New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 4000 - NEW HAMPSHIRE RULES FOR THE CONTROL OF RADIATION
Part He-P 4035 - USE OF RADIONUCLIDES IN THE HEALING ARTS
Section He-P 4035.50 - Safety Procedures and Instructions for Remote Afterloader Units, Teletherapy Units, and Gamma Stereotactic Radiosurgery Units

Universal Citation: NH Admin Rules He-P 4035.50

Current through Register No. 40, October 3, 2024

(a) A licensee shall:

(1) Secure the unit, the console, the console keys, and the treatment room when not in use or unattended;

(2) Permit only individuals approved by the authorized user, radiation safety officer, or authorized medical physicist to be present in the treatment room during treatment with the source(s);

(3) Prevent dual operation of more than one radiation producing device in a treatment room if applicable; and

(4) Develop, implement, and maintain written procedures for responding to an abnormal situation when the operator is unable to place the source(s) in the shielded position, or remove the patient or human research subject from the radiation field with controls from outside the treatment room. The procedures shall include:
a. Instructions for responding to equipment failures and the names of the individuals responsible for implementing corrective actions;

b. The process for restricting access to and posting of the treatment area to minimize the risk of inadvertent exposure; and

c. The names and telephone numbers of the authorized users, the authorized medical physicist, and the radiation safety officer to be contacted if the unit or console operates abnormally.

(b) A copy of the procedures required by He-P 4035.50(a)(4) shall be physically located at the unit console.

(c) A licensee shall post instructions at the console to inform the operator of:

(1) The location of the procedures required by He-P 4035.50(a)(4); and

(2) The names and telephone numbers of the authorized users, the authorized medical physicist, and the radiation safety officer to be contacted if the unit or console operates abnormally.

(d) Prior to the first use for patient treatment of a new unit or an existing unit with a manufacturer upgrade that affects the operation and safety of the unit, a license shall ensure that vendor operational and safety training is provided to all individuals who will operate the unit. The vendor operational and safety training shall be provided by the device manufacturer or by an individual certified by the device manufacturer to provide the operational and safety training.

(e) A licensee shall provide operational and safety instruction, initially and annually, to all individuals who operate the unit, as appropriate to the individual's assigned duties. The instructions shall include:

(1) The procedures identified in He-P 4035.50(a)(4); and

(2) The operating procedures for the unit.

(f) A licensee shall ensure that operators, authorized medical physicists, and authorized users participate in drills of the emergency procedures, initially and at least annually.

(g) A licensee shall retain a record of individuals receiving instruction required by He-P 4035.50(d) and (e) for 3 years. The record shall include:

(1) A list of the topics covered;

(2) The date of the instruction;

(3) The name(s) of the attendee(s); and

(4) The name(s) of the individual(s) who provided the instruction.

(h) A licensee shall retain a copy of the procedures required by He-P 4035.50(a)(4) and (e) (2) until the licensee no longer possesses the remote afterloader unit, teletherapy unit, or gamma stereotactic radiosurgery unit.

(See Revision Note at part heading for He-P 4035) #6942, eff 2-1-99; ss by #8800, INTERIM, eff 2-1-07, EXPIRED: 7-31-07

New. #8959, eff 8-7-07

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