Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 6 - USE OF X-RAYS IN THE HEALING ARTS › Section R9-7-604 - General Procedures

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Each registrant shall ensure the following procedural requirements are met in
				the operation of x-ray equipment:
1. An x-ray
				machine which does not meet the provisions of this Chapter shall not be
				operated for diagnostic or therapeutic purposes, unless specifically exempted
				by the Department.
2. Except for
				patients who cannot be moved out of the room, only the individuals required for
				the radiological procedure or in training may be present in the room during
				radiographic exposure, and all the following requirements apply:
a. All individuals shall be positioned such
				that no part of the body, including the extremities not protected by 0.5 mm
				lead equivalent, will be struck by the useful beam.
b. Staff and ancillary personnel shall be
				protected from the direct scatter radiation by protective aprons or whole body
				protective barriers of not less than 0.25 mm lead equivalent.
c. Individuals, other than the patient to be
				examined, who cannot be removed from the room during mobile or portable
				radiography shall be protected from the direct scatter radiation by whole body
				protective barriers of 0.25 millimeters lead equivalent or shall be so
				positioned that the nearest portion of the body is at least 2 meters (6.5 feet)
				from both the tube head and the nearest edge of the image receptor.
d. If a portion of the body of any staff or
				ancillary personnel is potentially subjected to stray radiation that could
				result in that individual receiving 10 percent of the maximum permissible dose
				as defined in Article 4 of this Chapter, the registrant shall provide
				additional protective devices as specified by the Department.
3. An individual shall not be
				exposed to the useful beam except for a healing arts purpose authorized by a
				licensed practitioner of the healing arts. The following acts are prohibited:
a. Exposure of an individual without meeting
				the required healing art requirements and without a valid directive from a
				licensed practitioner;
b. Exposure
				of an individual for training, demonstration, or other non-healing arts
				purpose;
c. Exposure of an
				individual for the purpose of healing arts screening, except as authorized by
				the Department after submitting to the Department the information listed in
				Appendix A of this Article. (If any information submitted to the Department
				changes, the registrant shall immediately notify the Department of the
				changes.);
d. Routinely holding
				film or a patient during an exposure to x-ray radiation; or
e. Exposure of an individual to fluoroscopy
				as a positioning method for general purpose radiological procedures.
4. All persons who are associated
				with the operation of an x-ray system are subject to the occupational exposure
				limits specified in Article 4. Exposure of a personnel monitoring device to
				deceptively indicate a dose delivered to an individual is prohibited.
5. The registrant shall check radiation
				protective equipment for reliability and integrity defects on an annual basis,
				as follows:
a. Aprons, gloves, and shields
				shall be checked for holes, tears, and breaks.
b. If defects are found in the equipment, the
				registrant shall replace or remove it from service. Equipment removed from
				service shall not be put back into service until it is repaired.
c. A record of the annual reliability and
				integrity check and any equipment replacement shall be maintained for three
				years.