Fit for Purpose: Does radiation personal protective equipment provision match the requirements of our trauma and orthopaedics surgical workforce?
Sevenoaks, Hannah Richards, Joanna Howles, Sophie McMenemy, Louise Brown, Robyn Murphy, Lorraine Bose, Deepa Johnson, David S
Sevenoaks, Hannah
Richards, Joanna
Howles, Sophie
McMenemy, Louise
Brown, Robyn
Murphy, Lorraine
Bose, Deepa
Johnson, David S
Abstract
The use of ionising radiation for fluoroscopic interventions is widespread across many surgical specialities. Employers have a legal responsibility to ensure healthcare workers are appropriately protected from this hazard, with one component of this being provision of radiation personal protective equipment (PPE).
Independent studies were undertaken across four regions of England in 2023 (North West (NW), Wessex, West Midlands and Severn) in 35 hospital trusts to catalogue and evaluate radiation PPE provision in theatres. Size and appropriateness of radiation PPE for surgeon use (i.e. wrap-around protection and ≥0.25 mm lead weight equivalence (LWE)) was correlated with size requirements of the workforce.
For all radiation PPE in orthopaedic theatres 67.4 % (n = 844/1253) did not meet the standard of providing 0.25 mm LWE wrap around torso protection. Approximately one third (33.9 %) of all surgeons (n = 294/865) in NW, Wessex or West Midlands were unable to access a wrap around gown of size appropriate to them. We found a mismatch in the size of the radiation PPE provision and the size requirements of all surgeons irrespective of gender, which particularly affected those using the larger and smaller sizes of gown.
Provision of radiation PPE for orthopaedic surgeons across four large regions of England is inadequate. We encourage all trusts and surgeons to appraise their current provision.
MIDER Authors
Date
2025-05-17
Type
Journal Article
Collections
Citation
Sevenoaks H, Richards J, Howles S, McMenemy L, Brown R, Murphy L, Bose D, Johnson DS; North West Orthopaedic Research Collaborative; West Midlands Orthopaedic Research Collaborative; Wessex Orthopaedic Learning Forum; Bristol Orthopaedic Registrars Group. Fit for Purpose: Does radiation personal protective equipment provision match the requirements of our trauma and orthopaedics surgical workforce? Surgeon. 2025 Aug;23(4):225-228. doi: 10.1016/j.surge.2025.04.028. Epub 2025 May 17.
Journal / Source Title
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
DOI
10.1016/j.surge.2025.04.028
PMID
40382253
Publisher
The Royal College of Surgeons of Edinburgh