Medical surveillance of exposed workers

Exposed workers are persons who are as natural entities or workers exposed to ionising radiation at their work due to the implementation of radiation activities and for which it is likely to be exposed to a higher dose as the limit dose for the population individuals.

Medical surveillance of exposed workers is implemented within the scope of the public health care service.

Medical surveillance of exposed workers is performed by authorised medical practitioners who are authorised for medical surveillance of exposed workers by the minister competent for health.

Medical surveillance of exposed workers must ensure the assessment of health of medical workers with regard to their fulfilment of special medical requirements for a specific type of work in a working environment. For this purpose, authorised medical practitioners must have access to appropriate data that is requested, including the data on the working environment in work premises. 

Medical surveillance of exposed workers entails: 

• cooperation of an authorised medical practitioner at work planning or jobs with regard to controlled or observed area;
• cooperation of an authorised medical practitioner at the preparation of statements on safety with risk assessments;
• studying health of groups of exposed workers based on preventive health examinations and the analysis of the level and dynamics of negative health indicators;
• preventive health examinations: preliminary, oriented periodical and other oriented preventive health examinations with regard to worker category and the area where they work;
• cooperation at the organisation and implementation of first aid and extraordinary medical surveillance of exposed workers;
• cooperation at the qualification of the rescue team and decontamination in the case of accidents in nuclear and radiation facilities and qualifying a team of hospital doctors for treating patients in such cases (staff, equipment, premises, organisation, professional doctrine);
• care for groups with reduced work ability (disabled, chronic patients);
• designing , providing and verifying the implementation of a uniform professional doctrine in the field of comprehensive medical surveillance of exposed workers;
• expert and educational work in this area;
• managing the health database of exposed workers.