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 4035.63 - Training for Uptake, Dilution, or Excretion Studies

Universal Citation: NH Admin Rules He-P 4035.63

Current through Register No. 40, October 3, 2024

(a) Except as provided in He-P 4035.71, the licensee shall require the authorized user of unsealed byproduct material listed in He-P 4035.27 to be a physician, who is certified by a medical specialty board whose certification process has been recognized by DHHS/RHS, or an agreement state, or the Nuclear Regulatory Commission. The names of board certifications that have been recognized by DHHS/RHS, agreement state, or Nuclear Regulatory Commission on the NRC's Medical Uses Licensee Toolkit web page. To have its certification process recognized, a specialty board shall require all candidates for certification to:

(1) Complete 60 hours of training and experience in basic radionuclide handling techniques and radiation safety applicable to the use of unsealed byproduct material for uptake, dilution, and excretion studies as described in He-P 4035.63(b)(1); and

(2) Pass an examination, administered by diplomats of the specialty board, which assesses knowledge and competence in radiation safety, radionuclide handling, and quality control; or

(b) Except as provided in He-P 4035.71, an authorized user of unsealed byproduct material for the uses authorized under He-P 4035.64, He-P 4035.65, or the equivalent requirements of an agreement state of the Nuclear Regulatory Commission to be a physician, who:

(1) Completed 60 hours of training and experience, including a minimum of 8 hours of classroom and laboratory training, in basic radionuclide handling techniques applicable to the medical use of unsealed byproduct material for uptake, dilution, and excretion studies.
a. The training and experience shall include classroom and laboratory training in the following areas:
1. Radiation physics and instrumentation;

2. Radiation protection;

3. Mathematics pertaining to the use and measurement of radioactivity;

4. Chemistry of byproduct material for medical use;

5. Radiation biology; and

b. Work experience, under the supervision of an authorized user who meets the requirements in He-P 4035.63, He-P 4035.64, He-P 4035.65, He-P 4035.71, the equivalent requirements of an agreement state, or the Nuclear Regulatory Commission involving:
1. Ordering, receiving, and unpacking radioactive materials safely and performing the related radiation surveys;

2. Performing quality control procedures on instruments used to determine the activity of dosages and performing checks for proper operation of survey meters;

3. Calculating, measuring, and safely preparing patient or human research subject dosages;

4. Using administrative controls to prevent a medical event involving the use of unsealed byproduct material;

5. Using procedures to contain spilled byproduct material safely and using proper decontamination procedures;

6. Administering dosages of radioactive drugs to patients or human research subjects; and

(2) Obtained written attestation that the individual has satisfactorily completed the requirements of He-P 4035.63(b)(1) and is able to independently fulfill the radiation safety-related duties as an authorized user for the medical uses authorized under He-P 4035.27. The attestation shall be obtained from either:
a. A preceptor authorized user who meets the requirements in He-P 4035.63, He-P 4035.64, He-P 4035.65, or He-P 4035.71, the equivalent requirements of an agreement state, or the Nuclear Regulatory Commission; or

b. 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 He-P 4035.63, He-P 4035.64, He-P 4035.65, or He-P 4035.71, the equivalent requirements of an agreement state, or the Nuclear Regulatory Commission, and concurs with the attestation provided by the residency program director; and

c. The residency training program shall 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 shall include training and experience specified in He-P 4035.63(b)(1).

(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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