Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 180 - CONTROL OF RADIATION
Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL
Section 180-7-025 - TRAINING AND TECHNICAL REQUIREMENT FOR NUCLEAR MEDICINE TECHNOLOGISTS AND RADIATION THERAPISTS

Universal Citation: 180 NE Admin Rules and Regs ch 7 ยง 025

Current through September 17, 2024

025.01 NUCLEAR MEDICINE TECHNOLOGY The licensee must require an individual performing nuclear medicine technology under the supervision of an authorized user to be an individual who:

(A) Is certified in:
(i) Nuclear Medicine by the Nuclear Medicine Technology Certification Board; or

(ii) Nuclear Medicine by the American Registry of Radiologic Technologists (ARRT) with competency in Nuclear Medicine;

(B) Is board eligible to take the Nuclear Medicine Technology Certification Board or the ARRT with competency in Nuclear Medicine examination;

(C) Has successfully completed a training program in nuclear medicine which has resulted in certificate, associate degree, or baccalaureate degree in a nuclear medicine technology program from an accredited institution; or

(D) Has training and experience in basic radionuclide handling techniques applicable to the medical use of unsealed radioactive material that includes:
(i) 200 hours of classroom and laboratory training in the following areas:
(1) Radiation Physics and instrumentation;

(2) Radiation protection;

(3) Mathematics pertaining to the use and measurement of radioactivity;

(4) Chemistry of radioactive material for medical use;

(5) Radiation biology; and

(6) Imaging Technology;

(ii) Work experience, under the supervision of an authorized user involving:
(1) Ordering, receiving, and unpacking radioactive materials safely and performing the related radiation surveys;

(2) Quality Control checking of instruments used to determine the activity of dosages and performing checks for proper operation of survey meters;

(3) Calculating, measuring, and safely preparing patient or human research subject dosages;

(4) Using administrative controls to prevent a misadministration involving the use of unsealed radioactive material; and

(5) Using procedures to contain spilled radioactive material safely and using proper decontamination procedures;

(iii) Supervised clinical experience under the supervision of an authorized user that includes:
(1) Reviewing the case histories of individuals to determine their suitability for radioisotope diagnosis, limitations, or contraindications;

(2) Identifying radiopharmaceuticals for clinical procedures and calculating and measuring the dosages;

(3) Administering dosages to individuals and using syringe radiation shields; and

(4) Acquiring and manipulating diagnostic data; and

(iv) Has obtained written certification, signed by a preceptor authorized user the individual has satisfactorily completed the requirements of 180 NAC 7-025.01(D)(i) and (ii) and has achieved a level of radiation safety competency sufficient to independently function as a nuclear medicine technologist.

025.02 RADIATION THERAPY. The licensee must require a radiation therapist using radioactive materials under the supervision of an authorized user to be an individual who:

(A) Is certified in Radiation Therapy by the ARRT;

(B) Be eligible to take the ARRT examination in Radiation Therapy;

(C) Has successfully completed a training program in radiation therapy which has resulted in a certificate, associate degree, or baccalaureate degree in a radiologic technology program that complies with the requirements of the Joint Review Committee on Education in Radiologic Technology, "Standards for Accredited Educational Program in Radiologic Sciences - Effective January 1, 2002", Joint Review Committee on Education in Radiologic Technology, January 1996; Revised 2001. This document is available for viewing at the Department of Health and Human Services, Office of Radiological Health, 301 Centennial Mall South, Lincoln, Nebraska 68509; or

(D) Has completed 200 hours of training and experience in basic radionuclide handling techniques applicable to the medical use of radioactive material that includes:
(i) 200 hours of classroom and laboratory training in the following areas:
(1) Radiation physics and instrumentation;

(2) Radiation protection;

(3) Mathematics pertaining to the use and measurement of radioactivity; and

(4) Radiation biology; and

(ii) Work experience, under the supervision of an authorized user involving:
(1) Ordering, receiving, and unpacking radioactive materials safely and performing the related radiation surveys;

(2) Assisting the authorized user in simulating the patient for treatment;

(3) Preparing the patient for treatment;

(4) Implementing treatment plans as prescribed by the authorized user;

(5) Providing written documentation of treatment setup and patient treatments;

(6) Quality control checks to determine that devices used to deliver the radiation doses are in compliance with institutional standards and performing checks for proper operation of survey meters;

(7) Preparing or assisting in the preparation of sources, and implantation and removal of sealed sources;

(8) Delivering doses to patients or human research subjects under the supervision of the authorized user;

(9) Maintaining running inventories of radioactive material on hand;

(10) Using administrative controls to prevent a misadministration involving the use of radioactive material; and,

(11) Properly implementing emergency procedures; and

(iii) Has obtained written certification, signed by a preceptor authorized user that the individual has satisfactorily completed the requirements of 180 NAC 7-025.02 (D)(i) and (D)(ii) and has achieved a level of radiation safety competency sufficient to independently function as a radiation therapist.

025.03 RECORDS. The licensee must maintain records of the above training as specified in 180 NAC 7-100.

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