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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

      (ii) any increase in the number of machines authorized by the certificate of registration in any machine type or type of use category.

  (8) The registrant, or the parent company, shall notify the department in writing, immediately following the filing of a voluntary or involuntary petition for bankruptcy. This notification shall include:

    (A) the bankruptcy court in which the petition for bankruptcy was filed; and

    (B) the case name and number, and date of filing the petition.

  (9) The registrant shall inventory all radiation machines in the registrant's possession at an interval not to exceed one year.

    (A) The inventory shall include:

      (i) manufacturer's name;

      (ii) model and serial number of the control panel; and

      (iii) location of radiation machine(s) (for example, room number).

    (B) Records of the inventory shall be made and maintained for inspection by the department per subsection (v) of this section.

  (10) The registrant shall maintain records of receipt, transfer, and disposal of radiation machines.

    (A) The records shall include:

      (i) manufacturer's name;

      (ii) model and serial number from the control panel;

      (iii) date of the receipt, transfer, and disposal;

      (iv) name and address of person machine(s) received from, transferred to, or disposed of; and

      (v) name of the individual recording the information.

    (B) Records of the receipt, transfer, or disposal of the machine(s) shall be made and maintained for inspection by the department per subsection (v) of this section.

  (11) The persons using loaner radiation machines shall comply with the following.

    (A) For persons having a valid certificate of registration, loaner radiation machines may be used for up to 30 days. Within the following 30 days, the registrant shall:

      (i) notify the department of a 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

      (ii) notify the department of any increase in the number of machines authorized by the certificate of registration in any machine type or type of use category; and

      (iii) perform an equipment performance evaluation on the radiation machine(s) per §289.227(o) of this title.

    (B) For persons who do not hold a valid certificate of registration, loaner radiation machines may be used for human use up to 30 days, by or under the direction of a practitioner, before applying for a certificate of registration per subsection (e) of this section. This does not include:

      (i) accelerators for human use as described in subsection (f)(1)(B) of this section;

      (ii) mobile services as described in subsection (g) of this section;

      (iii) healing arts screening as described in subsection (h) of this section;

      (iv) accelerators for non-human use as described in subsection (i)(1)(A) of this section; and

      (v) industrial radiography as described in subsection (i)(3) of this section.

  (12) Persons authorized to provide radiation machines shall comply with the following.

    (A) Providers of equipment shall:

      (i) ensure that all radiation machines used on humans for healing arts purposes meet the requirements of §289.227(o) of this title; and

      (ii) provide radiation machines only to facilities holding a valid certificate of registration.

    (B) Providers of equipment shall keep a log of radiation machines provided in Texas. The record shall list the following current information:

      (i) date machine is provided;

      (ii) name of customer; and

      (iii) customer's certificate of registration number.

    (C) Records of machines provided shall be made and maintained for inspection by the department per subsection (v) of this section.

  (13) Persons authorized to perform demonstration and sale of radiation machines in Texas shall comply with the following.

    (A) A daily log shall be maintained and shall include:

      (i) date of all demonstrations and sales of radiation machines performed in Texas;

      (ii) name and address of the customer; and

      (iii) customer's certificate of registration number unless the service provided is an initial installation as described in paragraph (6) of this subsection.

    (B) Records of all demonstrations and sales shall be made and maintained for inspection by the department per subsection (v) of this section.

    (C) Individuals must not be exposed to the useful beam except for healing arts purposes and unless such exposure has been specifically and individually ordered by a licensed practitioner of the healing arts. This provision specifically prohibits deliberate exposure for the following purposes:

      (i) exposure of an individual for training or demonstration;

      (ii) QA/QC testing; or

      (iii) other non-healing arts purposes.

    (D) Demonstration of radiation machines performed by the service provider shall be on phantoms only.

    (E) The registrant authorized for demonstration and sale of radiation machines is responsible for performing and documenting all tests required by §289.227 of this title when demonstration of a radiation machine involves exposure specifically and individually ordered by a licensed practitioner of the healing arts.

(n) Responsibilities of RSOs.

  (1) Duties of the RSO include:

    (A) establishing and overseeing operating and safety procedures that maintain radiation exposures as low as reasonably achievable (ALARA);

      (i) review them at intervals not to exceed 12 months to ensure that the procedures are current and conform with this chapter; and

      (ii) review and ensure that all actions required in this chapter are performed at the respective intervals to maintain compliance;

    (B) ensuring that individual monitoring devices are properly used by occupationally-exposed personnel, records are kept of the monitoring results, and timely notifications are made as required by §289.203 of this title;

    (C) investigating and reporting to the department each known or suspected case of radiation exposure to an individual or radiation level detected in excess of limits established by this chapter;

    (D) assuming control and having the authority to institute corrective actions including the shut-down of operations when necessary in an emergency or unsafe conditions;

    (E) ensuring that corrective actions for violations issued by the department are implemented to avoid a repeat violation; and

    (F) maintaining records as required by this chapter.

  (2) The RSO shall ensure that personnel are adequately trained and complying with this chapter, the conditions of the certificate of registration, and the operating and safety procedures of the registrant.

  (3) The RSO shall make entries of the records in paragraph (1) of this subsection at intervals not to exceed 30 days after receipt of a monitoring report.

(o) Responsibilities of assemblers and installers.

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

  (2) Persons who assemble or install radiation machines shall notify the department of the following information within 30 days after assembly or installation:

    (A) the name, address, and certificate of registration number, except in the case of initial machine installation, of persons who have received the machines;

    (B) the type of radiation machine, the manufacturer's name, model number, and control panel serial number of each radiation machine; and

    (C) the date of transfer or disposal of each radiation machine.

  (3) Persons who assemble, install, or repair radiation machines, or components of the machines, shall ensure the radiation machines meet the applicable requirement of this chapter when the machines are placed in operation.

  (4) Persons assembling, installing, and repairing radiation machines shall keep a daily log to include the following information:

    (A) date of service;

Cont'd...

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