Current through Register Vol. 50, No. 9, September 20, 2024
A. For remote afterloader units, teletherapy
units, and gamma stereotactic radiosurgery units, a licensee shall:
1. secure the unit, the console, the console
keys, and the treatment room when not in use or unattended;
2. permit only individuals approved by the
authorized user, radiation safety officer, or authorized medical physicist to
be present in the treatment room during treatment with the source;
3. prevent dual operation of more than one
radiation-producing device in a treatment room, if applicable; and
4. develop, implement, and maintain written
procedures for responding to an abnormal situation when the operator is unable
to place the source in the shielded position or remove the patient or human
research subject from the radiation field with controls from outside the
treatment room. These procedures shall include:
a. instructions for responding to equipment
failures and the names of the individuals responsible for implementing
corrective actions;
b. the process
for restricting access to and posting of the treatment area to minimize the
risk of inadvertent exposure; and
c. the names and telephone numbers of the
authorized users, the authorized medical physicist, and the radiation safety
officer to be contacted if the unit or console operates abnormally.
B. A copy of the
procedures required by Paragraph A.4 of this Section shall be physically
located at the unit console.
C. A
licensee shall conspicuously post written instructions at the unit console.
These instructions shall inform the operator of:
1. the location of the procedures required by
Paragraph A.4 of this Section; and
2. the names and telephone numbers of the
authorized users, the authorized medical physicist, and radiation safety
officer to be immediately contacted if the unit or console operates
abnormally.
D. Prior to
the first use for patient treatment of a new unit or an existing unit with a
manufacturer upgrade that affects the operation and safety of the unit, a
licensee shall:
1. ensure that vendor
operational and safety training is provided to all individuals who will operate
the unit. The vendor operational and safety training shall be provided by the
device manufacturer or by an individual certified by the device manufacturer to
provide the operational and safety training; and
2. provide operational and safety
instructions, initially and at least annually, to all individuals who operate
the unit, as appropriate to the individual's assigned duties. The instructions
shall include instructions in:
a. the
procedures identified in Paragraph A.4 of this Section; and
b. the operating procedures for the
unit.
E. A
licensee shall ensure that operators, authorized medical physicists, and
authorized users participate in drills of the emergency procedures, initially
and at least annually.
F. A
licensee shall maintain a record of individuals receiving instruction required
by Subsection D of this Section, a description of the instruction, the date of
instruction, the name(s) of the attendee(s), and the name of the individual who
gave the instruction for three years.
G. A licensee shall retain a copy of the
procedures required by Paragraphs A.4 and D.2 of this Section until the
licensee no longer possesses the remote afterloader, teletherapy unit, or gamma
stereotactic radiosurgery unit.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
30:2001 et seq. and
2104.B.
