Current through September 17, 2024
071.01
CONTROLLED ACCESS. A licensee must control access to
the treatment room by a door at each entrance
071.02
ELECTRICAL INTERLOCK
SYSTEM. A licensee must equip each entrance to the treatment room
with an electrical interlock system that will:
(A) Prevent the operator from initiating the
treatment cycle unless each treatment room entrance door is closed;
(B) Cause the source or sources to be
shielded promptly when an entrance door is opened; and
(C) Prevent the source or sources from being
exposed following an interlock interruption until all treatment room entrance
doors are closed and the source or sources on-off control is reset at the
console.
071.03
AMBIENT RADIATION LEVELS. A licensee must require any
individual entering the treatment room to assure, through the use of
appropriate radiation monitors, that radiation levels have returned to ambient
levels.
071.04
VIEWING
AND INTERCOM SYSTEM. Other than low-dose remote afterloader units,
a licensee must construct or equip each treatment room with viewing and
intercom systems to permit continuous observation of the patient or the human
research subject from the treatment console during irradiation.
071.05
EXPEDITIOUS
REMOVAL. For licensed activities where sources are placed within
the patient's or human research subject's body, a licensee may only conduct
treatments which allow for expeditious removal of a decoupled or jammed
source.
071.06
ADDITIONAL REQUIREMENTS. In addition to the
requirements specified in 180 NAC 7-071.01 through 7-071.05, a licensee must:
(A) For LDR, MDR and PDR remote afterloader
units, require:
(i) An authorized medical
physicist and either an authorized user or a physician, under the supervision
of an authorized user, who has been trained in the operation and emergency
response for the unit to be physically present during the initiation of all
patient treatments involving the unit; and
(ii) An authorized medical physicist and
either an authorized user or an individual, under the supervision of an
authorized user, who has been trained to remove the source applicator or
applicators in the event of an emergency involving the unit, to be immediately
available during continuation of all patient treatments involving the
unit;
(B) For HDR remote
afterloader units, require:
(i) An authorized
user and an authorized medical physicist to be physically present during the
initiation of all patient treatments involving the unit; and
(ii) An authorized medical physicist and
either an authorized user or a physician, under the supervision of an
authorized user, who has been trained in the operation and emergency response
for the unit, to be physically present during continuation of all patient
treatments involving the unit;
(C) For gamma stereotactic radiosurgery
units, require an authorized user and an authorized medical physicist to be
physically present throughout all patient treatments involving the unit;
and
(D) Notify the RSO, or their
designee, and an authorized user as soon as possible if the patient or human
research subject has a medical emergency and immediately if the patient
dies.
071.07
RADIOLOGICAL EMERGENCY RESPONSE EQUIPMENT. A licensee
must have applicable radiological emergency response equipment available near
each treatment room to respond to a source that inadvertently:
(A) Remains in the unshielded position;
or
(B) Lodges within the patient
following completion of the treatment.
