Current through Register Vol. 24-18, September 15, 2024
Except as provided in WAC
246-240-078,
the licensee shall require an authorized user for the oral administration of
sodium iodide I-131 requiring a written directive in quantities greater than
1.22 gigabecquerels (33 millicuries), to be a physician who:
(1) Is certified by a medical specialty board
whose certification process includes all of the requirements in subsection
(3)(a) and (b) of this section and whose certification has been recognized by
the department, NRC, or an agreement state. The names of board certifications
that have been recognized by the department, NRC, or an agreement state are
posted on the NRC's medical uses licensee toolkit web page; or
(2) Is an authorized user under WAC
246-240-210
for uses listed in WAC
246-240-210(2)
(a)(ii)(G)(II), or equivalent agreement state
or NRC requirements; or
(3)
(a) Has successfully completed 80 hours of
classroom and laboratory training, applicable to the medical use of sodium
iodide I-131 for procedures requiring a written directive. The training must
include:
(i) Radiation physics and
instrumentation;
(ii) Radiation
protection;
(iii) Mathematics
pertaining to the use and measurement of radioactivity;
(iv) Chemistry of radioactive material for
medical use; and
(v) Radiation
biology; and
(b) Has work
experience, under the supervision of an authorized user who meets the
requirements in WAC
246-240-078,
246-240-210,
246-240-216, or equivalent agreement state or NRC requirements. A supervising
authorized user, who meets the requirements in WAC
246-240-210(2),
must also have experience in administering dosages as specified in WAC
246-240-210(2)
(a)(ii)(G)(II).
The work experience must involve:
(i) Ordering, receiving, and unpacking
radioactive materials safely and performing the related radiation
surveys;
(ii) Performing quality
control procedures on instruments used to determine the activity of dosages and
performing checks for proper operation of survey meters;
(iii) Calculating, measuring, and safely
preparing patient or human research subject dosages;
(iv) Using administrative controls to prevent
a medical event involving the use of radioactive material;
(v) Using procedures to contain spilled
radioactive material safely and using proper decontamination procedures;
and
(vi) Administering dosages to
patients or human research subjects, that includes at least three cases
involving the oral administration of greater than 1.22 gigabecquerels (33
millicuries) of sodium iodide I-131; and
(c) Has obtained written attestation that the
individual has satisfactorily completed the requirements in (a) and (b) of this
subsection and is able to independently fulfill the radiation safety-related
duties as an authorized user for oral administration of greater than 1.22
gigabecquerels (33 millicuries) of sodium iodide I-131 for medical uses
authorized under WAC
246-240-201.
The written attestation must be obtained from either:
(i) A preceptor authorized user who meets the
requirements in WAC
246-240-078,
246-240-210,
246-240-216, or equivalent agreement state or NRC requirements, and has
experience in administering dosages as specified in WAC
246-240-210(2)
(a)(ii)(G)(II); or
(ii) 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 WAC
246-240-078,
246-240-210,
246-240-216, or equivalent NRC or agreement state requirements, has experience
in administering dosages as specified in WAC
246-240-210(2)(a)(ii)(G)(II),
and concurs with the attestation provided by the residency program director.
The residency training program must 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 must include
training and experience specified in (a) and (b) of this
subsection.
Statutory Authority:
RCW
70.98.050. 11-03-068, § 246-240-216,
filed 1/18/11, effective 2/18/11; 07-14-131, § 246-240-216, filed 7/3/07,
effective 8/3/07; 06-05-019, § 246-240-216, filed 2/6/06, effective
3/9/06.