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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 289RADIATION CONTROL
SUBCHAPTER FLICENSE REGULATIONS
RULE §289.256Medical and Veterinary Use of Radioactive Material

  (7) For up to 60 days each calendar year, a licensee may permit an authorized user or an individual qualified to be an RSO, under subsections (h) and (m) of this section, to function as a temporary RSO and to perform the duties of an RSO in accordance with paragraph (3) of this subsection, provided the licensee takes the actions required in paragraphs (2), (3), and (9) of this subsection, and notifies the department in accordance with subsection (r)(5) of this section. Records of qualifications and dates of service shall be maintained in accordance with subsection (xxx) of this section for inspection by the department.

  (8) A licensee may simultaneously appoint more than one temporary RSO in accordance with paragraph (7) of this subsection, if needed to ensure that the licensee has a temporary RSO that satisfies the requirements to be an RSO for each of the different types of uses of radioactive material permitted by the license.

  (9) The licensee shall maintain records, in accordance with subsection (xxx) of this section, as follows.

    (A) A licensee shall retain a record of actions taken by the licensee's management in accordance with paragraph (1) of this subsection. The record must include a summary of the actions taken and a signature of licensee management.

    (B) The authority, duties, and responsibilities of the RSO as required by paragraph (3) of this subsection, and a signed copy of each RSO's agreement to be responsible for implementing the radiation safety program, as required by paragraph (2) of this subsection. The records must include the signature of the RSO and licensee management.

    (C) A copy of the written document appointing the ARSO, for each ARSO appointed under paragraph (2) of this subsection. The record must include the signature of licensee management.

(h) Training for an RSO and ARSO. Except as provided in subsection (l) of this section, the licensee shall require the individual fulfilling the responsibilities of an RSO or an individual assigned duties and tasks as an ARSO in accordance with subsection (g) of this section for licenses for medical or veterinary use of radioactive material to be an individual who:

  (1) is certified by a specialty board whose certification process has been recognized by the department, the NRC, or an agreement state and who meets the requirements in paragraph (4) of this subsection. The names of board certifications that have been recognized by the department, the NRC, or an agreement state are posted on the NRC's Medical Uses Licensee Toolkit web page:

    (A) to have its certification process recognized, a specialty board shall require all candidates for certification to:

      (i) hold a bachelor's or graduate degree from an accredited college or university in physical science or engineering or biological science with a minimum of 20 college credits in physical science;

      (ii) have five or more years of professional experience in health physics (graduate training may be substituted for no more than two years of the required experience) including at least three years in applied health physics; and

      (iii) pass an examination, administered by diplomates of the specialty board, which evaluates knowledge and competence in radiation physics and instrumentation, radiation protection, mathematics pertaining to the use and measurement of radioactivity, radiation biology and radiation dosimetry; or

    (B) to have its certification process recognized, a specialty board shall require all candidates for certification to:

      (i) hold a master's or doctor's degree in physics, medical physics, other physical science, engineering, or applied mathematics from an accredited college or university;

      (ii) have two years of full-time practical training and/or supervised experience in medical physics as follows:

        (I) under the supervision of a medical physicist who is certified in medical physics by a specialty board recognized by the department, the NRC, or an agreement state; or

        (II) in clinical nuclear medicine facilities providing diagnostic and/or therapeutic services under the direction of physicians who meet the requirements for authorized users in subsections (l), (jj), or (nn) of this section; and

      (iii) pass an examination, administered by diplomates of the specialty board, that assesses knowledge and competence in clinical diagnostic radiological or nuclear medicine physics and in radiation safety; or

  (2) has completed all of the following:

    (A) a structured educational program consisting of both:

      (i) 200 hours of classroom and laboratory training in the following areas:

        (I) radiation physics and instrumentation;

        (II) radiation protection;

        (III) mathematics pertaining to the use and measurement of radioactivity;

        (IV) radiation biology; and

        (V) radiation dosimetry; and

      (ii) one year of full-time radiation safety experience under the supervision of the individual identified as the RSO on an agency, NRC, or agreement state license or on a permit issued by an NRC master material licensee that authorizes similar type(s) of use(s) of radioactive material. An ARSO may provide supervision for those areas for which the ARSO is authorized on an agency, NRC, or an agreement state license or a permit issued by an NRC master material licensee. The full-time radiation safety experience must involve the following:

        (I) shipping, receiving, and performing related radiation surveys;

        (II) using and performing checks for proper operation of instruments used to determine the activity of dosages, survey meters, and instrument used to measure radionuclides;

        (III) securing and controlling radioactive material;

        (IV) using administrative controls to avoid mistakes in the administration of radioactive material;

        (V) using procedures to prevent or minimize radioactive contamination and using proper decontamination procedures;

        (VI) using emergency procedures to control radioactive material; and

        (VII) disposing of radioactive material; and

    (B) has obtained written attestation, signed by a preceptor RSO or ARSO who has experience with the radiation safety aspects of similar types of use of radioactive material for which the individual is seeking approval as an RSO or an ARSO, and the written attestation must state that the individual has satisfactorily completed the requirements in paragraphs (2)(A) and (4) of this subsection, and is able to independently fulfill the radiation safety-related duties as an RSO or as an ARSO for a medical use license; or

  (3) meets one of the following:

    (A) is a medical physicist who has been certified by a specialty board whose certification process has been recognized by the department, the NRC, or an agreement state in accordance with subsection (j)(1) of this section and has experience with the radiation safety aspects of similar types of use of radioactive material for which the licensee is seeking the approval of the individual as RSO or an ARSO and who meets the requirements in paragraph (4) of this subsection;

    (B) is an authorized user, authorized medical physicist, or authorized nuclear pharmacist identified on an agency, NRC, or another agreement state's license, a permit issued by a NRC master material licensee, a permit issued by the department, the NRC, or another agreement state licensee of broad scope, or a permit issued by a NRC master material license broad scope permittee, has experience with the radiation safety aspects of similar types of use of radioactive material for which the licensee is seeking the approval of the individual as the RSO or ARSO, and who meets the requirements in paragraph (4) of this subsection; or

    (C) has experience with the radiation safety aspects of the types of use of radioactive material for which the individual is seeking simultaneous approval both as the RSO and the authorized user on the same new medical use license or new medical use permit issued by a NRC master material license. The individual must also meet the requirements in paragraph (4) of this subsection; and

  (4) has training in the radiation safety, regulatory issues, and emergency procedures for the types of use for which a licensee seeks approval, and this training requirement may be satisfied by completing training that is supervised by an RSO, an ARSO, authorized medical physicist, authorized nuclear pharmacist, or authorized user, as appropriate, who is authorized for the type(s) of use for which the licensee is seeking approval.

Cont'd...

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