Curriculum Library

Work-based learning outcomes

Advise on the choice of radiopharmaceutical for radionuclide therapy in terms of the physical properties of the radionuclide, the physiological properties of the radiopharmaceutical and the clinical context of the procedure
Advise on and perform practical aspects of the administration of radionuclide therapy to patients
Specify, and explain to the patient, the post-therapy behavioural restrictions placed on them
Specify the facilities required for radionuclide therapy
Implement and advise on the principles of management of radiation safety associated with radionuclide therapy administrations and patients
Undertake practical radiation safety tasks required to deliver a service, including the effective communication of risk, decontamination procedures and radioactive waste management
Specify and perform the radiation monitoring of inpatients to determine their point of release
Implement the principles of internal radiation dosimetry, patient-specific dosimetry protocols and their requirements for data acquisition and analysis

Work-based competencies

Work-based assessments

You must complete
1 Case-based discussion(s)
1 of the following DOPS / OCEs

Assessment Title	Type
Monitor a patient in the therapy room	DOPS
Administer a therapy for benign thyroid disease, under supervision	DOPS
Set up under supervision a therapy infusion	DOPS
Decontaminate a therapy room once the patient has left	DOPS
Analyse the monitoring data to calculate the activity remaining in a therapy patient when they leave hospital.	DOPS
Prepare instructions for a therapy patient on leaving hospital.	DOPS
Calculate the total activity administered to a patient by calculating activity of waste. Record results and store waste appropriately.	DOPS
Perform a tailored risk assessment for a patient undergoing out-patient therapy.	DOPS
Explain details of a therapy administration to a patient	OCE
Explain precautions to a patient who has had Radioiodine therapy for benign thyroid disease	OCE
Explain precautions to a patient who has had Radioiodine therapy for thyroid cancer.	OCE
Explain monitoring procedure to a therapy patient	OCE
Give a presentation about the shielding requirements of different types of radionuclide therapy.	OCE

Number	Work-based learning outcome	Title	Knowledge
1	2,3,4,7	Generate or critically review the design of suitable equipment and facilities for patient therapies-	View Radionuclide Therapy - Competency 1 Generate or critically review the design of suitable equipment and facilities for patient therapies- Knowledge and skills you might demonstrate Design of inpatient rooms for radiation protection, including fixed and/or portable room shielding, aqueous waste management and minimisation of contamination Shielding, eg for internal transport, administration, waste containment The patient experience and needs of patients including those with physical or language difficulties
2	1,2	Advise on the appropriateness of requests for the administration of radionuclide therapy	View Radionuclide Therapy - Competency 2 Advise on the appropriateness of requests for the administration of radionuclide therapy Knowledge and skills you might demonstrate Clinical applications of radionuclide therapy Relevant requirements under IRMER, IRR99, MDGN, revision of local rules Requirements of radiopharmaceutical regarding route of administration and radiation protection Risks for patients, staff and the public Information needs of patients associated with radionuclide therapy
3	1,2,3	Prepare or critically review a radiation risk assessment for the administration of a particular form of radionuclide therapy	View Radionuclide Therapy - Competency 3 Prepare or critically review a radiation risk assessment for the administration of a particular form of radionuclide therapy Knowledge and skills you might demonstrate Clinical applications of radionuclide therapy Relevant requirements under IRMER, IRR99, MDGN, revision of local rules Requirements of radiopharmaceutical regarding route of administration and radiation protection Risks for patients, staff and the public Information needs of patients associated with radionuclide therapy
4	2,3,5	Write or critically review standard operating procedures for the administration of particular form(s) of radionuclide therapy, incorporating the results of the risk assessment	View Radionuclide Therapy - Competency 4 Write or critically review standard operating procedures for the administration of particular form(s) of radionuclide therapy, incorporating the results of the risk assessment Knowledge and skills you might demonstrate Clinical applications of radionuclide therapy Relevant requirements under IRMER, IRR99, MDGN, revision of local rules Requirements of radiopharmaceutical regarding route of administration and radiation protection Risks for patients, staff and the public Information needs of patients associated with radionuclide therapy
5	2,3	Perform a tailored radiation risk assessment and instructions for those in contact with an individual radionuclide therapy outpatient	View Radionuclide Therapy - Competency 5 Perform a tailored radiation risk assessment and instructions for those in contact with an individual radionuclide therapy outpatient Knowledge and skills you might demonstrate Radiopharmaceutical retention and route(s) of excretion, IRR99 Effective written and oral communication with regard to radiation protection
6	2,3,4,5,7	Prepare or review written instructions for staff on the management of inpatients receiving a particular radionuclide therapy, and give advice to staff in accordance	View Radionuclide Therapy - Competency 6 Prepare or review written instructions for staff on the management of inpatients receiving a particular radionuclide therapy, and give advice to staff in accordance Knowledge and skills you might demonstrate Requirements of local rules to address the delivery of this service Systems of work for good and safe practice Contingency planning staff needs for information and advice Support available for staff who support inpatients Inpatient needs in relation to information, advice and support
7	2,6	Actively contribute to the administration of a range of radionuclide therapies, including at least iodine-131 for thyroid cancer and benign thyroid disease	View Radionuclide Therapy - Competency 7 Actively contribute to the administration of a range of radionuclide therapies, including at least iodine-131 for thyroid cancer and benign thyroid disease Knowledge and skills you might demonstrate Appropriate radiation protection advice, including monitoring programmes, design and testing of customised radiation shielding, and radioactive waste management under EPR Training of non-specialist clinical staff in radiation protection as applied to their role The patient experience of administration of oral radiopharmaceuticals and their need for information and support
8	2,6	Assist and advise medical practitioners in the administration of non-oral radionuclide therapies, eg by intravenous infusion	View Radionuclide Therapy - Competency 8 Assist and advise medical practitioners in the administration of non-oral radionuclide therapies, eg by intravenous infusion Knowledge and skills you might demonstrate Appropriate radiation protection advice, including monitoring programmes, design and testing of customised radiation shielding, and radioactive waste management under EPR Training of non-specialist clinical staff in radiation protection as applied to their role
9	3	Advise patients and their carers on appropriate post-therapy behavioural restrictions	View Radionuclide Therapy - Competency 9 Advise patients and their carers on appropriate post-therapy behavioural restrictions Knowledge and skills you might demonstrate Requirements for behavioural restriction in outpatient and inpatient contexts, and with reference to the specific radionuclide and radiopharmaceutical, and relevant individual patient circumstances
10	7	Actively participate in the monitoring of inpatients to determine effective half-life and/or residual activity and managing the criteria for release of inpatients based on the results of this monitoring	View Radionuclide Therapy - Competency 10 Actively participate in the monitoring of inpatients to determine effective half-life and/or residual activity and managing the criteria for release of inpatients based on the results of this monitoring Knowledge and skills you might demonstrate Physical properties of radionuclide(s) used, and retention and route(s) of excretion of radiopharmaceuticals used The appropriate selection, operation, calibration and quality assurance of radiation monitors/detectors Relevant requirements under IRMER, IRR99, MDGN Patient engagement in the monitoring process
11	6	Perform contamination monitoring and decontamination of a treatment room post radionuclide therapy administration	View Radionuclide Therapy - Competency 11 Perform contamination monitoring and decontamination of a treatment room post radionuclide therapy administration Knowledge and skills you might demonstrate Radiopharmaceutical retention and route(s) of excretion Ionising Radiations regulations 1999 (IRR99), *Environmental* *Permitting Regulations* (EPR) Selection and operation of contamination monitors, including detectors, decontamination measures and radioactive waste management under EPR Implications of ineffective monitoring and decontamination for patients, staff and public
12	6	Record, store and dispose of radioactive waste produced as a result of radionuclide therapy	View Radionuclide Therapy - Competency 12 Record, store and dispose of radioactive waste produced as a result of radionuclide therapy Knowledge and skills you might demonstrate EPR requirements for management of radiation waste and detailed compliance with EPR conditions
13	1-8	Participate in clinical audit of radionuclide therapy	View Radionuclide Therapy - Competency 13 Participate in clinical audit of radionuclide therapy Knowledge and skills you might demonstrate Awareness of appropriate metrics to audit and awareness of the audit process, including audit loop
14	7,8	Actively participate in acquisition of imaging data and/or data from radiation detectors/monitors	View Radionuclide Therapy - Competency 14 Actively participate in acquisition of imaging data and/or data from radiation detectors/monitors Knowledge and skills you might demonstrate Data acquisition protocols optimised for the acquisition of quantitative data collected to determine organ, tumour and/or whole body retention for patient-specific dosimetry protocols
15	8	Actively participate in calculating absorbed radiation doses to target and non-target tissues for therapy protocols guided by patient-specific dosimetry	View Radionuclide Therapy - Competency 15 Actively participate in calculating absorbed radiation doses to target and non-target tissues for therapy protocols guided by patient-specific dosimetry Knowledge and skills you might demonstrate The principles of internal radiation dosimetry for determining patient specific organ/whole body and tumour radiation doses The importance of tumour (target) dose and critical normal organ/whole body doses in the planning and management of patient- specific radionuclide therapies Protocols for the patient-specific determination of tumour and/or normal organ/whole body radiation dose

Radionuclide Therapy (SPE151) Copy

Work-based competencies

Work-based assessments

Radionuclide Therapy (SPE151)