <\/strong>                  <\/strong>                                                      Tarih :<\/strong> <\/strong><\/td><\/tr>
<\/td><\/td><\/td><\/td><\/td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
TIBB\u0130 DE\u011eERLEND\u0130RME<\/strong>(Hekim Taraf\u0131ndan Doldurulacakt\u0131r)<\/strong><\/td><\/tr>
EL-C\u0130LT BULGULARI [Kronik radyasyon maruziyetine ba\u011fl\u0131 olarak geli\u015febilecek]<\/strong><\/td><\/tr>
 <\/strong><\/td>HAYIR<\/strong><\/td>EVET (Varsa a\u00e7\u0131klama)<\/strong><\/td><\/tr>
Telenjiektazi<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
Hiperkeratoz<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
Atrofi<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
K\u0131l D\u00f6k\u00fclmesi<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
T\u0131rnak Bozuklu\u011fu<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
KAN VE LENFAT\u0130K S\u0130STEM MAL\u0130GN\u0130TE BULGUSU [Radyasyona ba\u011fl\u0131 olarak ge\u00e7 d\u00f6nemde geli\u015febilen maligniteler]<\/strong><\/td><\/tr>
Periferik lenfadenopati<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
Hepatosplenomegali<\/strong><\/td> <\/strong><\/td> <\/strong><\/td><\/tr>
TAM KAN SAYIMI<\/strong><\/td>L\u00f6kosit Da\u011f\u0131l\u0131m\u0131<\/td><\/tr>
Beyaz K\u00fcre Say\u0131s\u0131<\/strong><\/td> <\/strong><\/td>Lenfosit %<\/td> <\/td><\/tr>
Trombosit Say\u0131s\u0131<\/strong><\/td> <\/strong><\/td>N\u00f6trofil %<\/td> <\/td><\/tr>
Hemoglobin D\u00fczeyi<\/strong><\/td> <\/strong><\/td>Monosit %<\/td> <\/td><\/tr>
K\u0131rm\u0131z\u0131 K\u00fcre Say\u0131s\u0131<\/strong><\/td> <\/strong><\/td>Eozinofil %<\/td> <\/td><\/tr>
Normal-D\u0131\u015f\u0131 h\u00fccreler<\/strong><\/td> <\/strong><\/td>Bazofil %<\/td> <\/td><\/tr>
KATARAKT BULGUSU (Lensin radyasyona maruziyetinden sonra 1 y\u0131l i\u00e7inde geli\u015fmesi beklenir)<\/strong><\/td><\/tr>
Bazal Oftalmoskopik Muayenesi Var m\u0131?<\/strong><\/td>HAYIR<\/td> <\/td>Oftalmoskopik Muayene i\u00e7in G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131na Sevk Ediniz<\/td><\/tr>
EVET<\/td> <\/td>Son 1 y\u0131l i\u00e7inde yeni geli\u015fen g\u00f6rme bulan\u0131kl\u0131\u011f\u0131 var ise G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131na Sevk Ediniz<\/td><\/tr>
Son 1 y\u0131l i\u00e7inde ek g\u00f6rme bulan\u0131kl\u0131\u011f\u0131 yok ise y\u0131ll\u0131k rutin takibine devam ediniz.<\/strong><\/td><\/tr>
 <\/strong>G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 De\u011ferlendirmesi:<\/strong> <\/strong>                                                                                 <\/strong>Dr. Ka\u015fe\/\u0130mza\/Tarih<\/strong><\/td><\/tr>
 <\/strong>Bu formda ad\u0131 ge\u00e7en \u00e7al\u0131\u015fan\u0131n taraf\u0131mdan sa\u011fl\u0131k de\u011ferlendirilmesi yap\u0131lm\u0131\u015ft\u0131r: <\/strong> <\/strong><\/td><\/tr>
Radyasyon kaynaklar\u0131 ile \u00e7al\u0131\u015fmas\u0131nda sak\u0131nca bulunmamaktad\u0131r:<\/strong><\/td> <\/td><\/tr>
Radyasyon kaynaklar\u0131 ile \u00e7al\u0131\u015fmas\u0131nda sak\u0131nca bulunmaktad\u0131r (A\u00e7\u0131klay\u0131n\u0131z):<\/strong><\/td> <\/strong><\/td><\/tr>
\u0130stirahat ve di\u011fer hususlar:<\/strong>                                                                                                                                                               <\/strong>                                                                                                                                               Dr. Ka\u015fe\/\u0130mza\/Tarih<\/strong> <\/strong> <\/strong><\/td><\/tr>
<\/td><\/td><\/td><\/td><\/td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

            EK-2<\/strong><\/p>\n\n\n\n

Sa\u011fl\u0131k \u0130zni Tablosu<\/strong><\/p>\n\n\n\n

S\u0131ra No<\/strong><\/td>\u00c7al\u0131\u015fma S\u00fcresi<\/strong><\/a><\/td>Sa\u011fl\u0131k \u0130zni S\u00fcresi<\/strong><\/td><\/tr>
1<\/strong><\/td>0-50 Saat<\/td>1 G\u00fcn<\/td><\/tr>
2<\/strong><\/td>51-100 Saat<\/td>2 G\u00fcn<\/td><\/tr>
3<\/strong><\/td>101-150 Saat<\/td>3 G\u00fcn<\/td><\/tr>
4<\/strong><\/td>151-200 Saat<\/td>4 G\u00fcn<\/td><\/tr>
5<\/strong><\/td>201-250 Saat<\/td>5 G\u00fcn<\/td><\/tr>
6<\/strong><\/td>251-300 Saat<\/td>6 G\u00fcn<\/td><\/tr>
7<\/strong><\/td>301-350 Saat<\/td>7 G\u00fcn<\/td><\/tr>
8<\/strong><\/td>351-400 Saat<\/td>8 G\u00fcn<\/td><\/tr>
9<\/strong><\/td>401-450 Saat<\/td>9 G\u00fcn<\/td><\/tr>
10<\/strong><\/td>451-500 Saat<\/td>10 G\u00fcn<\/td><\/tr>
11<\/strong><\/td>501-550 Saat<\/td>11 G\u00fcn<\/td><\/tr>
12<\/strong><\/td>551-600 Saat<\/td>12 G\u00fcn<\/td><\/tr>
13<\/strong><\/td>601-650 Saat<\/td>13 G\u00fcn<\/td><\/tr>
14<\/strong><\/td>651-700 Saat<\/td>14 G\u00fcn<\/td><\/tr>
15<\/strong><\/td>701-750 Saat<\/td>15 G\u00fcn<\/td><\/tr>
16<\/strong><\/td>751-800 Saat<\/td>16 G\u00fcn<\/td><\/tr>
17<\/strong><\/td>801-850 Saat<\/td>17 G\u00fcn<\/td><\/tr>
18<\/strong><\/td>851-900 Saat<\/td>18 G\u00fcn<\/td><\/tr>
19<\/strong><\/td>901-950 Saat<\/td>19 G\u00fcn<\/td><\/tr>
20<\/strong><\/td>951-1000 Saat<\/td>20 G\u00fcn<\/td><\/tr>
21<\/strong><\/td>1001-1050 Saat<\/td>21 G\u00fcn<\/td><\/tr>
22<\/strong><\/td>1051-1100 Saat<\/td>22 G\u00fcn<\/td><\/tr>
23<\/strong><\/td>1101-1150 Saat<\/td>23 G\u00fcn<\/td><\/tr>
24<\/strong><\/td>1151-1200 Saat<\/td>24 G\u00fcn<\/td><\/tr>
25<\/strong><\/td>1201-1250 Saat<\/td>25 G\u00fcn<\/td><\/tr>
26<\/strong><\/td>1251-1300 Saat<\/td>26 G\u00fcn<\/td><\/tr>
27<\/strong><\/td>1301-1350 Saat<\/td>27 G\u00fcn<\/td><\/tr>
28<\/strong><\/td>1351-1400 Saat<\/td>28 G\u00fcn<\/td><\/tr>
29<\/strong><\/td>1401-1450 Saat<\/td>29 G\u00fcn<\/td><\/tr>
30<\/strong><\/td>1451-1500 Saat<\/td>30 G\u00fcn<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"

EK-1 RADYASYONLA \u00c7ALI\u015eACAKLAR\/\u00c7ALI\u015eANLAR \u0130\u00c7\u0130N SA\u011eLIK RAPORU FORMU \u00c7ALI\u015eAN B\u0130LG\u0130LER\u0130 ADI SOYADI T.C. 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