Pennsylvania Code
Title 25 - ENVIRONMENTAL PROTECTION
Part I - Department of Environmental Protection
Subpart D - Environmental Health and Safety
Article V - Radiological Health
Chapter 221 - X-RAYS IN THE HEALING ARTS
ADMINISTRATIVE CONTROLS
Section 221.16 - Training, competency and continuing education
Universal Citation: 25 PA Code § 221.16
Current through Register Vol. 54, No. 52, December 28, 2024
(a) Training and competency. The registrant shall ensure that:
(1) An
individual who operates X-ray equipment during diagnostic or interventional
procedures or supervises the operation of X-ray equipment during a procedure is
trained and competent in all of the following subject areas, as applicable to
the procedures performed and the specific equipment utilized:
(i) Basic properties of radiation.
(ii) Units of measurement.
(iii) Sources of radiation
exposure.
(iv) Methods of radiation
protection for patients and others.
(v) Biological effects of radiation
exposure.
(vi) Facility-specific
and modality-specific X-ray equipment.
(vii) Facility-specific and modality-specific
image recording and processing.
(viii) Patient exposure and
positioning.
(ix) Facility-specific
and modality-specific procedures.
(x) Facility-specific and modality-specific
quality assurance.
(xi)
Facility-specific and modality-specific dose reduction, monitoring and
recording procedures.
(xii) Units
of measurement and dose, such as dose-area product values, CT dose index and
air kerma.
(xiii) Factors affecting
fluoroscopic outputs.
(xiv)
High-level control options.
(xv)
Dose management including dose reduction techniques, monitoring and
recording.
(xvi) Principles and
operation of the specific fluoroscopic X-ray system to be used.
(xvii) Fluoroscopic and fluorographic outputs
of each mode of operation on the system to be used clinically.
(xviii) Applicable State and Federal
regulations.
(2) An
individual who operates X-ray equipment during potentially high-risk diagnostic
or interventional procedures or supervises the operation of X-ray equipment
during these procedures is registered or credentialed and privileged in the
applicable specialty by a professional organization recognized by the
Department.
(3) Documentation
demonstrating compliance with this section is maintained for inspection by the
Department.
(b) Continuing education.
(1)
The registrant shall ensure that individuals who operate X-ray equipment during
diagnostic or interventional procedures or supervise the operation of X-ray
equipment during a procedure complete continuing education in biological
effects of radiation, quality assurance and quality control, and radiation
safety, including concepts for minimizing patient and occupational dose and
emerging technologies.
(i) An individual who
performs low-risk procedures shall complete continuing education every 4
years.
(ii) An individual who
performs high-risk procedures shall complete continuing education every 2
years. In addition to the topics in this paragraph, the continuing education
must include facility and X-ray unit-specific methods to manage patient
dose.
(2) Documentation
of continuing education must be maintained for inspection by the Department for
5 years.
The provisions of this § 221.16 issued under sections 301 and 302 of the Radiation Protection Act (35 P.S. §§ 7110.301 and 7110.302); and section 1920-A of the Administrative Code (71 P.S. § 510.20).
This section cited in 25 Pa. Code § 221.35a (relating to flouroscopic X-ray systems); 25 Pa. Code § 221.64 (relating to CBCT); and 25 Pa. Code § 221.205 (relating to operating procedures).
Disclaimer: These regulations may not be the most recent version. Pennsylvania 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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