Chapter 7. DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL

A. A licensee authorized to use a remote afterloader unit for medical use shall perform full calibration measurements on each unit: 1. Before the first medical use of the unit; 2. Before medical use under the following conditions: a. Following replacement of the source or followi…

A. A licensee authorized to use a gamma stereotactic radiosurgery unit for medical use shall perform full calibration measurements on each unit: 1. Before the first medical use of the unit; 2. Before medical use under the following conditions: a. Whenever spot-check measurements …

A. A licensee authorized to use teletherapy units for medical use shall perform output spot-checks on each teletherapy unit once in each calendar month that include determination of: 1. Timer accuracy, and timer linearity over the range of use; 2. On-off error; 3. The coincidence…

A. A licensee authorized to use a remote afterloader unit for medical use shall perform spot-checks of each remote afterloader facility and on each unit: 1. Before the first use of a high dose-rate, medium dose-rate, or pulsed dose-rate remote afterloader unit on a given day; 2. …

A. A licensee authorized to use a gamma stereotactic radiosurgery unit for medical use shall perform spot-checks of each gamma stereotactic radiosurgery facility and on each unit: 1. Monthly; 2. Before the first use of the unit on a given day; and 3. After each source installatio…

A. A licensee providing mobile remote afterloader service shall: 1. Check survey instruments before medical use at each address of use or on each day of use, whichever is more frequent; and 2. Account for all sources before departure from a client’s address of use. B. In addition…

A. In addition to the survey requirement in Article 4 of this Chapter, a person licensed to use sealed sources in the practice of radiation therapy shall make surveys to ensure that the maximum radiation levels and average radiation levels from the surface of the main source safe…

A. A licensee shall have each teletherapy unit and gamma stereotactic radiosurgery unit fully inspected and serviced during source replacement or at intervals not to exceed five years, whichever comes first, to assure proper functioning of the source exposure mechanism. B. This i…

The licensee shall perform acceptance testing on the treatment planning system of therapy-related computer systems in accordance with published protocols accepted by nationally recognized bodies. At a minimum, the acceptance testing shall include, as applicable, verification of: …

A. Except as provided in R9-7-712.01, a licensee shall require an authorized user of a sealed source for a use authorized under Group 600 in Exhibit A, Medical Use Groups of this Article to be a physician who: 1. Is certified by a medical specialty board whose certification proce…

A. A licensee shall report any “medical” event, except for an event that results from patient intervention, in which the administration of radioactive material or radiation from radioactive material results in: 1. A dose that differs from the prescribed dose or dose that would ha…

A. A licensee shall report any dose to an embryo/fetus that is greater than 50 mSv (5 rem) dose equivalent that is a result of an administration of radioactive material or radiation from radioactive material to a pregnant individual unless the dose to the embryo/fetus was specifi…

The rules in this Article establish requirements for the use of analytical x‑ray equipment by persons registered under R9-7-204. The provisions of this Article supplement other applicable provisions of this Chapter. Historical Note New Section R9-7-801 recodified from R12-1-801 a…

“Analytical x-ray equipment” means devices or machines used for x-ray diffraction or x-ray induced fluorescence analysis. “Analytical x-ray system” means a group of components utilizing x-rays to determine the elemental composition or to examine the microstructure of materials. “…

A. Enclosed beam x-ray systems are exempt from other equipment requirements contained in this Article provided the enclosed beam x-ray systems are designed and constructed so that radiation levels measured at 5 cm from any accessible surface of the enclosure housing the x-ray sou…

A. A registrant shall label open beam x-ray systems with a readily discernible sign or signs bearing the radiation symbol and the words: 1. “CAUTION -- HIGH INTENSITY X-RAY BEAM,” or a similar warning, on the x-ray source housing; and 2. “CAUTION RADIATION -- THIS EQUIPMENT PRODU…

A. A registrant shall designate a radiation safety officer who shall: 1. Establish and maintain operational procedures so that the radiation exposure of each worker is kept ALARA; 2. Instruct all personnel who work with or near radiation producing machines in safety practices; 3.…

A. A radiation safety officer shall establish written emergency procedures and post the procedures in a conspicuous location. The procedures shall include the telephone number of the radiation safety officer. B. A registrant shall ensure that written operating procedures are avai…

A. To ensure that personnel exposure does not result in a dose to an individual that exceeds the dose limits specified in Article 4, a registrant shall perform a radiation survey upon: 1. Installation of the equipment and at least once each year after installation; 2. Change in t…

A registrant shall conspicuously post each area or room that contains analytical x-ray equipment with a sign or signs that bear the radiation symbol and the words “CAUTION – X-RAY EQUIPMENT” or words with a similar meaning. Historical Note New Section R9-7-808 recodified from R12…

A registrant shall not be allow an individual to operate or maintain analytical x-ray equipment unless the individual has received training and demonstrated competence in: 1. Identifying radiation hazards associated with use of the equipment; 2. Recognizing and using radiation wa…

A. This Article establishes procedures and requirements for the registration and the use of particle accelerators. B. In addition to the requirements of this Article, all registrants are subject to the requirements of Articles 1, 2, 4 and 10. Registrants engaged in industrial rad…

The following definitions apply in this Article, unless the context otherwise requires: “Added filter” (See R9-7-602). “Arc therapy” means radiation therapy that uses electrons to treat large, superficial volumes that follow curved surfaces, as in post-mastectomy patients. “Autho…

A. The requirements in this Section supplement the registration requirements in 9 A.A.C. 7, Article 2. B. The Department shall approve a registration application for use of a particle accelerator only if the Department determines that: 1. The applicant is qualified by training an…

A. The requirements in this Section supplement the registration requirements in R9-7-903. B. An applicant that is a “medical institution,” as defined in Article 7 of this Chapter, and performing human research shall appoint a radiation safety committee that: 1. Consists of at lea…

A. Equipment 1. Leakage radiation a. X‑ray leakage radiation from the source housing assembly shall not exceed 0.1 percent of the maximum dose equivalent rate of the unattenuated useful beam. b. Neutron leakage radiation from the source housing assembly shall not exceed 0.5 perce…

A. A registrant shall not permit an individual to act as: 1. A particle accelerator operator of any type unless the individual: a. Has received copies of and instruction in this Article and the registrant’s operating and emergency procedures, b. Demonstrates an understanding of t…

A. An authorized medical physicist experienced in the principles of radiation protection and installation design shall be consulted in the design of a particle accelerator installation and called upon to perform a radiation survey when the accelerator is first capable of producin…

A registrant shall ensure that: 1. Instrumentation, readouts and controls on the particle accelerator control panel are clearly identified and easily discernible; 2. All entrances into the area that contains the particle accelerator room, target room, or other high radiation area…

A registrant shall ensure that: 1. High radiation areas and entrances to the high radiation areas in medical facilities are equipped with a continuously-operating warning light system that operates when, and only when, radiation is produced; 2. High radiation areas and entrances …

A. A registrant shall secure from use a particle accelerator when it is not being used to prevent unauthorized use. B. A particle accelerator operator shall use the switch on the control panel to turn the accelerator beam on and off during normal operations. The safety interlock …

A. The registrant shall ensure that a portable survey instrument is available at all times in a particle accelerator facility. B. An authorized medical physicist shall: 1. Check the operation of the portable survey instrument required in subsection (A), using a known radiation so…

Historical Note Section R9-7-912 reserved when this Chapter was recodified from 12 A.A.C. 1 (Supp. 18-1).

A. For purposes of this rule “misadministration” means: 1. A therapeutic radiation dose from a machine: a. Delivered to the wrong patient; b. Delivered using the wrong mode of treatment; c. Delivered to the wrong treatment site; or d. Delivered in one week to the correct patient,…

The Department shall inspect a particle accelerator, used in the practice of medicine, before its initial use to treat human disease. Historical Note New Section R9-7-914 recodified from R12-1-914 at 24 A.A.R. 813, effective March 22, 2018 (Supp. 18-1). Appendix A. Quality Contro…