Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 180 - CONTROL OF RADIATION
Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL
Section 180-7-047 - TRAINING FOR IMAGING AND LOCALIZATION STUDIES
Universal Citation: 180 NE Admin Rules and Regs ch 7 ยง 047
Current through September 17, 2024
Other than provided in 180 NAC 7-026, the licensee must require an authorized user of unsealed radioactive material for the uses authorized in 180 NAC 7-044 to be a physician who:
047.01 CERTIFICATION. Is certified by a medical specialty board whose certification process has been recognized by an Agreement State or the NRC. The names of board certification that have been recognized by the Department, an Agreement State or the NRC 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:
(A) Complete 700 hours of training and
experience in basic radionuclide handling techniques and radiation safety
applicable to the medical use of unsealed radioactive material for imaging and
localization studies as described in 180 NAC 7-047.03(A)(i) through (A)(ii)(7);
and
(B) Pass an examination,
administered by diplomates of the specialty board, which assesses knowledge and
competence in radiation safety, radionuclide handling, and quality control;
or
047.02 AUTHORIZED USER. Is an authorized user in 180 NAC 7-051 and meets the requirements in 180 NAC 7-047.03(A)(ii)(7) or equivalent NRC or Agreement State requirements; or
047.03 TRAINING AND EXPERIENCE. The physician has:
(A) Completed 700 hours of training and
experience, including a minimum of 80 hours of classroom and laboratory
training in basic radionuclide handling techniques applicable to the medical
use of unsealed radioactive material for imaging and localization studies. The
training and experience must include at a minimum:
(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; and
(ii) Work
experience, under the supervision of an authorized user, who meets the
requirements in 180 NAC 7-026, 7-047, or 7-051 and 7-047.03(A)(ii)(7) or
equivalent NRC or Agreement State requirements. An authorized nuclear
pharmacist who meets the requirements in 180 NAC 7-024 or 7-026 may provide the
supervised work experience for 180 NAC 7-047.03(A)(ii)(7) of this section. Work
experience must involve:
(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;
(6) Administering
dosages of radioactive drugs to patients or human research subjects;
and
(7) Eluting generator systems
appropriate for preparation of radioactive drugs for imaging and localization
studies, measuring and testing the eluate for radionuclide purity, and
processing the eluate with reagent kits to prepare labeled radioactive drugs;
and
(B)
Obtained written attestation, that the individual has satisfactorily completed
the requirements in 180 NAC 7-047.03(A) 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 and 7-044. The attestation must be obtained from
either:
(i) A preceptor authorized user who
meets the requirements in 180 NAC 7-026, 7-047, or 7-051 and
7-047.03(A)(ii)(7), or equivalent NRC or Agreement State requirements;
or
(ii) 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, 7-047, or 7-051 and
7-047.03(A)(ii)(7), 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 7-47.03(A) of this
section.
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