Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 180 - CONTROL OF RADIATION
Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL
Section 180-7-037 - RELEASE OF INDIVIDUALS CONTAINING RADIOACTIVE DRUGS OR IMPLANTS

Universal Citation: 180 NE Admin Rules and Regs ch 7 ยง 037

Current through September 17, 2024

037.01 TOTAL EFFECTIVE DOSE EQUIVALENT TO ANOTHER INDIVIDUAL. A licensee may authorize the release from its control of any individual who has been administered unsealed radioactive drugs or implants containing radioactive material if the total effective dose equivalent to any other individual from exposure to the released individual is not likely to exceed 5 mSv (0.5 rem). NRC's - NUREG-1556, Vol.9 "Consolidated Guidance About Materials Licenses: Program-Specific Guidance About Medical Licenses," describes methods for calculating doses to other individuals and contains tables of activities not likely to cause doses exceeding 5 mSv (0.5 rem).

037.02 ORAL AND WRITTEN INSTRUCTIONS. For patients administered radioactive material for which a written directive is required, a licensee must provide the released individual, or individual's parent or guardian with oral and written instructions on actions recommended to maintain doses to other individuals ALARA if the total effective dose equivalent to any other individual is likely to exceed 1 mSv (0.1 rem). If the dose to a breast-feeding infant or child could exceed 1 mSv (0.1 rem) assuming there were no interruption of breast-feeding, the instructions must also include:

(A) Guidance on the interruption or discontinuation of breast-feeding; and

(B) Information on the potential consequences, if any, of failure to follow the guidance.

037.03 APPROVAL FOR PATIENT RELEASE. Release of the patient must be approved by an individual listed as an authorized user on the Department license or an approved individual who is operating directly under the supervision of an authorized user approved for the type of radioactive material use for which the patient being released has received.

037.04 RECORD OF BASIS FOR RELEASE. The licensee must maintain a record of the basis for authorizing the release of an individual according to 180 NAC 7-096.

037.05 RECORD OF INSTRUCTIONS PROVIDED TO BREASTFEEDING FEMALES. The licensee must maintain a record of instructions provided to a breast-feeding female according to 180 NAC 7-096.

037.06 NOTIFICATION. The licensee must notify the Department according to 180 NAC 7-119:

(A) When they are aware a patient containing radioactive material and who was released according to 180 NAC 7-037 dies; and

(B) If it is possible that any individual could receive exposures in excess of 5 mSv (500 mrem) as a result of the deceased's body.

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