New Jersey Administrative Code
Title 7 - ENVIRONMENTAL PROTECTION
Chapter 28 - RADIATION PROTECTION PROGRAMS
Subchapter 22 - QUALITY ASSURANCE PROGRAMS FOR MEDICAL DIAGNOSTIC X-RAY INSTALLATIONS
Section 7:28-22.9 - Medical Physicist's Fluoroscopic QC Survey
Current through Register Vol. 56, No. 6, March 18, 2024
(a) The registrant of any medical diagnostic fluoroscopic equipment used in the healing arts shall develop and continuously implement a quality assurance program. Such a program shall include an initial and thereafter an annual (not to exceed 14 months) Medical Physicist's Fluoroscopic QC Survey performed by a qualified medical physicist for the supervision of quality assurance programs for diagnostic x-ray imaging. The Medical Physicist's Fluoroscopic QC Survey shall include the elements identified in Table 5, Medical Physicist's Fluoroscopic QC Survey, below. If the standard for any test in Table 5 refers to a manufacturer's specification and no such specification exists, then that standard does not apply.
TABLE 5 | ||
Medical Physicist's Fluoroscopic QC Survey | ||
Item | Test | Standard |
1. | Fluoroscopic Unit Assembly | As required at 7:28-15.5 |
Evaluation | ||
2. | Entrance Exposure Rate to | Fluoroscopic equipment manufacturers' |
Image Intensifier | specifications | |
3. | Patient Entrance Exposure Rate | Fluoroscopic equipment manufacturers' |
specifications | ||
4. | Maximum Exposure Rate | As required at 7:28-15.5 |
5. | High Contract Resolution/Low | Fluoroscopic equipment manufacturers' |
Contrast for Fluoroscopy Video | specifications | |
Monitor | ||
6. | Spot Film Automatic Exposure | Fluoroscopic equipment manufacturers' |
Control (AEC) System | specifications | |
Performance | ||
7. | High Contrast Resolution/Low | Fluoroscopic equipment manufacturers' |
Contrast for Fluoroscopy Image | specifications | |
Recording System (that is, | ||
spot film device, cine system, | ||
videotape system, etc.) | ||
8. | Half-Value Layer | Fluoroscopic equipment manufacturers' |
specifications | ||
9. | Kilovoltage | Fluoroscopic equipment manufacturers' |
specifications | ||
10. | Fluoroscopic and Spot Film | As required at 7:28-15.5 |
Collimation Assessment | ||
11. | Review of Facility and | Review QC tests for proper procedure and |
Technologist QC Test | corrective action | |
12. | Physicist Report and | Communicate results and recommendations to |
Recommendations | registrant |
(b) A qualified medical physicist for the supervision of quality assurance programs for diagnostic x-ray imaging may delegate the performance testing required for the Medical Physicists Fluoroscopic QC Survey in (a) above to a qualified medical physicist assistant in fluoroscopy who holds a valid certificate issued by the Department except as provided below:
(c) Not withstanding (b) above, the qualified medical physicist for the supervision of quality assurance programs for diagnostic x-ray imaging shall be fully responsible for the Medical Physicist's Fluoroscopic QC Survey and all of its measurements, conclusions and recommendations.
(d) Prior to delegating any performance testing permitted in (b) above, the qualified medical physicist shall provide adequate training and instruction to the qualified medical physicist assistant in fluoroscopy in the type of equipment and the specific test procedures to be delegated. This training and instruction shall be in addition to the minimum level of training and instruction required for the qualified medical physicist assistant in fluoroscopy to obtain the certificate from the Department in accordance with 7:28-22.13(d).
(e) All Medical Physicist's Fluoroscopic QC Survey reports shall be signed by the qualified medical physicist for the supervision of quality assurance programs for medical diagnostic imaging, and also by the qualified medical physicist assistant in fluoroscopy. The Medical Physicist's Fluoroscopic QC Survey report shall identify which tests, if any, were performed by the qualified medical physicist assistant.
(f) For the Fluoroscopic QC Survey: