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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 289RADIATION CONTROL
SUBCHAPTER EREGISTRATION REGULATIONS
RULE §289.226Registration of Radiation Machine Use and Services

    (B) for individuals performing the services specified in subsection (b)(10) and (11)(C) of this section, obtain a copy of the individual's license from the Texas Board of Licensure for Professional Medical Physicists; and

    (C) for all other services, document the qualifications listed in paragraph (5) of this subsection.

  (3) No person shall provide services specified in subsection (b)(10) and (11) of this section that are not specifically authorized by the department.

  (4) No person shall provide radiation machine services for a person who cannot produce evidence of a completed application for registration or a valid certificate of registration issued by the department except for:

    (A) services specified in subsection (b)(11)(B), (C) and (D) of this section; or

    (B) the initial installation of the first machine(s) for a new certificate of registration.

  (5) The minimum education and training for persons performing radiation machine assembly, installation, or repair are as follows.

    (A) All persons performing radiation machine assembly, installation, or repair shall meet one of the following requirements:

      (i) one year of formal training (may be satisfied by factory school, military technical training school, or other courses in radiation machine assembly, installation or repair techniques) or an associate degree in biomedical equipment repair;

      (ii) a bachelor's degree in electrical engineering with specialized training in radiation producing devices; or

      (iii) a combination of training and experience totaling one year to include:

        (I) experience or education providing familiarity with the type(s) of equipment to be serviced, to include radiation safety;

        (II) knowledge of protective measures to reduce potentially hazardous conditions; and

        (III) six months of supervised assembly and repair of the type(s) of equipment to be serviced.

    (B) A registrant holding a valid certificate of registration who has hired individuals to perform services before September 1, 1993, need not comply with the education and training requirements in this paragraph. Individuals hired on or after September 1, 1993, shall comply with the education and training requirements in this paragraph.

  (6) Each applicant for providers of equipment shall also submit:

    (A) the address of an established main location where the radiation machines, records, etc., will be maintained for inspection. This shall be a street address, not a post office box number; and

    (B) a current copy of the applicant's operating and safety procedures. This is required when the applicant's personnel are provided to operate the equipment for their client.

  (7) A record documenting the qualifications of each individual that performs the service shall be made and maintained for inspection by the department per subsection (v) of this section.

(k) Issuance of certificates of registration.

  (1) A certificate of registration application will be approved if the department determines that an application meets the requirements of the Act and the requirements of this chapter. The certificate of registration authorizes the proposed activity in the form and contains the conditions and limitations as the department deems appropriate or necessary.

  (2) The department may incorporate in the certificate of registration at the time of issuance, or thereafter by amendment, additional requirements and conditions concerning the registrant's possession, use, and transfer of radiation machines subject to this chapter as it deems appropriate or necessary to:

    (A) minimize danger to occupational and public health and safety;

    (B) require additional reports and the keeping of additional records as may be appropriate or necessary; and

    (C) prevent loss or theft of radiation machines subject to this section.

  (3) The department may request, and the registrant shall provide, additional information after the certificate of registration has been issued to enable the department to determine whether the certificate of registration should be modified per subsection (s) of this section.

(l) Terms and conditions of certificates of registration.

  (1) Each certificate of registration issued per this section shall be subject to the applicable provisions of the Act, now or hereafter in effect, and to the applicable rules and orders of the department.

  (2) No certificate of registration issued or granted under this section shall be transferred, assigned, or in any manner disposed of, either voluntarily or involuntarily, to any person unless the department authorizes the transfer in writing.

  (3) Each person registered by the department for radiation machine use per this section shall confine use and possession of the radiation machine registered to the locations and purposes authorized in the certificate of registration.

  (4) In deciding whether to grant, deny, amend, renew, revoke, suspend, or restrict a certificate of registration, the department may consider the technical competence and compliance history of an applicant or holder of a certificate of registration. After an opportunity for a hearing, the department shall deny an application for a certificate of registration, an amendment to a certificate of registration, or renewal of a certificate of registration if the applicant's compliance history reveals that at least three department actions have been issued against the applicant, within the previous 6 years, that assess administrative or civil penalties against the applicant, or that revoke or suspend the certificate of registration.

(m) Responsibilities of the registrant.

  (1) The registrant is responsible for complying with this chapter and the conditions of the certificate of registration.

  (2) The registrant shall designate an individual qualified per subsection (e)(3) of this section as the radiation safety officer and shall ensure the individual continually performs the responsibilities of the radiation safety officer as identified in subsection (n) of this section.

  (3) Persons using radiation machines per subsection (f)(1)(B) of this section (concerning radiation accelerator or therapeutic radiation machines or electronic brachytherapy devices for human use), subsection (g) of this section (concerning an application for mobile service operations), subsection (i)(1)(A) of this section (concerning persons having an accelerator for non-human use), and subsection (i)(3) of this section (concerning radiation machines in industrial radiographic operations) shall have a valid certificate of registration issued by the department before use.

  (4) Other than the initial installation of the first machines(s) for a new certificate of registration, no person shall use radiation machines unless they have applied for registration within 30 days of beginning use of the machines per subsection (f)(1)(A) of this section.

  (5) No registrant shall engage any person for services described in subsection (b)(11) of this section until the person provides to the registrant evidence of registration with the department.

  (6) No person shall provide radiation machine services for a person who cannot produce evidence of a completed application for registration or a valid certificate of registration issued by the department except for:

    (A) the initial installation of the first machines(s) for a new certificate of registration; and

    (B) the registrant authorized for demonstration and sale may demonstrate a radiation machine per paragraph (13) of this subsection.

  (7) The registrant shall notify the department of any changes that would render the information contained in the application for registration or the certificate of registration inaccurate. The notification shall be in writing and signed by an authorized representative.

    (A) Notification is required within 30 days after the following changes:

      (i) name or mailing address;

      (ii) street address where machine will be used;

      (iii) additional use location;

      (iv) RSO; or

      (v) name and registration number of the contracted provider of equipment, registered per this section.

    (B) The registrant shall notify the department within 30 days after changes in the radiation machines that include:

      (i) any change in the category(ies) of machine type or type of use as specified in §289.231(ll) of this title and as authorized in the certificate of registration; or

Cont'd...

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