Other than as provided in 180 NAC 7-026, the licensee must
require an authorized user of unsealed radioactive material for the uses
authorized in 180 NAC 7-041 to be a physician who:
(A) Is certified by a medical specialty board
whose certification process has been recognized by the Department, NRC, or an
Agreement State. The names of board certifications that have been recognized by
the NRC or an Agreement State are posted on the NRC's Medical Uses Licensee
Toolkit website. To have its certification process recognized, a specialty
board must require all candidates for certification to:
(i) Complete 60 hours of training and
experience in basic radionuclide handling techniques and radiation safety
applicable to the medical use of unsealed radioactive material for uptake,
dilution, and excretion studies as described in 180 NAC 7-043(C)(i) and (ii);
and
(ii) Pass an examination,
administered by diplomates of the specialty board that assesses knowledge and
competence in radiation safety, radionuclide handling, and quality control;
or
(B) Is an authorized
user under 180 NAC 7-047 or 7-051 or equivalent NRC or Agreement State
requirements; or
(C) Has completed
60 hours of training and experience, including a minimum of eight hours of
classroom and laboratory training, in basic radionuclide handling techniques
applicable to the medical use of unsealed radioactive material for uptake,
dilution, and excretion studies. The training and experience must include:
(i) 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; and
(5) Radiation
biology;
(ii) Work
experience, under the supervision of an authorized user who meets the
requirements in 180 NAC 7-026, 7-043, 7-047 or 7-051 or equivalent NRC or
Agreement State requirements, involving:
(1)
Ordering, receiving, and unpacking radioactive materials safely and performing
the related radiation surveys;
(2)
Performing quality control procedures on 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;
(5) Using procedures to
contain spilled radioactive material safely and using proper decontamination
procedures; and
(6) Administering
dosages of radioactive drugs to patients or human research subjects;
and
(iii) Has obtained
written attestation that the individual has satisfactorily completed the
requirement in 180 NAC 7-043(C) and is able to independently fulfill the
radiation safety-related duties as an authorized user for the medical uses
authorized under 180 NAC 7-041. The attestation must be obtained from either:
(1) A preceptor authorized user who meets the
requirements in 180 NAC 7-026, 7-043, 7-047, or 7-051, or equivalent NRC or
Agreement State requirements; or
(2) A residency program director who affirms
in writing that the attestation represents the consensus of the residency
program faculty where at least one faculty member is an authorized user who
meets the requirements in 180 NAC 7-026, 7-043, 7-047, or 7-051, or equivalent
NRC or Agreement State requirements, and concurs with the attestation provided
by the residency program director. The residency training program must be
approved by the Residency Review Committee of the Accreditation Council for
Graduate Medical Education or the Royal College of Physicians and Surgeons of
Canada or the Council on Postdoctoral Training of the American Osteopathic
Association and must include training and experience specified in 180 NAC
7-043(C) of this section.
