Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 180 - CONTROL OF RADIATION
Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL
Section 180-7-054 - TRAINING FOR THE PARENTERAL ADMINISTRATION OF UNSEALED RADIOACTIVE MATERIAL REQUIRING A WRITTEN DIRECTIVE

Universal Citation: 180 NE Admin Rules and Regs ch 7 ยง 054

Current through March 20, 2024

054.01 AUTHORIZED USER. Other than as provided in 180 NAC 7-026, the licensee must require an authorized user for the parenteral administration requiring a written directive, to be a physician who:

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

(B) Is an authorized user under 180 NAC 7-063 or 7-084, or equivalent Agreement State or NRC requirements and who meets the requirements in 180 NAC 7-054.02; or

(C) Is certified by a medical specialty board whose certification process has been recognized by the Department, the NRC or an Agreement State under 180 NAC 7-063 or 7-084; and who meets the requirements in 180 NAC 7-054.02.

054.02 TRAINING AND SUPERVISED WORK EXPERIENCE. The physician has:

(A) Successfully completed eighty hours of classroom and laboratory training, applicable to parenteral administrations listed in 7-051(B)(i)(2)(f)(iii). The training must include:
(i) Radiation physics and instrumentation;

(ii) Radiation protection;

(iii) Mathematics pertaining to the use and measurement of radioactivity;

(iv) Chemistry of radioactive material for medical use; and

(v) Radiation biology;

(B) Work experience, under the supervision of an authorized user who meets the requirements in 180 NAC 7-026, 7-051 or 7-054, or equivalent NRC or Agreement State requirements, in the parenteral administrations listed in 7-051(B)(i)(2)(f)(iii). A supervising authorized user who meets the requirements in 180 NAC 7-051, 7-054, or equivalent NRC or Agreement State requirements must have experience in administering dosages in the same category or categories as the individual requesting authorized user status. The work experience must involve:
(i) Ordering, receiving, and unpacking radioactive materials safely, and performing the related radiation surveys;

(ii) Performing quality control procedures on instruments used to determine the activity of dosages, and performing checks for proper operation of survey meters;

(iii) Calculating, measuring, and safely preparing patient or human research subject dosages;

(iv) Using administrative controls to prevent a misadministration involving the use of unsealed radioactive material;

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

(vi) Administering dosages to patients or human research subjects, that include at least three cases of the parenteral administrations as specified in 180 NAC 7-051(B)(i)(2)(f)(iii); and

(C) Obtained written attestation that the individual has satisfactorily completed the requirements in 180 NAC 7-054.02(A) and (B), and is able to independently fulfill the radiation safety-related duties as an authorized user for the parenteral administration of unsealed radioactive material requiring a written directive. The attestation must be obtained from either:
(i) A preceptor authorized user who meets the requirements in 180 NAC 7-026, 7-051, or 7-054, or equivalent NRC or Agreement State requirements. A preceptor authorized user who meets the requirements in 180 NAC 7-051, or 7-054, or equivalent Agreement State requirements, must have experience in administering dosages in the same category or categories as the individual requesting authorized user status; 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, 7-051, or 7-054, or equivalent NRC or Agreement State requirements, has experience in administering dosages in the same dosage category or categories as the individual requesting authorized user status, 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 7-54.02 (A) and (B).

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