reglab/statecodes huggingface dataset:
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 5 - RADIATION SAFETY REQUIREMENTS FOR INDUSTRIAL RADIOGRAPHIC OPERATIONS › Section 180-5-035 - FORM OF RECORDS

Current through June 17, 2024
Each record required by 180 NAC 5 must be legible throughout the
	 specified retention period. The record may be the original or a reproduced copy
	 or a microform provided that the copy or microform is authenticated by
	 authorized personnel and that the microform is capable of reproducing a clear
	 copy throughout the required retention period. The record may also be stored in
	 electronic media with the capability of producing legible, accurate, and
	 complete records during the required retention period. Records, such as
	 letters, drawings, and specifications, must include all pertinent information,
	 such as stamps, initials and signatures. The licensee or registrant must
	 maintain adequate safeguards against tampering with and the loss of
	 records.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 5 - RADIATION SAFETY REQUIREMENTS FOR INDUSTRIAL RADIOGRAPHIC OPERATIONS › Section 180-5-036 - LOCATION OF DOCUMENTS AND RECORDS

Current through June 17, 2024
Each licensee or registrant must maintain copies of records required by
	 180 NAC 5 and other applicable chapters of Title 180 at the location or
	 locations specified in the application.
036.01
ADDITIONAL
  REQUIREMENTS.
Each licensee or registrant must also maintain
  current copies of the following documents and records sufficient to demonstrate
  compliance at each applicable field station and each temporary jobsite:
(A) The license or registration authorizing
  the use of sources of radiation;
(B) A copy of 180 NAC 1, 4, 5, and
  10;
(C) Utilization logs for each
  source of radiation dispatched from the location as required by 180 NAC
  5-028;
(D) Records of equipment
  problems identified in daily checks of equipment as required by 180 NAC
  5-029;
(E) Records of alarm system
  and entrance control checks required by 180 NAC 5-030, if applicable;
(F) Records of dosimeter readings as required
  by 180 NAC 5-033;
(G) Operating and
  emergency procedures required by 180 NAC 5-032;
(H) Evidence of the latest calibrations and
  of radiation survey instruments in use at the site, as required by 180 NAC
  5-025;
(I) Evidence of the latest
  calibrations of alarming ratemeters and operability checks of dosimeters as
  required by 180 NAC 5-033;
(J)
  Survey records as required by 180 NAC 5-034 and 180 NAC 4-049 as applicable,
  for the period of operation at that site;
(K) The shipping papers for the
  transportation of radioactive materials required by 180 NAC 013; and
(L) When operating under reciprocity pursuant
  to 180 NAC 3 or registration pursuant to 180 NAC 2, a copy of the applicable
  state license or registration, or NRC license authorizing the use of sources of
  radiation.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 5 - RADIATION SAFETY REQUIREMENTS FOR INDUSTRIAL RADIOGRAPHIC OPERATIONS › Section 180-5-037 - NOTIFICATIONS

Current through June 17, 2024
037.01
WRITTEN
  REPORT.
In addition to the reporting requirements specified in 180
  NAC 3-026 and 180 NAC 4, each licensee or registrant must provide a written
  report to the Department within 30 days of the occurrence of any of the
  following incidents involving radiographic equipment:
(A) Unintentional disconnection of the source
  assembly from the control cable;
(B) Inability to retract the source assembly
  to its fully shielded position and secure it in this position;
(C) Failure of any component, which is
  critical to safe operation of the device, to properly perform its intended
  function; or
(D) An indicator on a
  radiation machine fails to show that radiation is being produced, an exposure
  switch fails to terminate production of radiation when turned to the off
  position, or a safety interlock fails to terminate x-ray
  production.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 5 - RADIATION SAFETY REQUIREMENTS FOR INDUSTRIAL RADIOGRAPHIC OPERATIONS › Section 180-5-038 - RECIPROCITY

Current through June 17, 2024
Licensees requesting reciprocal recognition of a license must meet the
	 requirements of 180 NAC 3-028.
038.01
INDIVIDUAL RADIOGRAPHER CERTIFICATION.
Applicants
  requesting reciprocal recognition of an individual radiographer certification
  must ensure that:
(A) The individual holds a
  valid certification in the appropriate category issued by a certifying entity,
  as defined in 180 NAC 5-002;
(B)
  The requirements and procedures of the certifying entity issuing the
  certification affords the same or comparable certification standards as those
  afforded by 180 NAC 5-016.01;
(C)
  The applicant presents the certification to the Department prior to the entry
  into the state; and
(D) No
  escalated enforcement action is pending with the NRC or in any other
  state.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 5 - RADIATION SAFETY REQUIREMENTS FOR INDUSTRIAL RADIOGRAPHIC OPERATIONS › Section 180-5-039 - SPECIFIC REQUIREMENTS FOR RADIOGRAPHIC PERSONNEL PERFORMING INDUSTRIAL RADIOGRAPHY

Current through June 17, 2024
039.01
JOB SITE REQUIREMENTS.
At a job site, the following
  must be supplied by the licensee or registrant:
(A) At least one operable, calibrated survey
  instrument for each exposure device or radiation machine in use;
(B) A current whole body personnel dosimeter
  for each person performing radiographic operations;
(C) An operable, calibrated pocket dosimeter
  with a range of zero to 200 milliroentgens for each person performing
  radiographic operations;
(D) An
  operable, calibrated, alarming ratemeter for each person performing
  radiographic operations using a radiographic exposure device; and
(E) The appropriate barrier ropes and
  signs.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 6 - DIAGNOSTIC X RAYS IN THE HEALING ARTS › Section 180-6-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
This chapter establishes requirements for the use of diagnostic x-ray
	 equipment and imaging systems by or under the supervision of an individual
	 authorized by and licensed according to State statutes to engage in the healing
	 arts, dental healing arts, or veterinary medicine. The regulations are
	 authorized by and implement the Nebraska Radiation Control Act, Nebraska
	 Revised Statute (Neb. Rev. Stat.) §§
									71-3501
	 to
	 71-3520. The
	 requirements of this chapter are in addition to, and not in substitution for,
	 other applicable provisions of 180 NAC 1, 2, 4, 9, 10, 15, 18, and 20.
001.01
PART 21 CODE OF FEDERAL
  REGULATIONS.
Part 21 Code of Federal Regulations (CFR) as
  published on April 1, 2017 and referred throughout this Chapter are
  incorporated by reference and available for viewing at the Department of Health
  and Human Services, Division of Public Health, Radiological Health, 301
  Centennial Mall South, 3rd Floor, Lincoln, Nebraska 68509.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 6 - DIAGNOSTIC X RAYS IN THE HEALING ARTS › Section 180-6-003 - ADMINISTRATIVE CONTROLS

Current through June 17, 2024
The registrant is responsible for directing the operation of the x-ray
	 system or systems under the registrant's administrative control. The registrant
	 or registrant's agent must assure that requirements of 180 NAC 6-003 are met in
	 the operation of the x-ray system or systems.
003.01
HEALING ARTS USES OF X-RAY
  EQUIPMENT.
The use of x-ray equipment for the intentional exposure
  of individuals for diagnosis or treatment must be by or under the supervision
  of one licensed to practice the healing arts in Nebraska.
003.02
VETERINARY USES OF X-RAY
  EQUIPMENT.
The use of x-ray equipment in the practice of
  veterinary medicine must be by or under the supervision of an individual
  licensed to practice veterinary medicine in the State of Nebraska.
003.03
DENTAL USES OF X-RAY
  EQUIPMENT.
The use of x-ray equipment for the exposure of
  individuals for dental diagnosis or treatment must be by or under the
  supervision of one licensed to practice dentistry in Nebraska.
003.04
X-RAY SYSTEM REQUIREMENTS.
An x-ray system which does not meet the requirements of Title 180
  must not be operated for diagnostic purposes.
003.05
OPERATOR
  REQUIREMENTS.
Registrants must only allow individuals to operate:
(A) X-ray systems under the direction of
  healing arts practitioners who meet the requirements as specified in Neb. Stat.
  Rev. §§
										38-1901
  to 1920, Medical Radiography Practice Act; and
(B) Dental x-ray systems who meet the
  requirements as specified in Neb. Rev. Stat. §
										38-1131
  to practice as dental hygienists, or Neb. Rev. Stat. §
										38-1135
  to practice as dental assistants.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 6 - DIAGNOSTIC X RAYS IN THE HEALING ARTS › Section 180-6-005 - FLUOROSCOPIC X-RAY SYSTEMS

Current through June 17, 2024
Fluoroscopic x-ray systems must meet the machine performance standards
	 of
	 21 CFR §
										1020.32. Use of non-image intensified
	 fluoroscopic equipment is prohibited. The provisions of this chapter apply to
	 equipment for fluoroscopic imaging or for recording images from the
	 fluoroscopic image receptor, except computed tomography (CT) x-ray systems
	 manufactured on or after November 29, 1984.
005.01
PERIODIC MEASUREMENT OF
  AIR KERMA RATE (AKR).
A periodic measurement of air kerma rate
  (AKR) must be performed as follows.
005.01(A)
MEASUREMENTS OF AIR
  KERMA RATE (AKR).
Measurements must be made for both typical and
  maximum values of the air kerma rate (AKR), materials may be placed in the
  useful beam to protect the imaging system when performing the periodic
  measurements.
  005.01(A)(i)
  Measurements must be made annually or after any maintenance of the system which
  might affect the air kerma rate (AKR.
  005.01(A)(ii) For
  units manufactured before June 10, 2006, results of the measurements must be
  posted where a fluoroscopist may have access to those results while using the
  fluoroscope.
005.01(B)
RECORDS OF MEASUREMENTS OF AIR KERMA RATE (AKR).
The measurement
  results may be stated in roentgens per minute (R/min) or milliGray per minute
  (mGy/min). The results must include the technique factors used to determining
  the results, the name of the individual that performed the measurements, and
  the date the measurements were performed.
005.01(C)
CONDITIONS OF PERIODIC
  MEASUREMENT OF TYPICAL AIR KERMA RATE (AKR).
The following
  conditions apply to the periodic measurement of the typical Air Kerma Rate
  (AKR):
(i) The measurement must be made under
  the conditions that satisfy the requirements of
  21 CFR §
												1020.32(d)(3);
(ii) Fluoroscopic systems that do not
  incorporate automatic exposure rate control (AERC) must use a milliamperage
  (mA) and kilovolt peak (kVp) typical of clinical use of the fluoroscopic
  system; and
(iii) Fluoroscopic
  systems that incorporate automatic exposure rate control (AERC) must have
  sufficient material placed in the useful beam to produce a milliamperage (mA)
  and kilovolt peak (kVp) typical of the clinical use of the fluoroscopic system.
005.01(D)
CONDITIONS OF PERIODIC MEASUREMENT OF MAXIMUM AIR KERMA RATE (AKR).
The following conditions apply to the periodic measurement of the
  maximum air kerma rate (AKR):
(i) The
  measurement must be made under the conditions that satisfy the requirements of
  21 CFR §
												1020.32(d)(3);
(ii) Fluoroscopic systems that do not
  incorporate automatic exposure rate control (AERC) must be adjusted to those
  settings which give the maximum air kerma rate (AKR); and
(iii) Fluoroscopic systems that incorporate
  automatic exposure rate control (AERC) must have sufficient material placed in
  the useful beam to produce the maximum air kerma rate (AKR) of the system.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 6 - DIAGNOSTIC X RAYS IN THE HEALING ARTS › Section 180-6-006 - REQUIREMENTS FOR RADIOGRAPHIC SYSTEMS OTHER THAN FLUOROSCOPIC, BONE DENSITOMETRY, VETERINARIAN, OR COMPUTED TOMOGRAPHY (CT) X-RAY SYSTEMS

Current through June 17, 2024
In addition to the requirements of 180 NAC 6-006, radiographic systems
	 other than fluoroscopic, bone densitometry, veterinarian, or computed
	 tomography (CT), must meet the specifications of
	 21 CFR §
										1020.31.
006.01
INITIATION AND INDICATION
  OF RADIATION EXPOSURE.
The following apply to the initiation and
  indication of radiation exposure.
006.01(A)
EXPOSURE INITIATION.
Means must be provided to initiate the radiation exposure by a
  deliberate action on the part of the operator. In addition, it must not be
  possible to initiate an exposure when the timer is set to a "zero" or "off"
  position if either position is provided.
006.01(B)
EXPOSURE INDICATION.
Means must be provided for visual indication, observable at or
  from the operator's protected position, whenever x-rays are produced. In
  addition, a signal audible to the operator must indicate that the exposure has
  terminated.
006.01(C)
OPERATOR PROTECTION.
Initiation of the production of x-rays must
  occur in an area that protects the operator from radiation exposure.
006.01(C)(i)
STATIONARY X-RAY
  SYSTEMS.
Stationary x-ray systems must have the x-ray control,
  including the exposure switch, permanently mounted in a protected area so that
  the operator must remain in that protected area during the entire
  exposure.
006.01(C)(ii)
DENTAL X-RAY SYSTEMS.
The x-ray control for dental x-ray systems
  must be positioned so the operator must stand at least six feet from the useful
  beam or behind a protective barrier, except when using units designed to be
  hand-held.
006.01(D)
EXPOSURE CONTROL
  LOCATION.
The x-ray exposure control must be placed so the
  operator can maintain verbal, aural, and visual contact with the patient while
  making any exposure.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 6 - DIAGNOSTIC X RAYS IN THE HEALING ARTS › Section 180-6-007 - VETERINARY MEDICINE RADIOGRAPHIC INSTALLATIONS

Current through June 17, 2024
This section applies to registrants using x-ray generating equipment in
	 veterinary medicine.
007.01
VETERINARY MEDICINE
  EQUIPMENT REQUIREMENTS.
Radiation generating equipment used in
  veterinary medicine must meet the following requirements:
(A) The protective tube housing must be
  constructed to meet the specifications of
  21 CFR §
											1020.30(k);
(B) Diaphragms or cones must be provided for
  collimating the useful beam to the area of clinical interest and must provide
  the same degree of protection as is required of the tube housing;
(C) The total filtration permanently in the
  useful beam must not be less than 0.5 millimeters aluminum equivalent for
  machines operating up to 50 kilovolt peak (kVp), 1.5 millimeters aluminum
  equivalent for machines operating between 50 and 70 kilovolt (kVp), and 2.5
  millimeters aluminum equivalent for machines operating above 70 kilovolt peak
  (kVp);
(D) A device must be
  provided to terminate the exposure after a preset time or exposure;
  and
(E) A continuous pressure type
  of exposure switch must be provided, with an electrical cord of adequate
  length, so the operator can stand out of the useful beam and at least 6 feet (
  1.83 meters) from the animal during all x-ray exposures.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 6 - DIAGNOSTIC X RAYS IN THE HEALING ARTS › Section 180-6-008 - COMPUTED TOMOGRAPHY (CT) AND CONE BEAM COMPUTED TOMOGRAPHY (CBCT) SYSTEMS

Current through June 17, 2024
This section applies to registrants using computed tomography (CT)
	 systems and cone beam computed tomography (CBCT) systems.
008.01
DEFINITIONS.
In addition to the definitions provided in 180 NAC 1-002 and 180
  NAC
  6-002, the following definitions apply
  to 180 NAC 6-008.
008.01(A)
CONTRAST SCALE.
Contrast scale has the same meaning as
  21 CFR §
											1020.33(b).
008.01(B)
COMPUTED TOMOGRAPHY
  (CT) CONDITIONS OF OPERATION.
Computed tomography (CT) conditions
  of operation are all selectable parameters governing the operation of a
  computed tomography (CT) system including, but not limited to, nominal
  tomographic section thickness, filtration, and the technique factors as defined
  in this chapter.
008.01(C)
  COMPUTED TOMOGRAPHY (CT) NUMBER. Computed tomography (CT) number has the same
  meaning as set out in
  21 CFR §
											1020.33(b).
  008.01(D) NOISE.
  Noise has the same meaning as set out in
  21 CFR §
											1020.33(b).
008.01(E)
NOMINAL TOMOGRAPHIC
  SECTION THICKNESS.
Nominal tomographic section thickness has the
  same meaning as set out in
  21 CFR §
											1020.33(b).
008.01(F)
REFERENCE PLANE.
Reference plane is a plane which is displaced from and parallel to
  the tomographic plane.
008.01(G)
SCAN.
Scan
  is the complete process of collecting x-ray transmission data for the
  production of a tomogram. Data can be collected simultaneously during a single
  scan for the production of one or more tomograms.
008.01(H)
SCAN
  INCREMENT.
Scan increment has the same meaning as set out in
  21 CFR §
											1020.33(b).
008.01(I)
SCAN
  SEQUENCE.
Scan sequence has the same meaning as set out in
  21 CFR §
											1020.33(b).
008.01(J)
TOMOGRAPHIC
  PLANE.
Tomographic plane has the same meaning as set out in
  21 CFR §
											1020.33(b).
008.01(K)
TOMOGRAPHIC SECTION.
Tomographic section has the same meaning as set out in
  21 CFR §
											1020.33(b).
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 6 - DIAGNOSTIC X RAYS IN THE HEALING ARTS › Section 180-6-009 - DENTAL REGISTRANTS

Current through June 17, 2024
In addition to other requirements of this chapter, this section applies
	 to registrants using dental radiation generating equipment.
009.01
EXEMPTION FROM INDIVIDUAL
  MONITORING.
Individual monitoring is not required for personnel
  operating only dental radiation generating equipment for dental diagnostic
  purposes.
009.02
TUBE
  HOUSING.
The tube housing and position indicating device (PID)
  must not be hand-held during an exposure, except for units designed to be
  hand-held.
009.03
TUBE
  HOUSING SUPPORT.
The tube housing support must be constructed and
  adjusted so that the tube housing will not drift from its set position during
  an exposure.
009.04
X-RAY CONTROL.
Each x-ray system must have a control that allows
  the operator to terminate the exposure at any time, except for exposures of 0.5
  second or less. The exposure switch will be of the continuous pressure
  type.
009.05
SOURCE-TO-SKIN DISTANCE (SSD).
X-ray systems designed for use with
  an intraoral image receptor must be provided with means to limit the
  source-to-skin distance (SSD) to meet the requirements of
  21 CFR §
										1020.31(i).
009.06
KVP
  LIMITATIONS.
Dental x-ray radiation generating equipment with a
  fixed kilovolt peak (kVp) of less than 50 kilovolt peak (kVp) must not be used
  to make diagnostic dental radiographs of humans.
009.07
DENTAL INTERIM
  INSPECTIONS.
This subsection addresses interim inspections of
  dental registrants.
009.07(A)
INTERIM INSPECTIONS.
For interim inspections of dental radiation
  generating equipment, each registrant must:
(i) Respond to a request from the Department
  for an interim inspection;
(ii)
  Complete the Interim Inspection Form NRH-6. Form NRH-6 is set out as Attachment
  1 to this chapter; and
(iii) Return
  the completed interim inspection form with documentation of the most recent
  equipment performance evaluation or evaluations performed according to 180 NAC
  6-004.07 by the deadline indicated in the inspection
  notice.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 6 - DIAGNOSTIC X RAYS IN THE HEALING ARTS › Section 180-6-010 - HAND-HELD DENTAL AND VETERINARY EQUIPMENT

Current through June 17, 2024
In addition to the requirements of this chapter, hand-held dental and
	 veterinary equipment must meet these requirements.
010.01
BACKSCATTER SHIELD.
Hand-held dental and veterinary equipment must be equipped with a
  backscatter shield of at least 0.25 millimeter (mm) lead equivalent and be at
  least 15.2 centimeters (cm) in diameter. The shield must be positioned as close
  as practical to the distal end of the position indicating device
  (PID).
010.02
MANUFACTURER TRAINING.
Individuals operating hand-held dental and
  veterinary equipment must complete training as specified by the
  manufacturer.
010.03
MANUFACTURER PROTOCOLS.
Registrants with hand-held dental and
  veterinary equipment must follow manufacturer protocols for the safe operation
  of the equipment.
010.04
UNAUTHORIZED REMOVAL OR
  USE.
The registrant must secure hand-held dental and veterinary
  equipment from unauthorized removal or use.
010.05
EXPOSURE
  PREVENTION.
Hand-held dental or veterinary equipment must be kept
  in a mode that prevents an exposure when the device is not being used.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 6 - DIAGNOSTIC X RAYS IN THE HEALING ARTS › Attachment 180-6-1 - NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH X-RAY PROGRAM

Current through June 17, 2024
Click here to
	 view
1.
Yes
No
Has your registration of radiation generating equipment
				expired? (180 NAC 2)
2.
Yes
No
Is all operable dental radiation generating equipment at this
				facility properly registered? (180 NAC 2)
3.
Yes
No
Has your service provider performed equipment performance
				evaluations on all dental radiation equipment at the facility at the required
				five year interval? (180 NAC 6-004.07)
Comments:
Form Completed by: _____________________________________________
	 Date
* Please retain a copy of this completed inspection form for your
	 records
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
180 Nebraska Administrative Code (NAC) 7 establishes requirements and
	 provisions for the production, preparation, compounding and use of
	 radionuclides in the healing arts and for issuance of licenses authorizing
	 these activities. These requirements and provisions provide for the radiation
	 safety of workers, the general public, patients, and human research subjects.
	 The requirements and provisions of 180 NAC 7 are in addition to, and not in
	 substitution for, others in 180. The requirements and provisions of 180 NAC 1,
	 3, 4, 10, 13, 15, and 18 apply to applicants and licensees subject to 180 NAC 7
	 unless specifically exempted. The regulations are authorized by and implement
	 the Nebraska Radiation Control Act, Nebraska Revised Statute (Neb. Rev. Stat.)
	 §§
									71-3501 to
	 71-3520.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-002 - DEFINITIONS

Current through June 17, 2024
As used in 180 NAC 7, the following definitions apply to this
	 chapter:
002.01
ACCREDITED
  INSTITUTION.
A teaching facility for nuclear medicine technology
  or radiation therapy technology whose standards are accepted by the United
  States Department of Education.
002.02
ADDRESS OF
  USE.
The address of the building or buildings identified on the
  license and where radioactive material may be produced, prepared, received,
  used, or stored.
002.03
AREA OF USE.
The portion of an address of use set
  aside for the purpose of receiving, using, or storing radioactive
  material.
002.04
ASSOCIATE RADIATION SAFETY OFFICER (ARSO).
An
  individual who:
(A) Meets the requirements in
  180 NAC 7-022 and 7-027; and
(B) Is
  currently identified as an (ARSO) for the types of use of radioactive material
  for which the individual has been assigned duties and tasks by the (RSO) on:
(i) A specific medical use license issued by
  the Department, the U.S. Nuclear Regulatory Commission (NRC), or an Agreement
  State; or
(ii) A medical use permit
  issued by an U.S. Nuclear Regulatory Commission (NRC) master material
  licensee.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-003 - MAINTENANCE OF RECORDS

Current through June 17, 2024
Each record required by 180 NAC 7 must be an original, electronic,
	 microform, or reproduced copy, authenticated by authorized personnel, and
	 capable of producing legible, accurate, and complete records, throughout the
	 retention period specified by Title 180. Records, letters, drawings,
	 specifications, must include all pertinent information, stamps, initials, and
	 signatures. The licensee must maintain adequate safeguards against tampering
	 with and loss of records.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-004 - PROVISIONS FOR RESEARCH INVOLVING HUMAN SUBJECTS

Current through June 17, 2024
Requirements for research involving human subjects are as
	 follows:
(A) Research must be
  conducted, funded, supported, or regulated by a Federal agency that has
  implemented the Federal Policy for the Protection of Human Subjects. Otherwise,
  a licensee may apply for and receive approval of a specific amendment to its
  Department license before conducting such research. Both types of licensees
  must, at a minimum, obtain prior informed consent from the human subjects and
  obtain prior review and approval of the research activities by an
  "Institutional Review Board" according to the meaning of these terms as defined
  and described in the Federal Policy for the Protection of Human
  Subjects;
(B) Research involving
  human subjects authorized in 180 NAC 7-004 will be conducted using radioactive
  material authorized for medical use in the license; and
(C) Nothing in 180 NAC 7-004 relieves the
  licensee from complying with the requirements in 180 NAC 7.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-005 - U.S. FOOD AND DRUG ADMINISTRATION (FDA), FEDERAL AND STATE REQUIREMENTS

Current through June 17, 2024
Nothing in 180 NAC 7 relieves the licensee from complying with
	 applicable U.S. Food and Drug Administration (FDA), Federal, and State
	 requirements governing radioactive drugs or devices.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-006 - IMPLEMENTATION

Current through June 17, 2024
006.01
EFFECTIVE
  DATES.
A licensee must implement the provisions in 180 NAC 7, with
  the exception of requirements listed in 180 NAC 7-006.02.
006.02
GOVERNING
  REQUIREMENTS.
When a requirement of 180 NAC 7 differs from the
  requirement in an existing license condition, the requirement in 180 NAC 7 will
  govern.
006.03
EXISTING
  LICENSE CONDITIONS.
Any existing license condition not affected by
  a requirement in 180 NAC 7 remains in effect until there is a license amendment
  or license renewal.
006.04
EXEMPT LICENSE CONDITIONS.
If a license condition
  exempted a licensee from a provision of 180 NAC 7, it will continue to exempt a
  licensee from the corresponding provision in 180 NAC 7.
006.05
DELETED
  CITATIONS.
If a license condition cites deleted provisions in 180
  NAC 7, then the license condition remains in effect until there is a license
  amendment or renewal that modifies or removes the license condition.
006.06
COMPLIANCE.
Licensees must continue to comply with any license condition that requires it
  to implement procedures required by 180 NAC 7-070, 7-076, 7-077 and 7-078 until
  there is a license amendment or renewal that modifies the license
  condition.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-007 - LICENSE REQUIRED

Current through June 17, 2024
A person may manufacture, produce, prepare, acquire, receive, possess,
	 use, or transfer radioactive material for medical use according to a specific
	 license issued by the Department, NRC or an Agreement State, or as allowed by
	 180 NAC 7-007. An individual may:
(A)
  Receive, possess, use or transfer radioactive material according to 180 NAC 7
  under the supervision of an authorized user as provided in 180 NAC 7-018,
  unless prohibited by license condition;or
(B) Prepare unsealed radioactive material for
  medical use according to the regulations in 180 NAC 7 under the supervision of
  an authorized nuclear pharmacist or authorized user as provided in 180 NAC
  7-018, unless prohibited by license condition.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-008 - APPLICATION FOR LICENSE, AMENDMENT, OR RENEWAL

Current through June 17, 2024
008.01
SIGNATURE.
An application for a license, amendment, or
  renewal must be signed by the applicant's or licensee's management.
008.02
LICENSE
  APPLICATION.
An application for a new license or license renewal
  for medical use of radioactive material as described in 180 NAC 7-041, 7-044,
  7-048, 7-055, 7-065, 7-067 and 7-085 must be made by submitting an original
  Form NRH-7 "Application for Radioactive Material License - Medical" provided by
  the Department.
008.03
LICENSE AMENDMENT.
A request for a license amendment
  must be submitted as an original in letter format.
008.04
SUPPLEMENTAL
  INFORMATION.
In addition to the requirements of 180 NAC 7-008.02
  and 7-008.03, an application for a license or amendment for medical use of
  radioactive material as described in 180 NAC 7-085 must also include
  information regarding any radiation safety aspects of the medical use of the
  material not addressed in 180 NAC 7-001 through 7-040, as well as any specific
  information on:
(A) Radiation safety
  precautions and instructions;
(B)
  Training and experience of proposed users;
(C) Methodology for measurement of dosages or
  doses to be administered to patients or human research subjects; and
(D) Calibration, maintenance, and repair of
  instruments and equipment necessary for radiation safety.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-009 - MOBILE MEDICAL SERVICE ADMINISTRATIVE REQUIREMENTS

Current through June 17, 2024
009.01
LICENSURE.
The mobile medical service must be licensed if the service receives, uses, or
  possesses radioactive material. The client of the mobile medical service must
  be licensed if the client receives or possesses radioactive material to be used
  by a mobile medical service.
009.02
LETTERS OF AUTHORITY AND RESPONSIBILITY.
Mobile
  medical service licensees must obtain a letter signed by the management of each
  location where services are rendered that authorizes use of radioactive
  material at the client's address of use and clearly outlines the authority and
  responsibility of the client and the mobile medical service. If the client is
  licensed, the letters must document procedures for notification, receipt,
  storage, and documentation of transfer of radioactive material delivered to the
  client's address for use by the mobile medical service.
009.03
DELIVERY OF RADIOACTIVE
  MATERIAL DIRECTLY TO THE CLIENT.
A mobile medical service must not
  have radioactive material delivered directly from the manufacturer or
  distributor to the client, unless the client has a 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.
009.04
INFORM AUTHORIZED
  USER.
A mobile medical service must inform the authorized user
  identified in 180 NAC 7-018.03 at each client's address of use prior to the
  radioactive material being administered.
009.05
LETTER
  RETENTION.
A licensee providing mobile medical services must
  retain the letter required in 180 NAC 7-009.02 according to 180 NAC
  7-097.
009.06
DOCUMENT
  MAINTENANCE.
A mobile medical service licensee must, at a minimum,
  maintain the following documents on each mobile unit:
(A) The current operating and emergency
  procedures;
(B) Copy of the
  license;
(C) Copies of the letter
  required by 180 NAC 7-009.02;
(D)
  Current calibration records for each survey instrument, diagnostic equipment,
  and dose calibration systems in use;
(E) Quality control tests and records of
  quality control required by 180 NAC 7-028; and
(F) Survey records covering uses associated
  with the mobile unit during, at a minimum, the preceding 30 calendar
  days.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-010 - LICENSE AMENDMENTS

Current through June 17, 2024
A licensee must apply for and receive a license amendment
	 before:
(A) . Receiving, preparing, or
  using radioactive material for a type of use permitted under 180 NAC 7-007, but
  not authorized on the licensee's current license issued under 180 NAC
  7;
(B) Permitting anyone to work as
  an authorized user, authorized nuclear pharmacist, authorized medical
  physicist, or an ophthalmic physicist under the license, other than an
  individual who is:
(i) An authorized user, who
  meets the requirements in 180 NAC 7-027 and 7-043(A), 7-047.01, 7-051(A),
  7-052(A), 7-053(A), 7-063(A), 7-066(A), and 7-084(A);
(ii) An authorized nuclear pharmacist, who
  meets the requirements in 180 NAC 7-024 and 7-027;
(iii) An authorized medical physicist, an
  individual who meets the requirements in 180 NAC 7-027 and 7-023(A) and
  7-023(C);
(iv) Identified as an
  authorized user, authorized nuclear pharmacist or authorized medical physicist,
  or an ophthalmic physicist:
(1) On an NRC or
  Agreement State or other equivalent permit or license recognized by the
  Department that authorizes the use of radioactive material in medical use or in
  the practice of nuclear pharmacy, respectively; or
(2) On a permit by an NRC or Agreement State
  specific license of broad scope that authorizes the use of radioactive material
  in medical use or in the practice of nuclear pharmacy,
  respectively;
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-011 - NOTIFICATIONS

Current through June 17, 2024
011.01
DOCUMENTATION.
A licensee must provide to the
  Department a copy of the board certification, the NRC or Agreement State
  license, the permit issued by an NRC master material licensee, the permit
  issued by an NRC or Agreement State licensee of a broad scope, or the permit
  issued by an NRC master material license broad scope permittee, or
  documentation that only accelerator-produced radioactive materials, discrete
  sources of radium-226, or both, were used for medical use or in the practice of
  nuclear pharmacy at a Government agency or Federally recognized Indian Tribe
  before November 30, 2007 or at all other locations of use before August 8,
  2009, or an earlier date as noticed by the NRC and for each individual no later
  than thirty days after the date the licensee permits the individual to work as
  an authorized user, an authorized nuclear pharmacist, authorized medical
  physicist, or an ophthalmic physicist according to 180 NAC 7-010, (B). For
  individuals permitted to work under 180 NAC 7-010, (B) items within the same
  thirty day time frame, the licensee must also provide as appropriate,
  verification of completion of:
(A) Any
  additional case experience required in 180 NAC 7-051(B)(i)(2)(f) for an
  authorized user under 180 NAC 7-048;
(B) Any additional training required in 180
  NAC 7-084(C) for an authorized user under 180 NAC 7-067; and
(C) Any additional training required in 180
  NAC 7-0234(C) for an authorized medical physicist.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-012 - TYPE A SPECIFIC LICENSE OF BROAD SCOPE EXEMPTIONS

Current through June 17, 2024
A licensee possessing a Type A specific license of broad scope for
	 medical use issued under 180 NAC 3-013 is exempt from the provisions of:
(A) 180 NAC 7-008.04 regarding the need to
  file an amendment to the license for medical use of radioactive material as
  described in 180 NAC 7-085;
(B) 180
  NAC 7-010.02 regarding the need to file an amendment before permitting anyone
  to work as an authorized user, authorized nuclear pharmacist, or authorized
  medical physicist under the license;
(C) 180 NAC 7-010.05 regarding additions to
  or changes in the areas of use at the addresses specified in the
  license;
(D) 180 NAC 7-011.01
  regarding notification to the Department for new authorized users, authorized
  nuclear pharmacists, ophthalmic physicists, and authorized medical physicists;
  and
(E) 180 NAC 7-021, (A)
  regarding supplier for sealed sources.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-013 - LICENSE APPLICATION

Current through June 17, 2024
The applicant for a license for:
(A) Medical use of radioactive material must:
(i) File NRH-7 "Application for Radioactive
  Material License - Medical" according to instructions in 180 NAC
  7-008;
(ii) Pay any applicable fee
  as provided in 180 NAC 18;
(iii)
  Meet the requirements of 180 NAC 3; and
(iv) Establish that they are equipped and
  committed to observe the safety standards established by the Department in
  Title 180 for the protection of public health and safety.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-014 - SPECIFIC EXEMPTIONS

Current through June 17, 2024
The Department may, upon application or upon its own initiative, grant
	 such exemptions from the requirements of 180 NAC 7 as allowed by Neb. Rev.
	 Stat. §
									71-3507.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-015 - RADIATION PROTECTION PROGRAM

Current through June 17, 2024
015.01
NOTICE TO WORKERS.
The licensee's program must include
  notice to workers of the program's existence and workers responsibility to help
  keep dose equivalents As Low As Reasonably Achievable (ALARA), a review of the
  summaries of the types and amounts of radioactive material used, occupational
  doses, changes in radiation safety measures, and continuing education and
  training for all personnel who work with or in the vicinity of radioactive
  material. The purpose of the review is to ensure licensees make every
  reasonable effort to maintain individual and collective occupational doses
  ALARA.
015.02
ALARA
  PROGRAM WRITTEN DESCRIPTION RETENTION.
The licensee must retain a
  current written description of the ALARA program for the duration of the
  license. The written description must include:
(A) A commitment by management to keep
  occupational doses as low as reasonably achievable;
(B) A requirement that the RSO brief
  management once each year on the radiation safety program; and
(C) Personnel exposure investigational levels
  that, when exceeded, will initiate a prompt investigation by the RSO of the
  cause of the exposure and a consideration of possible actions taken to reduce
  the probability of recurrence.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-016 - RADIATION PROTECTION PROGRAM CHANGES

Current through June 17, 2024
016.01
REVISION LIMITATIONS.
A licensee may revise its
  radiation protection program without Department approval if:
(A) The revision does not require a license
  amendment under 180 NAC 7-010;
(B)
  The revision is in compliance with the regulations and the license;
(C) The revision has been reviewed and
  approved by the RSO, licensee management and licensee's Radiation Safety
  Committee, if applicable; and
(D)
  The affected individuals are instructed on the revised program before changes
  are implemented.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-017 - DUTIES OF AUTHORIZED USER AND AUTHORIZED MEDICAL PHYSICIST

Current through June 17, 2024
017.01
AUTHORIZED
  USER.
Only authorized users for the type of radioactive material
  used:
(A) Prescribe the radiopharmaceutical
  dosage or dose to be administered through the issuance of a written directive
  or reference to the diagnostic clinical procedures manual;
(B) Direct, as specified in 180 NAC 7-018 and
  7-019, or in license conditions, the administration of radioactive material for
  medical use to patients or human research subjects;
(C) Prepare and administer, or supervise the
  preparation and administration of radioactive material for medical use,
  according to 180 NAC 7-007 and 7-018; and
(D) Perform the final interpretation of the
  results of tests, studies, or treatments.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-018 - SUPERVISION

Current through June 17, 2024
018.01
TRAINING, INSTRUCTIONS AND
  AUDITS.
A licensee permitting the receipt, possession, use, or
  transfer of radioactive material by an individual under the supervision of an
  authorized user as allowed by 180 NAC 7-007(A), must:
(A) In addition to the requirements of 180
  NAC 10-003, instruct the supervised individual in the licensee's written
  radiation protection procedures, written directive procedures, regulations of
  180 NAC 7, and the license conditions with respect to the use of radioactive
  material;
(B) Require the
  supervised individual to follow the instructions of the supervising authorized
  user for medical uses of radioactive material, written radiation protection
  procedures, written directive procedures, regulations of 180 NAC 7, and license
  conditions with respect to the medical use of radioactive material;
(C) Require that only those individuals
  specifically trained, and designated by the authorized user, be permitted to
  administer radionuclides or radiation to patients or human research subjects;
  and
(D) Require the authorized user
  to audit the performance of each supervised individual initially and at least
  annually. The audit must include verification that the supervised individual is
  meeting the requirements of 180 NAC 7-018.01(B) and physical observation of the
  individual performing the duties the authorized user has delegated to
  them.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-019 - WRITTEN DIRECTIVES

Current through June 17, 2024
019.01
DATE AND SIGNATURE.
A written directive must be dated
  and signed by an authorized user prior to administration of I-131 sodium iodide
  greater than 1.11 megabecquerels (MBq) (30 microcuries (µCi)), any
  therapeutic dosage of unsealed radioactive material or any therapeutic dose of
  radiation from radioactive material.
(A) 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, provided that the information contained in the oral
  directive is documented as soon as possible in writing in the patient's record
  and a written directive is prepared within 48 hours of the oral
  directive.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-020 - PROCEDURES FOR ADMINISTRATIONS REQUIRING A WRITTEN DIRECTIVE

Current through June 17, 2024
020.01
WRITTEN
  PROCEDURES.
For any administration requiring a written directive,
  the licensee must develop, implement, and maintain written procedures to
  provide high confidence that:
(A) The
  patient's or human research subject's identity is verified before each
  administration; and
(B) Each
  administration is according to the written directive.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-021 - SUPPLIERS OF SEALED SOURCES OR DEVICES FOR MEDICAL USE

Current through June 17, 2024
A licensee may only use:
(A)
  Sealed sources or devices initially manufactured, labeled, packaged, and
  distributed according to a license issued according to 180 NAC 3 or the
  equivalent regulations of the NRC or another Agreement State.
(B) Teletherapy sources manufactured and
  distributed according to a license issued according to 180 NAC 3, or the
  equivalent regulations of the NRC or another Agreement State.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 180 - CONTROL OF RADIATION › Chapter 7 - MEDICAL USE OF RADIOACTIVE MATERIAL › Section 180-7-022 - TRAINING FOR RADIATION SAFETY OFFICER OR ASSOCIATE RADIATION SAFETY OFFICER

Current through June 17, 2024
Other than provided in 180 NAC 7-026, the licensee must require an
	 individual fulfilling the responsibilities of the RSO or an individual assigned
	 duties and tasks as ARSO as provided in 180 NAC 7-015 to meet the following
	 requirements:
(A) The individual must
  be certified by a specialty board whose certification process has been
  recognized by the Department, an Agreement State or the NRC and who meets the
  requirements in 180 NAC 7-022.04. 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 website. To have its certification process
  recognized, a specialty board must require all candidates for certification to:
(i) For bachelor's or graduate degrees:
(1) 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;
(2) 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
(3) 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