Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 180 - CONTROL OF RADIATION
Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL
Section 180-7-052 - TRAINING FOR THE ORAL ADMINISTRATION OF SODIUM IODIDE I-131 IN QUANTITIES LESS THAN OR EQUAL TO 1.22 GIGABECQUERELS (33 MILLICURIES) FOR WHICH A WRITTEN DIRECTIVE IS REQUIRED

Universal Citation: 180 NE Admin Rules and Regs ch 7 § 052

Current through September 17, 2024

Other than as provided in 180 NAC 7-026, the licensee must require an authorized user for the oral administration of sodium iodide I-131 in quantities less than or equal to 1.22 GBq (33 mCi), for which a directive is required, to be a physician who:

(A) Is certified by a medical specialty board whose certification process includes all of the requirements in 180 NAC 7-052(C)(i) and (ii) and whose certification has been recognized by the Department, an Agreement State or the NRC. The names of board certifications that have been recognized by an Agreement State or the NRC are posted on the NRC's Medical Uses Licensee Toolkit website; or

(B) Is an authorized user under 180 NAC 7-051(A), 7-051(B) for uses listed in 180 NAC 7-051(B)(i)(2)(f)(i) or (ii), 180 NAC 7-053, or equivalent NRC or Agreement State requirements; or

(i) Successfully completed 80 hours of classroom and laboratory training, applicable to the medical use of sodium iodide I-131 for procedures requiring a written directive. The training must include:

(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, 7-051, 7-052, 7-053, or equivalent NRC or Agreement State requirements. A supervising authorized user who meets the requirements in 180 NAC 7-051(B), must have experience in administering dosages as specified in 180 NAC 7-051(B)(i)(2)(f)(i) or (ii) The 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 check 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 radioactive material;

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

(6) Administering dosages to patients or human research subjects, that includes at least three cases involving the oral administration of less than or equal to 1.22 GBq (33 mCi) of sodium iodide I-131; and

(iii) Obtained written attestation that the individual has satisfactorily completed the requirements in 180 NAC 7-052(C)(i) and (ii), and is able to independently fulfill the radiation safety-related duties as an authorized user for oral administration of less than or equal to 1.22 gigabecquerels (33 millicuries) of sodium iodide I-131 for medical uses authorized under 180 NAC 7-048. The attestation must be obtained from either:

(1) A preceptor authorized user who meets the requirements in 180 NAC 7-026, 7-051, 7-052, 7-053, or equivalent NRC or Agreement State requirements, and has experience in administering dosages as specified in 180 NAC 7-051(B)(i)(2)(f)(i) or (i); 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, 7-051, 7-052, 7-053, or equivalent NRC or Agreement State requirements, has experience in administering dosages as specified in 180 NAC 7-051(B)(i)(2)(f)(i) or (i), 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 7-052(C).

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