III.3.2.

Supervisor Area
In this area, Dr.M.Hoesin Central General Hospital in Palembang decided
of supervisor area with considering criteria of accepted potency exposure of
radiation more than NBD member of society and more less than 3/10 (three per
ten) NBD radiation worker and free from contamination, beside that Dr.M.Hoesin
Central General Hospital in Palembang :
a. Marking and limiting supervisor are which considering with clear sign; and
b. Plot a marker on the access enter point to the supervisor area.
III.4. Description Tools of Radiation Protection
III.4.1 ALARA Policy
In the utilization of radiation for any needs, has a rules which must follow the
rules for prevent accept of dosage which not appropiate to someone. That is 3
principles which recommended from International Commission Radiological
Protection (ICRP) publish number 60 year 1990 and National Council on
Radiological Protection (NCRP) publish number 116 with theme about Limitation of
Exposure to Ionizing Radiation must follow, that is :
a. Justification
No spontan programs or source which use on spontan programs will be
accepted except that is give a income more higher than a outcome for handle
possible effect may come to people or society.
In the other words, spontan programs will be accepted with considering factor
include of, social, economy, and any relevan factors.
1) Radiology Diagnostic / Interventional
a) Justification about radiation exposure to patients for need of diagnostic
or interventional must be given from Doctor or Dentist with form
referral form or consultation. This process are to determine what that
spontan programs are accepted, instead of all things about radiation
dosage will be give to worker and society. Every Radiology examination
for needs of profesion, legal, or health assurance without clinic
indication is not accepted, except of needed for :
a. Give the importance information about state of health someone who
examined, or

b. Prove process if someone is violent of law.

b) Every utilization of radioactive substances or other source must be based
on rule of benefits. The program include exposure or something can
potency to exposure only accepted if that programs will be get benefit
more higher than for someone or society compare with defisit or
something harmful which effect for state of health. Radiology
examination is based on order from doctor or dentist which consult with
relate medical council.
2) Radiotherapy
Justification about give the radiation therapy to patient must have from
referral order from doctor and complete evaluate of clinic with considering
benefit and defisit.
b. Optimation
1) All irradiating must be as low as reasonably achieveable (ALARA), with
considering benefit factor and defisit factor. The program usage of radiation
must be planned so well and source of radiation must be concepted and
operated to ensure for radiation exposure can be pressed as low as possible.
2) Benefits which will get from this medicine more bigger than harmful which
cause dosage has been given, although dosage has been given is high.
Without radiotherapy and without radiation dosage has been given, the
effect of the disease (example cancer) it will can be fatal for the patient. For
decrease the effect of usage high dosage of radiation, so safety factor and
secure factor must be see about, include of : tools which use to operated is
safely and standard also well calibration, good skill of operator, follow and
accept the procedures and rules has been fixed.