UW HEALTH CLINICAL POLICY 1
Policy Title: Radioactive Eye Plaque Implants
Policy Number: 2.3.7
Category: UW Health
Effective Date: August 8, 2016
To describe the procedures staff and providers will follow in the Operating Room (OR) at the University
Hospital when using radioactive eye plaque implants.
II. POLICY ELEMENTS
A. Radioactive eye plaques are implanted and removed from the patient in the OR.
B. Radiation Oncology Physics will deliver the plaque/shielded container to the attending Ophthalmologist
before the case starts. Contact the Radiation Oncology Physicist on call.
C. Radiation Oncology Physics will return after the placement/removal of the plaque and scan the OR area for
any loose sources.
D. The patient may be admitted to the Inpatient Post-Anesthesia Care Unit (PACU) per UW Health clinical
policy #2.1.9, Admission, Care and Discharge of Patients to and from Inpatient Post-Anesthesia Care Unit
Author: Director, Surgical Services Departments
Senior Management Sponsor: SVP, Patient Care Services and CNO
Reviewers: Radiation Oncology Manager; MD, Human Oncology; Medical Physicist; Surgical Services
Approval committees: Surgical Services Policy and Procedure Committee; UW Health Clinical Policy
UW Health Clinical Policy Committee Approval: July 18, 2016
UW Health is a cohesive, united and integrated academic medical enterprise comprised of several entities.
This policy applies to facilities and programs operated by the University of Wisconsin Hospitals and Clinics
and the University of Wisconsin Medical Foundation, Inc., and to clinical facilities and programs
administered by the University of Wisconsin School of Medicine and Public Health. Each entity is
responsible for enforcement of this policy in relation to the facilities and programs that it operates.
Peter Newcomer, MD
UW Health Chief Medical Officer
J. Scott McMurray, MD
Chair, UW Health Clinical Policy Committee
UW Health clinical policy #2.1.9, Admission, Care and Discharge of Patients to and from Inpatient Post-
Anesthesia Care Unit (PACU)
VI. REVIEW DETAILS
Next Revision Due: August 2019
Formerly Known as: Surgical Services departmental policy #6.11