Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 180 - CONTROL OF RADIATION
Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL
Section 180-7-117 - REPORT AND NOTIFICATION OF A DOSE TO AN EMBRYO OR FETUS OR A NURSING CHILD

Current through March 20, 2024

117.01 DOSE TO EMBRYO OR FETUS. A licensee must report any dose to an embryo or fetus that is greater than 5 mSv (500 mrem) dose equivalent that is a result of an administration of radioactive material or radiation from radioactive material to a pregnant individual unless the dose to the embryo or fetus was specifically approved, in advance, by the authorized user.

117.02 DOSE TO A NURSING CHILD. A licensee must report any dose to a nursing child that was not specifically approved, in advance, by the authorized user; that is a result of an administration of radioactive material to a breast-feeding individual that:

(A) Is greater than 5 mSv (500 mrem) total effective dose equivalent; or

(B) Has resulted in unintended permanent functional damage to an organ or a physiological system of the child, as determined by a physician.

117.03 TELEPHONE NOTIFICATION. The licensee must notify by telephone the Department no later than the next calendar day after discovery of a dose to the embryo or fetus or nursing child that requires a report in 180 NAC 7-117.01 or 7-117.02.

117.04 WRITTEN REPORT REQUIREMENTS. The licensee must submit a written report to the Department within 15 days after discovery of a dose to the embryo or fetus or nursing child that requires a report in 180 NAC 7-117.01 or 7-117.02.

(A) The written report must include:
(i) The licensee's name;

(ii) The name of the prescribing physician;

(iii) A brief description of the event;

(iv) Why the event occurred;

(v) The effect, if any, on the embryo or fetus or the nursing child;

(vi) What actions, if any, have been taken or are planned to prevent recurrence; and

(vii) Certification that the licensee notified the pregnant individual or mother, or the mother's or child's responsible relative or guardian, and if not, why not; and

(B) The report cannot contain the individual's or child's name or any other information that could lead to identification of the individual or child.

117.05 NOTIFICATIONS. The licensee must provide notification of the event to the referring physician and also notify the pregnant individual or mother, both hereafter referred to as the mother, no later than 24 hours after discovery of an event that would require reporting in 180 NAC 7-117.01 and 7-117.02, unless the referring physician personally informs the licensee either that they will inform the mother or that, based on medical judgment, telling the mother would be harmful. The licensee is not required to notify the mother without first consulting with the referring physician. If the referring physician or mother cannot be reached within 24 hours, the licensee must make the appropriate notifications as soon as possible thereafter. The licensee may not delay any appropriate medical care for the embryo or fetus or for the nursing child, including any necessary remedial care as a result of the event, because of any delay in notification. To meet the requirements of 180 NAC 7-117.05, the notification may be made to the mothers or child's responsible relative or guardian instead of the mother. If a verbal notification is made, the licensee must inform the mother, or the mothers or child's responsible relative or guardian that a written description of the event can be obtained from the licensee upon request. The licensee must provide such a written description if requested.

117.06 RECORDS. A licensee must retain a record of a dose to an embryo or fetus or a nursing child according to 180 NAC 7-090. A copy of the record required under 180 NAC 7-090 must be provided to the referring physician, if other than the licensee, within 15 days after the discovery of the event.

Disclaimer: These regulations may not be the most recent version. Nebraska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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