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| DOE-STD-1128-98
Guide of Good Practices for Occupational Radiological Protection in Plutonium Facilities
5.0
INTERNAL DOSIMETRY
Internal dosimetry is an essential part of a quality health physics program at every facility where
plutonium is handled or processed. The purpose of an internal dosimetry program is to monitor
workplace activities, to assess accidental or inadvertent intakes of radioactive material, and to
conduct internal dose assessments from bioassay measurement data.
It is DOE policy that facilities are designed, operated, and remediated to prevent intakes of
radioactive materials. Radiological controls for the workplace should ensure that radionuclides are
contained and handled properly, and that intakes, if they occur at all, are negligible to the extent
achievable with state-of-the-art technology. In spite of excellent design and operation policies,
inadvertent intakes of radioactive material can occur as a result of equipment malfunction, failure to
follow procedures, or the unanticipated presence of radioactive material.
Experience has shown that the most common route for inadvertent plutonium intake is inhalation.
Intakes can also occur by accidental ingestion or by wound contamination. Surveillance programs
should be designed to rapidly detect a release in the event of a loss of radioactive material
containment. Internal dosimetry programs should be tailored to the needs of each plutonium-
handling facility so that inadvertent intakes are discovered and quantified and workers' dose
equivalents are determined by appropriate methods.
When workers are inadvertently exposed to radioactive material, appropriate corrective action
should be taken to ensure that control and containment have been re-established. Prompt detection
by routine workplace monitoring practices is essential to regaining control after any contamination
spread or loss of containment. Prompt workplace indications of potential intake are also crucial to
start special bioassay monitoring for intake and dose assessment. An early assessment of the
probable severity of an intake and its corresponding dose, preferably within the first two hours of
the intake, is needed for decisions on dose reduction therapy and event reporting. For plutonium
and americium intakes, the bioassay data necessary for final dose assessment may require long
periods of time (many months) to obtain. Until such data become available, ongoing preliminary
assessments of intake and dose may be necessary to provide guidance for the administrative and
medical management of the workers.
5.1
INTERNAL DOSE EVALUATION PROGRAM
Internal doses are not directly measured but are estimated or calculated based on knowledge of the
material to which a worker may be exposed and its known or assumed biokinetic behavior. The
common approach to internal dosimetry is to calculate an occupational intake based on worker
bioassay measurements or workplace air-sample data and assumed breathing rates. Once an intake
is calculated, appropriate internal dose equivalents to organs and tissues of concern can be
estimated by using fundamental dosimetry principles, by various intake-to-dose conversion factors,
5-1
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