Washington Administrative Code
Title 246 - Health, Department of
RADIATION
Chapter 246-240 - Radiation protection Medical use of radioactive material
UNSEALED RADIOACTIVE MATERIAL - WRITTEN DIRECTIVE REQUIRED
Section 246-240-219 - Training for the parenteral administration of unsealed radioactive material requiring a written directive
Universal Citation: WA Admin Code 246-240-219
Current through Register Vol. 24-18, September 15, 2024
(1) Except as provided in WAC 246-240-078, the licensee shall require an authorized user for the parenteral administration requiring a written directive, to be a physician who:
(a) Is an authorized user under WAC
246-240-210
for uses listed in WAC
246-240-210(2)
(a)(ii)(G)(III), or equivalent agreement
state or NRC requirements; or
(b)
Is an authorized user under WAC
246-240-278
or
246-240-399,
or equivalent agreement state or NRC requirements and who meets the
requirements in subsection (2) of this section; or
(c) Is certified by a medical specialty board
whose certification process has been recognized by the NRC or an agreement
state under WAC
246-240-278
or
246-240-399,
and who meets the requirements in subsection (2) of this
section.
(2) The physician:
(a) Has successfully completed 80
hours of classroom and laboratory training, applicable to parenteral
administrations listed in WAC
246-240-210(2)(a)(ii)(G)(III).
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,
246-240-219, or equivalent agreement state or NRC requirements, in the
parenteral administrations listed in WAC
246-240-210(2)(a)(ii)(G)(III).
A supervising authorized user who meets the requirements in WAC
246-240-210,
246-240-219, or equivalent agreement state or NRC requirements, must have
experience in administering dosages in the same category or categories as the
individual requesting authorized user status. 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 unsealed 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 include at least three cases
involving the parenteral ad-ministrations as specified in WAC
246-240-210(2)(a)(ii)(G)(III);
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 the
parenteral administration of unsealed radioactive material requiring a written
directive. 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,
246-240-219, or equivalent agreement state or NRC requirements. A preceptor
authorized user, who meets the requirements in WAC
246-240-210,
246-240-219, or equivalent agreement state or NRC requirements, must have
experience in administering dosages in the same category or categories as the
individual requesting authorized user status; 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,
246-240-219, or equivalent NRC or agreement state requirements, has experience
in administering dosages in the same dosage category or categories as the
individual requesting authorized user status, 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, § 246-240-219, filed 1/18/11, effective 2/18/11; 07-14-131, § 246-240-219, filed 7/3/07, effective 8/3/07; 06-05-019, § 246-240-219, filed 2/6/06, effective 3/9/06.
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