Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 180 - CONTROL OF RADIATION
Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL
Section 180-7-063 - TRAINING FOR USE OF MANUAL BRACHYTHERAPY SOURCES

Universal Citation: 180 NE Admin Rules and Regs ch 7 ยง 063

Current through September 17, 2024

Other than as provided in 180 NAC 7-026, the licensee must require an authorized user of a manual brachytherapy source for the uses authorized under 180 NAC 7-055 to be a physician who:

(A) Is certified by a medical specialty board whose certification process 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. To have its certification process recognized, a specialty board must require all candidates for certification to:

(i) Successfully complete a minimum of three years of residency training in a radiation oncology program approved by the Residency Review Committee of the Accreditation Council for Graduate Medical Education or Royal College of Physicians and Surgeons of Canada or the Council on Postdoctoral Training of the American Osteopathic Association; and

(ii) Pass an examination, administered by diplomates of the specialty board, that tests knowledge and competence in radiation safety, radionuclide handling, treatment planning, quality assurance, and clinical use manual brachytherapy; or

(B) 063.02 TRAINING AND WORK EXPERIENCE REQUIREMENTS. The physician has:

(i) Completed a structured educational program in basic radionuclide handling techniques applicable to the use of manual brachytherapy sources that includes:
(1) 200 hours of classroom and laboratory training in the following areas:
(a) Radiation physics and instrumentation;

(b) Radiation protection;

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

(d) Radiation biology; and

(2) 500 hours of work experience, under the supervision of an authorized user who meets the requirements in 180 NAC 7-026, 7-063 or equivalent NRC or Agreement State requirements at a medical facility authorized to use radioactive materials under 180 NAC 7-055, involving:
(a) Ordering, receiving, and unpacking radioactive materials safely and performing the related radiation surveys;

(b) Checking survey meters for proper operation;

(c) Preparing, implanting, and removing brachytherapy sources;

(d) Maintaining running inventories of material on hand;

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

(f) Using emergency procedures to control radioactive material; and

(ii) Completed three years of supervised clinical experience in radiation oncology, under an authorized user who meets the requirements in 180 NAC 7-026, 7-063 or equivalent NRC or Agreement State requirements, as a part of a formal training program approved by the Residency Review Committee for Radiation Oncology 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. This experience may be obtained concurrently with the supervised work experience required by 180 NAC 7-063(B)(i)(2); and

(iii) Obtained written attestation that the individual has satisfactorily completed the requirements in 180 NAC 7-063(B)(i) and (ii) and is able to independently fulfill the radiation safety-related duties as an authorized user of manual brachytherapy sources for the medical uses authorized under 180 NAC 7-055. The attestation must be obtained from either:
(1) A preceptor authorized user who meets the requirements in 180 NAC 7-026, 7-063, 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, 7-063, 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 7-063(B)(i) and (ii).

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