Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 180 - CONTROL OF RADIATION
Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL
Section 180-7-049 - SAFETY INSTRUCTION AND SAFETY PRECAUTIONS
Universal Citation: 180 NE Admin Rules and Regs ch 7 ยง 049
Current through September 17, 2024
049.01 ADDITIONAL SAFETY REQUIREMENTS. In addition to the requirements of 180 NAC 10-003:
(A) A
licensee must provide radiation safety instruction, initially and at least
annually, to all personnel caring for patients or human research subjects who
cannot be released according to 180 NAC 7-037. The instruction must be
appropriate to the personnel's assigned duties and include:
(i) Patient or human research subject
control;
(ii) Visitor control, to
include:
(1) Routine visitation to
hospitalized individuals according to 180 NAC 4-013.01(A); and
(2) Visitation authorized according to 180
NAC 4-013.03;
(iii)
Contamination control;
(iv) Waste
control; and
(v) Notification of
the RSO or their designee and the authorized user if the patient or the human
research subject has a medical emergency or dies; and
(B) A licensee must retain a record of
individuals receiving instruction required by 180 NAC
7-101.
049.02 SAFETY PRECAUTIONS. Safety precautions must be followed as specified below.
(A) For each
patient or human research subject who cannot be released under 180 NAC 7-037, a
licensee must:
(i) Quarter the patient or the
human research subject either in:
(1) A
private room with a private sanitary facility; or
(2) A room, with a private sanitary facility,
with another individual who also has received therapy with unsealed radioactive
material and who also cannot be released under 180 NAC
7-037;
(ii) Visibly post
the patient's or the human research subject's door with a "Caution: Radioactive
Materials" sign and note on the door or in the patient's or human research
subject's chart where and how long visitors may stay in the patient's or human
research subject's room; and
(iii)
Either:
(1) Monitor material and items
removed from the patient's or the human research subject's room to determine
their radioactivity cannot be distinguished from the natural background
radiation level with a radiation detection survey instrument set on its most
sensitive scale and with no interposed shielding; or
(2) Handle such material and items as
radioactive waste; and
(B) The RSO, or their designee, and the
authorized user must be notified immediately if the hospitalized patient dies
or has a medical emergency. The licensee must also notify the Department
according to 180 NAC 7-119 if it is possible any individual could receive
exposures in excess of 180 NAC 4-013 as a result of the deceased's body;
and
(C) Measure the thyroid burden
of each individual who helped prepare or administer a liquid dosage of
iodine-131 or in all cases where the patient's vomits or the capsule is
compromised. The measurement must be done within three days after administering
the dosage, and retain for the period required by 180 NAC 4-052 a record of
each thyroid burden measurement, date of measurement, the name of the
individual whose thyroid burden was measured, and the initials of the
individual who made the measurements.
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