Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64E - Division of Environmental Health › Chapter 64E-5 - CONTROL OF RADIATION HAZARDS › Section 64E-5.610 - Mobile Medical Service Requirements

Current through Reg. 50, No. 138; July 16, 2024
The department shall license mobile medical services or
				  clients of such services. The mobile medical service shall be licensed if the
				  service receives, uses or possesses radioactive material. The client of the
				  mobile medical service shall be licensed if the client receives or possesses
				  radioactive material to be used by a mobile medical service.
(1) The mobile medical licensee shall obtain
				a letter signed by the management of each client for which services are
				rendered that permits the use of radioactive materials at the client's address
				and clearly delineates the authority and responsibility of the licensee and the
				client. A licensee providing mobile medical services shall retain this letter
				for 3 years after the provision of service.
(2) Mobile medical service licensees shall
				secure or keep under constant surveillance and immediate control all
				radioactive material when in transit or at a location of use.
(3) The mobile medical licensee shall check
				instruments used to measure the activity of unsealed or sealed radioactive
				materials for proper function before medical use at each client's address or on
				each day of use, whichever is more frequent. At a minimum, the check for proper
				function required by this paragraph must include a constancy check and shall
				perform all daily quality control tests on all equipment used to obtain images
				or information from radionuclide studies before medical use at each location of
				use.
(4) Before leaving a client
				location, mobile medical service licensees shall perform a survey of all areas
				where radioactive materials are used with a radiation survey instrument in
				order to ensure that they have complied with the requirements in Rule
				 64E-5.621, F.A.C., that
				radiation dose rates are at background levels, and that removable contamination
				is below 2000 disintegrations per minute per 100 square centimeters sampled. A
				licensee shall check each survey instrument for proper operation with a
				dedicated check source before each use at each location. The licensee is not
				required to keep records of these dedicated source survey instrument
				checks.
(5) Mobile medical service
				licensees shall retain a record of each survey required for 3 years. The record
				must include the date of the survey, a diagram of each area that was surveyed,
				the measured dose rate at several points in each area of use in millirems
				(microsieverts) per hour, the model and serial number of the instrument used to
				make the survey, and the initials of the individual who performed the
				survey.
(6) A physician shall be on
				site at each client's address at the time radioactive materials are
				administered. An authorized user shall be immediately available to communicate
				with the supervised individuals or individuals under their direction.
(7) Radioactive material will be received at
				the permanent location of the mobile medical service or delivered directly to
				an authorized individual in the vehicle at a place of use. A mobile medical
				service may not have radioactive materials delivered from the manufacturer or
				the distributor to the client unless the client has a radioactive materials
				license allowing possession of the radioactive material. Radioactive material
				delivered to the client must be received and handled in conformance with the
				client's license.
(8) Restrooms
				contained in mobile vehicles shall not routinely be used by patients who have
				been administered radioactive material.
(9) Radioactive gases or aerosols shall not
				be used by mobile medical service licenses.
(10) Prior to administration, the mobile
				medical service licensee shall assure that individuals or human research
				subjects meet the patient release criteria specified in Rule
				 64E-5.622, F.A.C.
(11) A licensee authorized to use mobile
				remote afterloaders for medical use shall follow the requirements specified in
				Rule  64E-5.6423,
				F.A.C.
Rulemaking Authority
					  404.022,
					 404.051,
					 404.061,
					 404.071,
					 404.081,
					 404.141 FS. Law Implemented
					 404.022,
					  404.051(1), (4), (5), (6), (8), (9), (10),
					 (11),
					  404.061(2),
					 (3),
					  404.071(1),
					  404.081,
					  404.141 FS.
New 8-25-91, Formerly 10D-91.716, Amended
					 2-11-10.