| who is responsible for and must review, interpret,
and approve all data and provide a signed report.
(4) The medical health physics specialty services include,
but are not limited to, the following:
(A) planning and design of radiation shielding needed
to protect workers, patients, and the general public from radiation
produced incident to the diagnosis or treatment of humans. This includes
calculation of required shielding thickness, selection of shielding
material and specification of source-shield geometry;
(B) assessment and evaluation of installed shielding,
installed shielding apparatus or portable shielding designed to protect
workers, patients, and the general public from radiation produced
incident to the diagnosis or treatment of humans. Such evaluation
specifically includes determination of whether the shielding is adequate
to ensure compliance with state or federal regulatory requirements
for limiting the effective dose equivalent and organ dose equivalent
of medical radiation workers and members of the public. This includes
the selection of appropriate radiation measurement instrumentation
to conduct such evaluation as well as the methodology to be employed;
(C) providing consultation, by which determination
of the presence and extent of any radiological hazard, in any controlled,
restricted, uncontrolled or unrestricted area, resulting from the
use of ionizing radiation or radioactivity in the treatment or diagnosis
of disease in humans, is made. This includes the design, conduct,
and evaluation of results of radiation surveys of health care facilities
and the immediate environs intended to determine whether occupancy
by medical radiation workers, patients, and members of the public
is compliant with state and federal regulations for the control of
ionizing radiations. A survey includes the directing of physical measurements
of radiation levels and radioactivity, the interpretation of those
measurements, and the provision of any conclusions or recommendations
intended to limit or prevent exposure of workers, members of the public,
and patients;
(D) performing dose and associated risk assessment
in which an effective dose equivalent, committed effective dose equivalent,
organ dose equivalent, or committed organ dose equivalent is determined
by measurement or calculation or both, to any worker, member of the
public, fetus or patient who received exposure to ionizing radiation
or radioactivity from radiation sources used to treat or diagnose
disease in humans. This does not include either the prospective or
retrospective determination of absorbed doses to patients undergoing
radiation therapy;
(E) consultation which consists of the evaluation or
assessment of the radiation safety aspects of policies or procedures
which pertain to the safe and appropriate use of radiation or radioactivity,
administered to human research volunteers or used to treat or diagnose
conditions in humans, when such evaluation or assessment provides
conclusions or recommendations regarding dose equivalent assessment,
the overall radiation safety afforded to individuals resulting from
activities conducted in compliance with the evaluated policies or
procedures, or the compliance of any or all provisions of the policies
or procedures with either state or federal regulatory requirements
for the control of radiation; and
(F) use of assistants by the licensed medical physicist
in accordance with the following: the medical physicist may be assisted
by other properly trained individuals in obtaining test data for performance
monitoring. These individuals must be properly trained and approved
by the medical physicist in the techniques of performing the tests,
the function and limitations of the equipment and test instruments,
the reasons for the tests, and the importance of the test results.
The tests will be performed by or under the general supervision of
the medical physicist, who is responsible for and must review, interpret,
and approve all data and provide a signed report.
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