reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-740 - Availability of Survey Instrument

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				licensee authorized to use radioactive material as a sealed source for
				diagnostic purposes shall have available for use a portable radiation detection
				survey instrument capable of detecting dose rates over the range of 0.1
				milliroentgen per hour to 50 milliroentgens per hour or a portable radiation
				measurement survey instrument capable of measuring dose rates over the range of
				1 milliroentgen per hour to 1,000 milliroentgens per hour. The instrument shall
				be operable and calibrated in accordance with LAC 33:XV.716.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-741 - Use of Sources for Brachytherapy

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				licensee shall use the following sources in accordance with the manufacturer's
				radiation safety and handling instructions:
1. cesium-137 as a sealed source in needles
				and applicator cells for topical, interstitial, and intracavitary treatment of
				cancer;
2. cobalt-60 as a sealed
				source in needles and applicator cells for topical, interstitial, and
				intracavitary treatment of cancer;
3. gold-198 as a sealed source in seeds for
				interstitial treatment of cancer;
4. iodine-125 as a sealed source in seeds for
				interstitial treatment of cancer; and
5. iridium-192 as seeds encased in nylon
				ribbon for interstitial treatment of cancer.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-742 - Safety Instructions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				licensee shall provide oral and written radiation safety instruction to all
				personnel caring for a patient or human research subject receiving
				brachytherapy and cannot be released under LAC 33:XV.725. Refresher training
				shall be provided at intervals not to exceed one year.
B. To satisfy the requirements of Subsection
				A of this Section, the instruction shall describe:
1. size and appearance of the brachytherapy
				sources;
2. safe handling and
				shielding instructions in case of a dislodged source;
3. procedures for patient or human research
				subject control;
4. procedures for
				visitor control, including:
a. routine
				visitation of hospitalized individuals in accordance with LAC 33:XV.421.A.1;
				and
b.visitation authorized in
				accordance with LAC 33:XV.421.F;
5. procedures for notification of the
				radiation safety officer, or his or her designee, and an authorized user if the
				patient or human research subject dies or has a medical emergency;
				and
6. LAC 33:XV.Chapter 10
				training requirements.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-743 - Safety Precautions

Current through Register Vol. 50, No. 6, June 20, 2024
A. For each
				patient or human research subject receiving implant therapy and not released
				from licensee control in accordance with LAC 33:XV.725, a licensee shall:
1. not quarter the patient or human research
				subject in the same room as an individual who is not receiving radiation
				therapy;
2. post the patient's or
				human research subject's door with a "Caution: Radioactive Materials" sign and
				note on the door or the patient's or human research subject's chart where and
				how long visitors may stay in the patient's or human research subject's
				room;
3. authorize visits by
				individuals under 18 years of age only on a case-by-case basis with the
				approval of the authorized user after consultation with the radiation safety
				officer; and
4. promptly after
				implanting the sources, survey the dose rates in contiguous restricted and
				unrestricted areas with a radiation measurement survey instrument to
				demonstrate compliance with LAC 33:XV.415.A and retain for two years a record
				of each survey that includes the time and date of the survey, a sketch of the
				area or list of points surveyed, the measured dose rate at several points
				expressed in milliroentgens per hour, the instrument used to make the survey,
				and the initials of the individual who made the survey.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-744 - Brachytherapy Records

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Brachytherapy Sources Inventory
1. A licensee
				shall maintain accountability at all times for all brachytherapy sources in
				storage or use.
2. As soon as
				possible after removing sources from a patient or a human research subject, the
				licensee shall return brachytherapy sources to an area of storage from the area
				of use, and immediately count or otherwise verify the number returned to ensure
				that all sources taken from the storage area have been returned.
3. A licensee shall maintain a record of
				brachytherapy source accountability required by Paragraphs 1 and 2 of this
				Section for three years.
a. For temporary
				implants, the record shall include:
i. the
				number and activity of sources removed from storage, the time and date they
				were removed from storage, the name of the individual who removed them from
				storage, and the location of use; and
ii. the number and activity of sources
				returned to storage, the time and date they were returned to storage, and the
				name of the individual who returned them to storage.
b. For permanent implants, the record shall
				include:
i. the number and activity of sources
				removed from storage, the date they were removed from storage, and the name of
				the individual who removed them from storage;
ii. the number and activity of sources not
				implanted, the date they were returned to storage, and the name of the
				individual who returned them to storage; and
iii. the number and activity of sources
				permanently implanted in the patient or human research subject.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-745 - Surveys After Source Implant and Removal

Current through Register Vol. 50, No. 6, June 20, 2024
A. Immediately after implanting sources in a
				patient or a human research subject, the licensee shall make a survey to locate
				and account for all sources that have not been implanted.
B. Immediately after removing the last
				temporary implant source from a patient or human research subject, the licensee
				shall perform a radiation survey of the patient or human research subject with
				a radiation detection survey instrument to confirm that all sources have been
				removed.
C. Before releasing a
				patient or a human research subject treated with a remote afterloader unit from
				licensee control, a licensee shall survey the patient or the human research
				subject and the remote afterloader unit with a portable radiation detection
				survey instrument to confirm that the sources have been removed from the
				patient or human research subject and returned to the safe shielded
				position.
D. A licensee shall
				maintain a record of patient or human research subject surveys that
				demonstrates compliance with Subsections A, B, and C of this Section for three
				years. Each record shall include the date and results of the survey, the survey
				instrument used, and the name of the individual who made the survey.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et seq. and
				  2104.B.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-746 - Possession of Survey Instruments

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				licensee authorized to use radioactive material for implant therapy shall
				possess a portable radiation detection survey instrument capable of detecting
				dose rates over the range of 0.1 milliroentgen per hour to 50 milliroentgens
				per hour, and a portable radiation measurement survey instrument capable of
				measuring dose rates over the range of 1 milliroentgen per hour to 1,000
				milliroentgens per hour. The instruments shall be operable and calibrated in
				accordance with LAC 33:XV.716.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-747 - Use of Sealed Sources in Teletherapy Units, Remote Afterloader Units, and Gamma Stereotactic Radiosurgery Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				licensee shall use sealed sources in teletherapy units, photon emitting remote
				afterloader units, or gamma stereotactic radiosurgery units for therapeutic
				medical uses:
1. as approved in the Sealed
				Source and Device Registry; or
2.
				in research in accordance with an active Investigational Device Exemption (IDE)
				application accepted by the FDA, provided the requirements of LAC 33:XV.713.A.1
				are met.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-748 - Maintenance and Repair Restrictions

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Only a person specifically licensed by the department, the U.S. Nuclear
				Regulatory Commission, or an agreement state to perform teletherapy unit
				maintenance and repair shall install, relocate, or remove a teletherapy sealed
				source, or a teletherapy unit that contains a sealed source, or maintain,
				adjust, or repair the source drawer, the shutter, or other mechanism of a
				teletherapy unit that could expose the source, reduce the shielding around the
				source, or result in increased radiation levels.
B. Except for low dose-rate remote
				afterloader units, only a person specifically licensed by the department, the
				U.S. Nuclear Regulatory Commission, or an agreement state shall install,
				replace, relocate, or remove a sealed source or a source contained in a remote
				afterloader unit, a teletherapy unit, or a gamma stereotactic radiosurgery
				unit.
C. For a low dose-rate remote
				afterloader unit, only a person specifically licensed by the department, the
				U.S. Nuclear Regulatory Commission, or an agreement state or an authorized
				medical physicist shall install, replace, relocate, or remove a sealed source
				contained in the unit.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-749 - Amendments

Current through Register Vol. 50, No. 6, June 20, 2024
A. In addition to
				the requirements specified in LAC 33:XV.703, a licensee shall apply for and
				receive a license amendment before:
1. making
				any change in the treatment room shielding;
2. making any change in the location of the
				teletherapy unit within the treatment room;
3. using the teletherapy unit in a manner
				that could result in increased radiation levels in areas outside the
				teletherapy treatment room;
4.
				relocating the teletherapy unit; or
5. allowing an individual not listed on the
				licensee's license to perform the duties of the teletherapy
				physicist.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-750 - Safety Procedures and Instructions for Remote Afterloader Units, Teletherapy Units, and Gamma Stereotactic Radiosurgery Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. For remote afterloader units, teletherapy
				units, and gamma stereotactic radiosurgery units, a licensee shall:
1. secure the unit, the console, the console
				keys, and the treatment room when not in use or unattended;
2. permit only individuals approved by the
				authorized user, radiation safety officer, or authorized medical physicist to
				be present in the treatment room during treatment with the source;
3. prevent dual operation of more than one
				radiation-producing device in a treatment room, if applicable; and
4. develop, implement, and maintain written
				procedures for responding to an abnormal situation when the operator is unable
				to place the source in the shielded position or remove the patient or human
				research subject from the radiation field with controls from outside the
				treatment room. These procedures shall include:
a. instructions for responding to equipment
				failures and the names of the individuals responsible for implementing
				corrective actions;
b. the process
				for restricting access to and posting of the treatment area to minimize the
				risk of inadvertent exposure; and
c. the names and telephone numbers of the
				authorized users, the authorized medical physicist, and the radiation safety
				officer to be contacted if the unit or console operates abnormally.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-751 - Safety Precautions for Remote Afterloader Units, Teletherapy Units, and Gamma Stereotactic Radiosurgery Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensee shall control access to the
				treatment room by a door at each entrance.
B. A licensee shall equip each entrance to
				the treatment room with an electrical interlock system that will:
1. prevent the operator from initiating the
				treatment cycle unless each treatment room entrance door is closed;
2. cause the source to be shielded when an
				entrance door is opened; and
3.
				prevent the source from being exposed following an interlock interruption until
				all treatment room entrance doors are closed and the source "on-off" control is
				reset at the console.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-752 - Possession of Survey Instrument

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				licensee authorized to use radioactive material in a teletherapy unit shall
				possess either a portable radiation detection survey instrument capable of
				detecting dose rates over the range of 0.1 milliroentgen per hour to 50
				milliroentgens per hour or a portable radiation measurement survey instrument
				capable of measuring dose rates over the range of 1 milliroentgen per hour to
				1,000 milliroentgens per hour. The instruments shall be operable and calibrated
				in accordance with LAC 33:XV.716.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-753 - Radiation Monitoring Device

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				licensee shall have in each teletherapy room a permanent radiation monitor
				capable of continuously monitoring beam status.
B. Each radiation monitor shall be capable of
				providing visible notice of a teletherapy unit malfunction that results in an
				exposed or partially exposed source. The visible indicator of high radiation
				levels shall be observable by an individual entering the teletherapy
				room.
C. Each radiation monitor
				shall be equipped with a backup power supply separate from the power supply to
				the teletherapy unit. This backup power supply may be a battery
				system.
D. A radiation monitor
				shall be checked with a dedicated check source for proper operation each day
				before the teletherapy unit is used for treatment of patients or human research
				subjects.
E. A licensee shall
				maintain a record of the check required by LAC 33:XV.753.D for two years. The
				record shall include the date of the check, notation that the monitor indicates
				when the source is exposed, and the initials of the individual who performed
				the check.
F. If a radiation
				monitor is inoperable, the licensee shall require any individual entering the
				teletherapy room to use a survey instrument or audible alarm personal dosimeter
				to monitor for any malfunction of the source exposure mechanism. The instrument
				or dosimeter shall be checked with a dedicated check source for proper
				operation at the beginning of each day of use. The licensee shall keep a record
				as described in LAC 33:XV.753.E.
G.
				A licensee shall promptly repair or replace the radiation monitor if it is
				inoperable.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-754 - Viewing System

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensee
				shall construct or equip each teletherapy room to permit continuous observation
				of the patient or human research subject from the teletherapy unit console
				during irradiation.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-755 - Dosimetry Equipment and Therapy-Related Computer Systems

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensee shall have a calibrated
				dosimetry system available for use. To satisfy this requirement, one of the
				following two conditions shall be met.
1. The
				system shall have been calibrated by the National Institute of Standards and
				Technology or by a calibration laboratory accredited by the American
				Association of Physicists in Medicine. The calibration shall have been
				performed within the previous two years and after any servicing that may have
				affected system calibration.
2. The
				system shall have been calibrated within the previous 4 years; 18 to 30 months
				after that calibration, the system shall have been intercompared at an
				intercomparison meeting with another dosimetry system that was calibrated
				within the past 24 months by the National Institute of Standards and Technology
				or by a calibration laboratory accredited by the American Association of
				Physicists in Medicine. The results of the intercomparison meeting shall have
				indicated that the calibration factor of the licensee's system had not changed
				by more than 2 percent. The licensee shall not use the intercomparison result
				to change the calibration factor. When intercomparing dosimetry systems to be
				used for calibrating sealed sources for therapeutic units, the licensee shall
				use a comparable unit with beam attenuators or collimators, as applicable, and
				sources of the same radionuclide as the source used at the licensee's
				facility.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-756 - Full Calibration Measurements on Teletherapy Units, Remote Afterloader Units, and Gamma Stereotactic Radiosurgery Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. Full Calibration Measurements on
				Teletherapy Units
1. A licensee authorized to
				use a teletherapy unit for medical use shall perform full calibration
				measurements on each teletherapy unit:
a.
				before the first medical use of the unit;
b. before medical use under the following
				conditions:
i. whenever spot-check
				measurements indicate that the output differs by more than 5 percent from the
				output obtained at the last full calibration corrected mathematically for
				radioactive decay;
ii. following
				replacement of the source or following reinstallation of the teletherapy unit
				in a new location; and
iii.
				following any repair of the teletherapy unit that includes removal of the
				source or major repair of the components associated with the source exposure
				assembly; and
c. at
				intervals not exceeding one year.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-758 - Radiation Surveys

Current through Register Vol. 50, No. 6, June 20, 2024
A. A person
				licensed under this Chapter shall make surveys to ensure that the maximum
				radiation levels and average radiation levels from the surface of the main
				source safe with the source in the shielded position do not exceed the levels
				stated in the Sealed Source and Device Registry.
B. The licensee shall make the survey
				required by Subsection A of this Section at installation of a new source and
				following repairs to the source shielding, the source driving unit, or other
				electronic or mechanical component that could expose the source, reduce the
				shielding around the source, or compromise the radiation safety of the unit or
				the source.
C. A licensee shall
				maintain a record of radiation surveys of treatment units made in accordance
				with Subsections A and B of this Section for the duration of use of the unit.
				The record shall include:
1. the date of the
				measurements;
2. the manufacturer's
				name, model number, and serial number of the treatment unit, the source, and
				the instrument used to measure radiation levels;
3. each dose rate measured around the source
				while the unit is in the "off" position and the average of all measurements;
				and
4. the signature of the
				individual who performed the test.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-759 - Safety Spot-Checks for Teletherapy Facilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensee shall promptly check all
				systems listed in LAC 33:XV.757.A.7 for proper function after each installation
				of a teletherapy source and after making any change for which an amendment is
				required by LAC 33:XV.749.
B. If
				the results of the safety spot-checks required in Subsection A of this Section
				indicate the malfunction of any system specified in LAC 33:XV.757, the licensee
				shall lock the control console in the "off" position and not use the unit
				except as may be necessary to repair, replace, or check the malfunctioning
				system.
C. A licensee shall
				maintain a record of the safety spot-checks following installation of a source
				for two years. The record shall include notations indicating the operability of
				each entrance door interlock, each electrical or mechanical stop, each beam
				condition indicator light, the viewing system, doors, and the signature of the
				radiation safety officer.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-760 - Modification of Teletherapy Unit or Room before Beginning a Treatment Program

Current through Register Vol. 50, No. 6, June 20, 2024
A. If the survey
				required by LAC 33:XV.758 indicates that an individual in an unrestricted area
				may be exposed to levels of radiation greater than those permitted by LAC
				33:XV.421.A, before beginning the treatment program the licensee shall:
1. either equip the unit with stops or add
				additional radiation shielding to ensure compliance with LAC
				33:XV.421.A;
2. perform the survey
				required by LAC 33:XV.758 again; and
3. include in the report required by LAC
				33:XV.761 the results of the initial survey, a description of the modification
				made to comply with LAC 33:XV.760.A.1, and the results of the second survey;
				or
4. request and receive a license
				amendment under LAC 33:XV.421.C that authorizes radiation levels in
				unrestricted areas greater than those permitted by LAC 33:XV.421.A.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-761 - Reports of Teletherapy Surveys, Checks, Tests, and Measurements

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensee shall
				furnish a copy of the records required in LAC 33:XV.758, 759, and 760, and the
				output from the teletherapy source expressed as rems (sieverts) per hour at 1
				meter from the source as determined during the full calibration required in LAC
				33:XV.756 to the Office of Environmental Compliance within 30 days following
				completion of the action that initiated the record requirement.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-762 - Full Inspection Servicing for Teletherapy and Gamma Stereotactic Radiosurgery Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensee shall
				have each teletherapy unit and gamma stereotactic radiosurgery unit fully
				inspected and serviced during each source replacement and at intervals not to
				exceed five years to ensure proper functioning of the source exposure mechanism
				and other safety components.
B.
				This inspection and servicing shall be performed only by persons specifically
				licensed to do so by the department, an agreement state, or the U.S. Nuclear
				Regulatory Commission.
C. A
				licensee shall maintain a record of the inspection and servicing for the
				duration of the license. The record shall contain the inspector's name, the
				inspector's license number, the date of inspection, the manufacturer's name and
				model number and serial number for both the teletherapy unit and source, a list
				of components inspected, a list of components serviced and the type of service,
				a list of components replaced, and the signature of the inspector.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et seq. and
				  2104.B.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-763 - Training

Current through Register Vol. 50, No. 6, June 20, 2024
A. Training for a
				Radiation Safety Officer and Associate Radiation Safety Officer. Except as
				provided in Subsection B of this Section, the licensee shall require an
				individual fulfilling the responsibilities of the radiation safety officer or
				an individual assigned duties and tasks as an associate radiation safety
				officer as provided in LAC 33:XV.706 to be an individual:
1. who is certified by a specialty board
				whose certification process has been recognized by the NRC or an agreement
				state, and who meets the requirements in Paragraph A.4 of this Section. The
				names of board certifications that have been recognized by the NRC or an
				agreement state are posted on the NRC's Medical Uses Licensee Toolkit web page.
				To have its certification process recognized, a specialty board shall require
				all candidates for certification to:
a. meet
				the requirements of Clauses A.1.a.i-iii of this Section, as follows:
i. hold a bachelor's or graduate degree from
				an accredited college or university in physical science or engineering or
				biological science with a minimum of 20 college credits in physical
				science;
ii. have five or more
				years of professional experience in health physics (graduate training may be
				substituted for no more than two years of the required experience) including at
				least three years in applied health physics; and
iii. pass an examination administered by
				diplomates of the specialty board, which evaluates knowledge and competence in
				radiation physics and instrumentation, radiation protection, mathematics
				pertaining to the use and measurement of radioactivity, radiation biology, and
				radiation dosimetry; or
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-776 - Medical Advisory Committee

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				medical advisory committee will evaluate applications for all nonroutine uses
				of radioactive materials in humans and may evaluate the clinical training and
				experience of physicians seeking licensure by the department. In the event of
				disapproval by the department, the preceptor and physician seeking licensure
				shall be given the opportunity to address the department's concerns prior to
				any proposed disapproval becoming final. This committee contains licensed
				physicians with medical experience in the use of radioisotopes and radiation.
				The medical advisory committee will have representatives of diagnostic
				radiology, therapeutic radiology, internal medicine, pathology, pharmacology,
				cardiology, nuclear medicine, and medical physics.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 7 - Use of Radionuclides in the Healing Arts › Section XV-777 - Written Directives

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				written directive shall be dated and signed by an authorized user before the
				administration of I-131 sodium iodide greater than 1.11 megabecquerels (MBq)
				(30 microcuries (µCi)), any therapeutic dosage of unsealed byproduct
				material, or any therapeutic dose of radiation from byproduct material. If,
				because of the emergent nature of the patient's condition, a delay in order to
				provide a written directive would jeopardize the patient's health, an oral
				directive is acceptable. The information contained in the oral directive shall
				be documented as soon as possible in writing in the patient's record. A written
				directive shall be prepared within 48 hours of the oral directive.
B. The written directive shall contain the
				patient's or human research subject's name and the following information:
1. for any administration of quantities
				greater than 1.11 MBq (30 m Ci) of sodium iodide I-131, the dosage;
2. for an administration of a therapeutic
				dosage of unsealed byproduct material other than sodium iodide I-131:
a. the radioactive drug;
b. the dosage; and
c. the route of administration;
3. for gamma stereotactic
				radiosurgery:
a. the total dose;
b. the treatment site; and
c. the values for the target coordinate
				settings per treatment for each anatomically distinct treatment site;
4. for teletherapy:
a. the total dose;
b. the dose per fraction;
c. the number of fractions; and
d. the treatment site;
5. for high dose-rate remote afterloading
				brachytherapy:
a. the radionuclide;
b. the treatment site;
c. the dose per fraction;
d. the number of fractions; and
e. the total dose;
6. for permanent implant brachytherapy:
a. before implantation:
i. the treatment site;
ii. the radionuclide; and
iii. the total source strength; and
b. after implantation but before
				the patient leaves the post-treatment recovery area:
i. the treatment site;
ii. the number of sources
				implanted;
iii. the total source
				strength implanted; and
iv. the
				date; or
7.
				for all other brachytherapy, including low, medium, and pulsed dose-rate remote
				afterloaders:
a. before implantation:
i. the treatment site;
ii. the radionuclide; and
iii. the dose; and
b. after implantation but before completion
				of the procedure:
i. the
				radionuclide;
ii. the treatment
				site;
iii. the number of
				sources;
iv. the total source
				strength and exposure time (or the total dose); and
v. the date.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 8 - Radiation Safety Requirements for Analytical X-Ray Equipment › Section XV-801 - Purpose and Scope

Current through Register Vol. 50, No. 6, June 20, 2024
A. This part
				provides special requirements for analytical X-ray equipment. The requirements
				of this Part are in addition to, and not in substitution for, applicable
				requirements in Chapters 1, 2, 3, 4 and 10 of these regulations.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 8 - Radiation Safety Requirements for Analytical X-Ray Equipment › Section XV-802 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The definition
				of some terms used in this Chapter may be found in Chapter 6.
Analytical X-Ray Equipment
- equipment used
				  for X-ray diffraction or fluorescence analysis.
Analytical X-Ray System
- a group of
				  components utilizing X-rays to determine the elemental composition or to
				  examine the microstructure of materials.
Fail-Safe Characteristics
- design features
				  which cause beam port shutters to close or which otherwise prevent emergence of
				  the primary beam upon the failure of a safety or warning device.
Local Components
- part of an analytical
				  X-ray system and include areas that are struck by X-rays, such as radiation
				  source housings, port and shutter assemblies, collimators, sample holders,
				  cameras, goniometers, detectors and shielding, but do not include power
				  supplies, transformers, amplifiers, readout devices and control panels.
Normal Operating Procedures
-step -by-step
				  instructions necessary to accomplish analysis. These procedures shall include
				  sample insertion and manipulation, equipment alignment, routine maintenance by
				  the registrant or licensee, and data recording procedures which are related to
				  radiation safety.
Open-Beam Configuration
- an analytical
				  X-ray system in which an individual could accidentlly place some part of his
				  body in the primary beam path during normal operation.
Primary Beam
- ionizing radiation which
				  passes through an aperture of the source housing by a direct path from the
				  X-ray tube or a radioactive source located in the radiation source
				  housing.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 8 - Radiation Safety Requirements for Analytical X-Ray Equipment › Section XV-803 - Equipment Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. Safety
				Device. A device which prevents the entry of any portion of an individual's
				body into the primary X-ray beam path or which causes the beam to be shut off
				upon entry into its path shall be provided on all open-beam configurations. A
				registrant or licensee may apply to the Office of Environmental Compliance for
				an exemption from the requirement of a safety device. Such application shall
				include:
1. a description of the various
				safety devices that have been evaluated;
2. the reason each of these devices cannot be
				used; and
3. a description of the
				alternative methods that will be employed to minimize the possibility of an
				accidental exposure, including procedures to assure that operators and others
				in the area will be informed of the absence of safety devices.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 8 - Radiation Safety Requirements for Analytical X-Ray Equipment › Section XV-804 - Area Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Radiation Levels. The local components of an analytical X-ray system shall be
				so located and arranged and shall include sufficient shielding or access
				control that no radiation levels exist in any area surrounding the local
				component group which could result in a dose to an individual present therein
				in excess of the dose limits given in LAC 33:XV.414 of these regulations. For
				systems utilizing X-ray tubes, these levels shall be met at any specified tube
				rating.
B. Surveys
1. Radiation surveys, as required by LAC
				33:XV.430, of all analytical X-ray systems sufficient to show compliance with
				Subsection A of this Section shall be performed:
a. upon installation of the equipment and at
				least every 12 months thereafter;
b. following any change in the initial
				arrangement, number or type of local components in the system;
c. following any maintenance requiring the
				disassembly or removal of a local component in the system;
d. during the performance of maintenance and
				alignment procedures if the procedures require the presence of a primary X-ray
				beam when any local component in the system is disassembled or
				removed;
e. any time a visual
				inspection of the local components in the system reveals an abnormal condition;
				and
f. whenever personnel
				monitoring devices show a significant increase over the previous monitoring
				period or when the readings are approaching the radiation dose limits specified
				in Chapter 4.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 8 - Radiation Safety Requirements for Analytical X-Ray Equipment › Section XV-805 - Operating Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Procedures. Normal operating procedures shall be written and available to all
				analytical X-ray equipment workers. No person shall be permitted to operate
				analytical X-ray equipment in any manner other than that specified in the
				procedures unless such person has obtained written approval of the person
				responsible for radiation safety.
B. Bypassing. No person shall bypass a safety
				device unless such person has obtained the approval of the person responsible
				for radiation safety. Such approval shall be for a specified period of time.
				When a safety device has been bypassed, a readily discernible sign bearing the
				words SAFETY DEVICE NOT WORKING, or words having a similar intent, shall be
				placed on the radiation source housing and the control panel.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 8 - Radiation Safety Requirements for Analytical X-Ray Equipment › Section XV-806 - Personnel Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Instruction
1. No person shall be permitted
				to operate or maintain analytical X-ray equipment unless such person has
				received instruction in and demonstrated competence with regard to:
a. identification of radiation hazards
				associated with the use of the equipment;
b. significance of the various radiation
				warning and safety devices incorporated into the equipment, or the reasons they
				have not been installed on certain pieces of equipment and the extra
				precautions required in such cases;
c. proper operating procedures for the
				equipment;
d. symptoms of an acute
				localized exposure; and
e. proper
				procedures for reporting an actual or suspected exposure.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 9 - Radiation Safety Requirements for Particle Accelerators › Section XV-901 - Purpose and Scope

Current through Register Vol. 50, No. 6, June 20, 2024
A. This Chapter
				establishes procedures for the registration and licensing, and for the use of
				particle accelerators.
B. In
				addition to the requirements of this Chapter, all registrants and/or licensees
				are subject to the applicable requirements of LAC 33:XV.Chapters 1 and 2 and/or
				LAC 33:XV.Chapters 3, 4, and 10. Registrants and licensees engaged in
				industrial radiographic operations are subject to the requirements of LAC
				33:XV.Chapter 5, and registrants and/or licensees engaged in the healing arts
				are subject to the requirements of LAC 33:XV.Chapter 6 and/or LAC 33:XV.Chapter
				7. All licensees and registrants whose operations result in the production of
				radioactive material are subject to the requirements of LAC 33:XV.Chapter
				3.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  30:2001 et
				  seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 9 - Radiation Safety Requirements for Particle Accelerators › Subchapter A - Registration and Licensing Procedures › Section XV-902 - Registration and License Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. No person shall receive, possess, use,
				  transfer, own, or acquire a particle accelerator except as authorized in a
				  registration and/or license issued pursuant to LAC 33:XV or as otherwise
				  provided for in LAC 33:XV. The general procedures for registration of particle
				  accelerator facilities are included in LAC 33:XV.Chapter 2, while the general
				  procedures for licensing are included in LAC 33:XV.Chapter 3.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 30:2001 et
					 seq.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 9 - Radiation Safety Requirements for Particle Accelerators › Subchapter A - Registration and Licensing Procedures › Section XV-903 - General Requirements for the Issuance of a Registration or License for Particle Accelerators

Current through Register Vol. 50, No. 6, June 20, 2024
A. In
				  addition to the requirements of LAC 33:XV.Chapters 2 and 3, a registration
				  and/or license application for use of a particle accelerator will be approved
				  only if the department determines that:
1.
				  the applicant is qualified by reason of training and experience to use the
				  accelerator in question for the purpose requested in accordance with this
				  Chapter and LAC 33:XV.Chapters 4 and 10 in such a manner as to minimize danger
				  to public welfare and safety or property;
2. the applicant's proposed or existing
				  equipment, facilities, and operating and emergency procedures are adequate to
				  protect health and minimize danger to public welfare and safety or
				  property;
3. the issuance of the
				  registration and/or license will not be inimical to the welfare and safety of
				  the public, and the applicant satisfies any applicable special requirement in
				  LAC 33:XV.904;
4. the applicant has
				  appointed a radiation safety officer;
5. the applicant and/or the applicant's staff
				  has substantial experience in the use of particle accelerators and training
				  sufficient for application in their intended uses;
6. the applicant has established a radiation
				  safety committee to approve, in advance, proposals for uses of particle
				  accelerators; and
7. the applicant
				  has an adequate training program for particle accelerator operators.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 9 - Radiation Safety Requirements for Particle Accelerators › Subchapter A - Registration and Licensing Procedures › Section XV-904 - Human Use of Particle Accelerators

Current through Register Vol. 50, No. 6, June 20, 2024
A. In addition to the requirements set forth
				  in LAC 33:XV.Chapters 2 and 3, a registration and/or license for use of a
				  particle accelerator in the healing arts will be issued only if the following
				  criteria are met:
1. the applicant has
				  appointed a medical committee of at least three members to evaluate all
				  proposals for research. Membership of the committee should include physicians
				  expert in internal medicine, hematology, therapeutic radiology, and/or a person
				  experienced in depth dose calculations and protection against radiation. The
				  committee is not required if research will not be performed with the
				  accelerator;
2. the individuals
				  designated on the application as the users have substantial training and
				  experience in deep therapy techniques or in the use of particle accelerators to
				  treat humans; and
3. each
				  individual designated on the application as a user is a physician.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 9 - Radiation Safety Requirements for Particle Accelerators › Subchapter B - Radiation Safety Requirements for the Use of Particle Accelerators › Section XV-906 - Limitations

Current through Register Vol. 50, No. 6, June 20, 2024
A. No registrant
				  and/or licensee shall permit any person to act as a particle accelerator
				  operator until such person:
1. has been
				  instructed in radiation safety and shall have demonstrated an understanding
				  thereof;
2. has received copies of
				  and instruction in this Chapter and the applicable requirements of LAC
				  33:XV.Chapters 4 and 10, pertinent registration and/or license conditions, and
				  the registrant's and/or licensee's operating and emergency procedures, and
				  shall have demonstrated understanding thereof; and
3. has demonstrated competence to use the
				  particle accelerator, related equipment, and survey instruments that will be
				  employed in his or her assignment.
Louisiana Administrative Code › Title 33 - ENVIRONMENTAL QUALITY › Part XV - Radiation Protection › Chapter 9 - Radiation Safety Requirements for Particle Accelerators › Subchapter B - Radiation Safety Requirements for the Use of Particle Accelerators › Section XV-907 - Shielding and Safety Design Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. A qualified expert, specifically accepted
				  in writing by the department, shall be consulted in the design of a particle
				  accelerator installation and shall be called upon to perform a radiation survey
				  when the accelerator is first capable of producing radiation. A copy of the
				  survey shall be submitted to the Office of Environmental Compliance.
B. Plans for construction of new accelerator
				  installations shall be submitted to the Office of Environmental Compliance for
				  approval prior to commencement of construction.
C. Each particle accelerator installation
				  shall be provided with such primary and/or secondary barriers as are necessary
				  to assure compliance with LAC 33:XV.410 and 422.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 30:2001 et
					 seq.