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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

  (6) A person that takes possession of a radiation machine as the result of foreclosure, bankruptcy, or other default of payment may possess the machine without registering it. If the machine is energized, it shall be under the supervision of a person registered per this section and shall be energized only to demonstrate that the machine is operable for sale, lease, or transfer purposes.

  (7) Facilities, including academic institutions and research or development facilities, registered for the use of radiation machines are exempt from the registration requirements of subsection (j) of this section, regarding radiation services, to the extent that their personnel perform radiation services only for the registrant by whom they are employed.

  (8) Bone densitometry machines used by, or under the supervision of, a licensed physician, are exempt from equipment performance evaluations.

(e) General requirements for application for registration.

  (1) Application for registration shall be completed on forms prescribed by the department and shall contain all the information required by the form and accompanying instructions. For initial registrations with multiple use locations, a separate application RC Form 226-2 shall be completed for each use location under the registration.

  (2) A radiation safety officer (RSO) shall be designated on each application form. The qualifications of that individual shall be submitted to the department with the application. The RSO shall meet the applicable qualifications specified in paragraph (3) of this subsection and carry out the responsibilities of subsection (n) of this section.

  (3) Qualifications for RSOs for registrants.

    (A) All RSOs shall meet the following general qualifications in addition to qualifications in specific categories:

      (i) knowledge of potential radiation hazards and emergency precautions; and

      (ii) completed educational courses related to ionizing radiation safety or a radiation safety officer course; or

      (iii) experience in the use and familiarity of the type of equipment used.

    (B) Specific qualifications for RSOs by the facility type are as follows.

      (i) RSOs for healing arts facilities shall meet the following qualifications:

        (I) practitioner RSOs shall submit documentation of their licensing board number;

        (II) qualifications for a non-practitioner RSO with radiation machine-related credentials, and the following credentials will be accepted for an RSO who is not a practitioner:

          (-a-) evidence of a valid general certificate issued under the Medical Radiologic Technologist Certification Act, Texas Occupations Code, Chapter 601, and at least two years of supervised radiation safety experience or supervised use of radiation machines;

          (-b-) evidence of a valid limited certificate issued under the Medical Radiologic Technologist Certification Act, Texas Occupations Code, Chapter 601, and at least four years of supervised radiation safety experience or supervised use of radiation machines;

          (-c-) evidence of registry by the American Registry of Radiologic Technologists (ARRT) or the American Registry of Clinical Radiologic Technologists (ARCRT) and at least two years of supervised radiation safety experience or supervised use of radiation machines;

          (-d-) evidence of associate degree in radiologic technology, health physics, or nuclear technology, and at least two years of supervised radiation safety experience or supervised use of radiation machines;

          (-e-) for radiation therapy facilities, evidence of registry by the ARRT or ARCRT and at least four years of supervised radiation-related experience or supervised use of radiation therapy machines; or

          (-f-) evidence of a current Texas license under the Medical Physics Practice Act, Texas Occupations Code, Chapter 602, in one or more of the following appropriate specialties:

            (-1-) medical health physics, diagnostic medical physics, or nuclear medical physics for diagnostic x-ray facilities; or

            (-2-) medical health physics or therapeutic medical physics for radiation therapy facilities; or

        (III) qualification for a non-practitioner RSO without radiation machine-related credentials, and an RSO who is not a practitioner and who does not have radiation machine-related credentials must meet the following criteria:

          (-a-) credentials:

            (-1-) evidence of registration with the Texas Board of Nursing as a registered nurse and at least two years of supervised experience in the use of radiation machines in their respective specialty;

            (-2-) evidence of registration with the Texas Physician Assistant Board and at least two years of supervised experience in the use of radiation machines in their respective specialty; or

            (-3-) evidence of bachelor's or higher degree in radiologic technology, health physics, or nuclear technology and at least two years of supervised experience in the use of radiation machines; and

          (-b-) additional documentation for a non-practitioner RSO without radiation machine-related credentials, and the following documentation must be provided to be qualified:

            (-1-) an attestation by a physician or qualified department director describing the radiation safety experience and performance of the RSO responsibilities listed in subsection (n) of this section, as applicable, and attestation must include that the RSO has achieved a level of radiation safety knowledge sufficient to function independently as RSO for the medical use for which they are applying; and

            (-2-) documentation of an accredited radiation safety or radiation machine course completion, and the course must be at least 24 credit hours and include the principles of image processing, radiation protections, dose optimization and reduction; biological effects of ionizing radiation; radiology quality control and improvement; and review of Texas Regulations related to radiation as applicable.

      (ii) Academic institutions or research and development facilities shall have RSOs who are faculty or staff members with a bachelor's degree or higher in a radiation-related field and at least two years of supervised experience in the use of radiation machines and the following documentation is also required:

        (I) an attestation by a physician or qualified department director describing the radiation safety experience and performance of the RSO responsibilities listed in subsection (n) of this section, as applicable, and attestation must include that the RSO has achieved a level of radiation safety knowledge sufficient to function independently as RSO for the medical use for which they are applying.

        (II) documentation that the individual has satisfactorily completed 40 hours of education related to safe use of radiation machines from an accredited institution.

      (iii) Industrial radiography operations shall have an RSO who meets the requirements of §289.255(e)(4)(B) of this title.

    (C) The RSO identified on a certificate of registration issued before September 1, 1993, need not comply with the training requirements in this subsection.

    (D) The RSO for an application for registration of an electronic brachytherapy device shall meet the qualifications of this subsection and shall carry out the responsibilities of subsection (n) of this section.

    (E) The department may determine that a person who otherwise meets the RSO qualifications specified in this section is unqualified to be named as the RSO, based on the person's history with ensuring a facility's compliance with the Act and rules of this chapter.

  (4) Any time after the filing of the original application, the department may require additional information to determine if the certificate of registration should be issued or denied.

  (5) An application for a certificate of registration may include a request for a certificate of registration authorizing one or more activities or use locations. Applications for certification of mammography systems shall be made separately.

  (6) Applications and documents submitted to the department may be made available for public inspection except that the department may withhold any document or part thereof from public inspection per §289.231(aa) of this title.

  (7) Each application for a certificate of registration shall be accompanied by the fee prescribed in §289.204 of this title.

  (8) Each application shall be accompanied by a completed RC Form 226-1 (Business Information Form) that shall contain the legal name of the entity or business. Unless exempt per the Business and Commerce Code, Chapter 71, the applicant shall:

    (A) be authorized to conduct business in the State of Texas as listed on the Texas Secretary of State (SOS) website; and

Cont'd...

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