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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

    (D) investigate and cause a report to be submitted to the agency for each known or suspected case of radiation exposure to an individual or radiation level detected in excess of limits established by this chapter and each theft or loss of source(s) of radiation, to determine the cause(s), and to take steps to prevent a recurrence;

    (E) investigate and cause a report to be submitted to the agency for each known or suspected case of release of radioactive material to the environment in excess of limits established by this chapter;

    (F) have a thorough knowledge of management policies and administrative procedures of the licensee;

    (G) identify radiation safety problems;

    (H) assume control and initiate, recommend, or provide corrective actions, including shutdown of operations when necessary, in emergency situations or unsafe conditions;

    (I) verify implementation of corrective actions;

    (J) ensure that records are maintained as required by this chapter;

    (K) ensure the proper storing, labeling, transport, use, and disposal of sources of radiation, storage, and/or transport containers;

    (L) ensure that inventories are performed in accordance with the activities for which the license application is submitted;

    (M) ensure that personnel are complying with this chapter, the conditions of the license, and the operating, safety, and emergency procedures of the licensee; and

    (N) serve as the primary contact with the agency.

  (2) The RSO shall ensure that the duties listed in paragraph (1)(A) - (N) of this subsection are performed.

  (3) The RSO shall be on site periodically commensurate with the scope of licensed activities to satisfy the requirements of paragraphs (1) and (2) of this subsection.

  (4) The RSO, or staff designated by the RSO, shall be capable of physically arriving at the licensee's authorized use site(s) within a reasonable time of being notified of an emergency situation or unsafe condition.

  (5) For up to 60 days each calendar year, a licensee may permit an authorized user or an individual qualified to be an RSO to function as a temporary RSO and to perform the duties of an RSO in accordance with paragraph (1) of this subsection, provided the licensee takes the actions required in paragraph (1) of this subsection, and the RSO meets the qualifications in subsection (h) of this section. Records of qualifications and dates of service shall be maintained in accordance with subsection (www) of this section for inspection by the agency.

(h) Training for radiation safety officer. Except as provided in subsection (l) of this section, the licensee shall require the individual fulfilling the responsibilities of an RSO 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 agency, the NRC, or an agreement state and who meets the requirements in paragraphs (5) and (6) of this subsection. (The names of board certifications that have been recognized by the agency, the NRC, or an agreement state appear on the NRC's web page at https://www.nrc.gov/materials/miau/med-use-toolkit/spec-board-cert.html).

    (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 agency, 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) meets the requirements of paragraphs (5) and (6) of this subsection and has completed a structured educational program consisting of the following:

    (A) 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

    (B) 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 involving the following:

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

      (ii) using and performing checks for proper operation of dose calibrators, survey meters, and instruments 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; or

  (3) is a medical physicist who has been certified by a specialty board whose certification process has been recognized by the agency, the NRC, or an agreement state in accordance with subsection (j)(1) of this section and has experience in radiation safety for similar types of use of radioactive material for which the licensee is seeking the approval of the individual as RSO and who meets the requirements in paragraphs (5) and (6) of this subsection; or

  (4) is an authorized user, authorized medical physicist, or authorized nuclear pharmacist identified on the licensee's license and has experience with the radiation safety aspects of similar types of use of radioactive material for which the individual has RSO responsibilities; and

  (5) has obtained written attestation, signed by a preceptor RSO, that the individual has satisfactorily completed the requirements in paragraph (6) of this subsection and in paragraphs (1)(A)(i) and (ii) or (1)(B)(i) and (ii), or (2), (3), or (4) of this subsection, and has achieved a level of radiation safety knowledge sufficient to function independently as an RSO for a medical use licensee; and

  (6) has training in the radiation safety, regulatory issues, and emergency procedures for the types of use for which a licensee seeks approval. This training requirement may be satisfied by completing training that is supervised by a RSO, 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.

(i) Radiation safety committee (RSC). Licensees with broad scope authorization and licensees who are authorized for two or more different types of uses of radioactive material in accordance with subsections (kk), (rr), and (ddd) of this section, or two or more types of units under subsection (ddd) of this section shall establish an RSC to oversee all uses of radioactive material permitted by the license.

  (1) The RSC for licenses for medical use with broad scope authorization shall be composed of the following individuals as approved by the agency:

Cont'd...

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