Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 5 - RADIOLOGICAL HEALTH › Rule 6.1 - X-Rays in the Healing Arts › Section 6.1-118 - General requirements for operation of x-ray equipment

Current through July 10, 2024
Authority: IC 16-41-35-26; IC 16-41-35-29
Affected: IC 16-41-35
Sec. 118.
(a) All
				individuals associated with the operation of x-ray equipment shall comply with
				applicable sections of
				410
				IAC 5-4-2,
				410
				IAC 5-4-3,
				410 IAC
				5-4-10, and this rule.
(b) The registrant shall be responsible for
				directing the operation of those x-ray systems under his or her administrative
				control. The registrant or the registrant's agent shall comply with this
				section in the operation of such x-ray systems.
(c) At intervals prescribed in this rule, all
				new and existing facilities shall be surveyed by a diagnostic imaging
				physicist, radiation oncology physicist, health physicist, or x-ray machine
				inspector approved by the department. Such surveys shall also be performed
				after any change in the facility or equipment which might cause a significant
				increase in radiation hazard. The survey shall be done before the x-ray system
				is used for diagnostic purposes, and an evaluation report, including all
				violations of this rule, on a form acceptable to the commissioner must be
				completed by the physicist or inspector and a copy forwarded to the registrant
				and to the commissioner within sixty (60) days of completion of the survey. The
				cost of this evaluation must be negotiated between the physicist or inspector
				and the practitioner of the healing arts or registrant and will not be borne by
				the department.
(d) For each x-ray
				system, a notice of compliance with this rule, supplied by or approved by the
				commissioner, shall be prominently displayed on or near the x-ray control
				panel. This notice must indicate the date of full compliance and be signed by
				the physicist or inspector. For fluoroscopy systems, this notice may
				incorporate the entrance exposure posting requirement of section 119(k)(6) of
				this rule.
(e) For each x-ray
				facility, a notice of compliance with this rule, supplied by or approved by the
				commissioner, shall be prominently displayed in an area readily accessible to
				patients and visitors. This notice must indicate the date of full compliance
				and be signed by the physicist or inspector.
(f) At the intervals prescribed for facility
				inspections in this rule, the registrant shall be responsible for completing an
				x-ray machine registration application form. A diagnostic imaging physicist,
				radiation oncology physicist, health physicist, or x-ray machine inspector
				approved by the department shall be responsible for verifying that all
				information on the application is correct, and the form shall be submitted to
				the commissioner as part of the physicist's or inspector's evaluation
				report.
(g) On the effective date
				of this rule, in order to practice as a diagnostic imaging physicist, radiation
				oncology physicist, health physicist, or x-ray machine inspector in accordance
				with this rule, an individual must be approved by the department in accordance
				with subsection (h), (i), (j), or (k).
(h) In order to be approved to practice as a
				diagnostic imaging physicist, an individual must be certified by the ABR in
				diagnostic radiological physics or radiological physics or the ABMP in
				diagnostic imaging physics or shall possess equivalent qualifications as
				determined by the physicist review committee established in subsection (l). In
				determining equivalency in accordance with this section, the physicist review
				committee shall determine the following:
(1)
				The individual shall hold a bachelor's degree in physics or applied physics or
				physical science.
(2) The
				individual shall hold a master's or doctoral degree in physics or medical
				physics or a physical science with the equivalent of a physics minor.
(3) The individual shall have completed
				formal course work in the biological sciences.
(4) The individual shall have at least three
				(3) years of full-time active work experience in diagnostic or radiological
				physics under the direction of a diagnostic or radiological physicist certified
				by the ABR or ABMP or a radiologist certified by the ABR.
(5) The individual shall provide as
				references the names of a radiologist certified by the ABR and a diagnostic or
				radiological physicist certified by the ABR or ABMP, both of whom are familiar
				with the individual's training. At least one (1) of the two (2) references
				shall have directed the individual's work in accordance with subdivision (4).
In addition, the applicant must demonstrate to the physicist
				  review committee that he or she is qualified to provide oversight for the
				  establishment and conduct of a mammography quality assurance program required
				  by section 127 of this rule. In determining qualifications in accordance with
				  this subsection, the physicist review committee shall do the following:
(6) Determine that the individual
				has formal training or experience in evaluation of mammography systems,
				including performing, recording, and interpreting the results of required
				quality control checks.
(7)
				Determine that the individual has adequate testing equipment available to
				perform the quality control checks required by section 127 of this
				rule.
(8) Review a sample of a
				mammographic x-ray facility evaluation report prepared and submitted by the
				individual as part of their determination of his or her
				qualifications.