reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0240 - Fluoroscopic Control of Scattered Radiation

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Fluoroscopic table designs when combined
			 with procedures utilized shall be such that no unprotected part of any staff or
			 ancillary individual's body shall be exposed to unattenuated scattered
			 radiation which originates from under the table. The attenuation required shall
			 not be less than 0.25 mm lead equivalent.
(2) Equipment configuration when combined
			 with procedures shall be such that no portion of any staff or ancillary
			 individual's body, except the extremities, shall be exposed to the unattenuated
			 scattered radiation emanating from above the tabletop unless that individual:
(a) Is at least 120 cm from the center of the
			 useful beam; or
(b) The radiation
			 has passed through not less than 0.25 mm lead equivalent material including,
			 but not limited to, drapes, Bucky-slot cover, sliding or folding panel, or
			 self-supporting curtains, in addition to any lead equivalency provided by the
			 protective apron referred to in OAR
			 333-106-0025;
(c) Upon application to the
			 Authority, providing adequate justification, exceptions to this section may be
			 made in some special procedures where a sterile field will not permit the use
			 of the normal protective barriers or where the protective barriers would
			 interfere with the procedures.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0245 - Fluoroscopic Radiation Therapy Simulation Systems

Current through Register Vol. 63, No. 7, July 1, 2024
Radiation therapy simulation systems shall be exempt from all
				the requirements of OAR
				333-106-0201 through
				333-106-0245 provided that:
(1) Such systems are
			 designed and used in such a manner that no individual other than the patient is
			 in the X-ray room during periods of time when the system is producing X-rays;
			 and
(2) Systems which do not meet
			 the requirements of OAR
			 333-106-0230  are provided with a means of indicating the cumulative time that an individual
			 patient has been exposed to X-rays. Procedures shall require in such cases that
			 the timer be reset between examinations.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0301 - Beam Limitation for Radiographic Systems Other Than Fluoroscopic, Dental Intraoral, Veterinary Systems, or Computed Tomography (CT)

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The useful beam
			 shall be limited to the area of clinical interest.
(2) General Purpose Stationary and Mobile
			 X-ray Systems:
(a) There shall be provided a
			 means for stepless adjustment of the size of the X-ray field, where the
			 adjustment of each dimension of the field is independent of the other;
(b) A method shall be provided for
			 visually defining the perimeter of the X-ray field. The total misalignment of
			 the edges of the visually defined field with the respective edges of the X-ray
			 field along either the length or width of the visually defined field shall not
			 exceed two percent of the distance from the source to the center of the
			 visually defined field when the surface upon which it appears is perpendicular
			 to the axis of the X-ray beam;
(c)
			 Evidence of compliance with subsections (2)(a) and (b) of this rule shall be
			 shown on each radiograph taken, either by imaging part of the collimator on the
			 radiograph or by imaging collimator nubs or pointers;
(d) Beam-defining lights used for visually
			 defining perimeters of the X-ray field shall have an illumination great enough
			 to be visualized by the operator under ambient light conditions;
(e) The Authority may grant an exemption on
			 noncertified X-ray systems to subsections (2)(a) and (b) of this rule provided
			 the registrant makes a written application for such exemption and in that
			 application:
(A) Demonstrates it is
			 impractical to comply with subsections (2)(a) and (b) of this rule; and
(B) The purpose of subsections
			 (2)(a) and (b) of this rule will be met by other methods.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0305 - Radiation Exposure Control Devices

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Timers. Means shall be provided to
			 terminate the exposure at a preset time interval, preset product of current and
			 time, a preset number of pulses or a preset radiation exposure to the image
			 receptor. In addition:
(a) Termination of
			 exposure shall cause automatic resetting of the timer to its initial setting or
			 to zero;
(b) It shall not be
			 possible to make an exposure when the timer is set to a zero or "off" position
			 if either position is provided.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0310 - Source-to-Skin Distance

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All mobile
			 or portable radiographic systems shall be provided with means to limit the
			 source-to-skin distance to equal to or greater than 30 cm. This is considered
			 to have been met when the collimator or cone provides the required
			 limits.
(2) Any device provided to
			 limit the SSD must be durable and securely fastened to the system.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0315 - Exposure Reproducibility

Current through Register Vol. 63, No. 7, July 1, 2024
The coefficient of variation of exposure shall not exceed 0.05
				when all technique factors are held constant. This requirement shall be deemed
				to have been met if, when four exposures are made at identical technique
				factors, the value of the average exposure (E) is greater than or equal to five
				times the maximum exposure (Emax) minus the minimum exposure (Emin). E >5
				(Emax - Emin).
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0320 - Radiation from Capacitor Energy Storage Equipment in Standby Status

Current through Register Vol. 63, No. 7, July 1, 2024
Radiation emitted from the X-ray tube when the exposure switch
				or timer is not activated shall not exceed a rate of two milliroentgens (0.516
				uC/kg) per hour at five centimeters from any accessible surface of the
				diagnostic source assembly, with the beam-limiting device fully
				open.
Stat. Auth.: ORS 453.605 - 453.755
Stats. Implemented: ORS 453.605 -
				  453.755
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0325 - Additional Requirements for Radiographic Machines: Intraoral Dental Radiographic Systems

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to the provisions of OAR 333-106-0010  through
				333-106-0101, the requirements of this rule apply to X-ray equipment and
				facilities where intraoral dental radiography is conducted. Requirements for
				extraoral dental radiographic systems are covered in OAR 333-106-0301  through
				333-106-0320. Intraoral dental radiographic systems must meet the following
				requirements:
(1) Source-to-Skin
			 Distance (SSD). X-ray systems designed for use with an intraoral image receptor
			 shall be provided with means to limit source-to-skin distance, to not less than
			 18cm.
(2) Beam Limitation.
			 Radiographic systems designed for use with an intraoral image receptor shall be
			 provided with means to limit the X-ray beam such that:
(a) If the minimum source-to-skin distance
			 (SSD) is 18 centimeters or more, the X-ray field, at the minimum SSD, shall be
			 containable in a circle having a diameter of no more than seven centimeters;
			 or
(b) If the minimum SSD is less
			 than 18 centimeters, the X-ray field, at the minimum SSD, shall be containable
			 in a circle or rectangular cone having a diameter of no more than six
			 centimeters.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0345 - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
(1) OAR
			 333-106-0350  through
			 333-106-0369  establishes requirements governing the use of computed tomography (CT) scanners
			 in the healing arts; and
(2)
			 Applies to all registrants who use a CT scanner for the intentional exposure of
			 humans for diagnostic imaging.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0355 - CT Equipment Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) CT equipment requirements shall comply
			 with the Food and Drug Administration's 21 CFR in the following areas:
(a) Information to be provided for users -
			 Part 1020.33(c);
(b) Quality
			 Assurance - Part 1020.33(d);
(c)
			 Control and indication of conditions of operation - Part 1020.33(f);
(d) Tomographic plane indication and
			 alignment - Part 1020.33(g);
(e)
			 Beam-on and status indicators - Part 1020.33(h);
(f) Scan increment accuracy - Part
			 1020.33(i); and
(g) CT number mean
			 and standard deviation - Part 1020.33(j).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0360 - Facility Design Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 fixed CT scanner room shall be a permanent part of the building or equipment.
			 Portable shields shall not be used for permanent installations.
(2) The CT scanner shall be situated in a
			 protected area and is subject to design approval by a qualified expert.
			 National Council on Radiation Protection and measurements (NCRP) Report #147
			 shall be used as guidance for determining adequate shielding.
(3) The control panel for a fixed CT scanner
			 shall be in a protected area.
(4)
			 Movable barriers with electrical interlocks shall not be approved in lieu of
			 compliance with section (3) of this rule.
(5) The operator of a fixed CT scanner shall
			 be able to see and communicate with the patient from the protective area at the
			 control panel. When an observation window is provided, it shall have a lead
			 equivalence at least equal to that required of the control barrier in which it
			 is installed.
(6) Mobile or
			 portable CT scanners used routinely in one location shall be considered a fixed
			 installation and shall comply with the requirements of sections (1) through (5)
			 of this rule.
(7) CT scanners
			 mounted in a vehicle or trailer must meet requirements of sections (1) through
			 (5) of this rule.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS
				  453.775
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0361 - Radiation Protection Surveys

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The registrant must ensure that radiation protection surveys are performed at
			 new facilities, at existing facilities not previously surveyed, and anytime the
			 CT scanner is replaced, moved or structural changes are made in the room.
(2) In new facilities, a radiation
			 protection survey must be completed prior to the first clinical use following
			 installation.
(3) The radiation
			 protection survey must be performed by a qualified CT medical physicist as
			 defined in OAR
			 333-106-0367  or a qualified expert as defined in OAR
			 333-100-0005.
(4) Surveys must be conducted with
			 an operable radiation survey instrument that has been calibrated according to
			 manufacturer's specifications, not to exceed 24 months. If manufacturer
			 specifications are not available, then the radiation survey instrument shall be
			 calibrated every 12 months.
(5)
			 The qualified CT medical physicist or qualified expert must verify that:
(a) Radiation levels in restricted areas are
			 not likely to cause personnel to receive exposures in excess of the limits
			 specified in OAR
			 333-120-0100(1);
			 and
(b) Radiation levels in
			 unrestricted areas do not exceed the limits specified in OAR
			 333-120-0180  and
			 333-120-0190.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0362 - Operating Procedures and Conditions of Operation

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Within six months following the effective
			 date of these rules, the CT facility shall establish default scanning protocols
			 in consultation with a qualified CT medical physicist.
(2) Default scanning protocols shall be
			 password protected or a written policy shall be in place that prohibits anyone
			 from changing protocols without documented approval from the CT medical
			 director, lead CT technologist or supervising CT radiologist.
(a) Each facility shall establish a policy to
			 review all of their default CT protocols at least annually to ensure they are
			 correct and are the intended protocols.
(b) Written and signed documentation of this
			 annual review shall be kept and made available for inspection for each CT unit
			 at the facility.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0363 - Quality Control Program

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 registrant shall ensure that a CT quality assurance phantom is available for
			 testing the CT system.
(2)
			 Instructions on the use of the phantom shall be provided. The instructions
			 shall include a schedule of tests appropriate for the CT system, the allowable
			 variations for the test parameters, and a method to store the test results.
(3) Within six months following
			 the effective date of these rules, a CT facility shall establish and implement
			 a quality control program under the direction of a CT medical physicist.
(4) Evaluations and tests shall be
			 performed following written procedures and methods.
(5) Corrective action shall be taken and
			 documented according to instructions provided by the qualified CT medical
			 physicist if the results of an evaluation or test fall outside the control
			 limits.
(6) The qualified CT
			 medical physicist shall determine the frequency of each test. An on-site CT
			 Radiologic Technologist shall be identified to be responsible for the ongoing
			 quality control testing.
(7) The
			 ongoing quality control evaluation must include, at a minimum, the following:
(a) Water CT number accuracy check and
			 standard deviation (noise);
(b)
			 Artifact evaluation;
(c) Visual
			 checklist; and
(d) Printer quality
			 control (if used for primary interpretation).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0364 - Computed Tomography X-ray Systems: Initial and Annual Qualified CT Medical Physicist Scanner Performance Evaluations

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A CT medical physicist shall complete an
			 initial performance evaluation of the CT scanner before use on patients and
			 annually thereafter.
(2) A
			 performance evaluation of the CT system shall be performed after any change in
			 the equipment which might cause a change in the radiation output or image
			 quality.
(3) A calibrated dosimetry
			 system shall be used to measure the radiation output of a CT scanner.
			 Calibration of the dosimetry system shall be within the preceding 24 months, or
			 per manufacturer's specifications, and shall be traceable to a national
			 standard.
(4) A performance
			 evaluation shall include the following, as a minimum:
(a) Alignment light accuracy;
(b) Alignment of table to gantry;
(c) Gantry tilt, as appropriate;
(d) Slice localization from scanned
			 projection radiograph;
(e) Table
			 travel accuracy;
(f) Radiation beam
			 width;
(g) Image quality, including
			 the following:
(A) Gray level performance of
			 CT acquisition display monitors,
(B) Low-contrast performance,
(C) Image uniformity,
(D) Noise,
(E) Artifact evaluation, and
(F) Spatial resolution;
(h) CT number uniformity;
(i) Dosimetry, including the following:
(A) Dose indicator such as computed
			 tomography dose index (CTDI¬vol), and
(B) Patient radiation dose for representative
			 examinations.
(j) A
			 safety evaluation, including the following:
(A) Visual inspection,
(B) Audible and visual signals, and
(C) Posting requirements.
(k) A review of clinical protocols
			 shall include at a minimum:
(A) An evaluation
			 of scanner features, including kV, mAs, detector configuration, reconstructed
			 scan width, pitch, reconstruction algorithm, and other features such as dose
			 reduction options, including automatic exposure controls, iterative
			 reconstruction techniques, etc. to ensure they are being properly utilized;
			 and
(B) A review of the following
			 clinical protocols, if they are used on the CT scanner:
(i) Pediatric head (one year old);
(ii) Pediatric abdomen (five years old; 40-50
			 pounds or approximately 20 kilograms);
(iii) Adult head;
(iv) Adult abdomen (70 kilograms);
(v) High-resolution chest;
(vi) Brain perfusion; and
(vii) Low dose lung cancer screening
			 exam.
(l) A
			 review of the facility's ongoing quality control program, including test
			 results and corrective action.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0365 - Surveys, Calibrations, Spot Checks, and Operating Procedures

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Surveys:
(a) All CT X-ray systems installed after
			 December 1990 and those systems not previously surveyed shall have a survey
			 made by, or under the direction of, a qualified expert. In addition, such
			 surveys shall be done after any change in the facility or equipment which might
			 cause a significant increase in radiation hazard;
(b) The registrant shall obtain a written
			 report of the survey from the qualified expert, and a copy of the report shall
			 be made available to the Authority upon request.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0366 - Dose Limits

Current through Register Vol. 63, No. 7, July 1, 2024
The CTDIvol for the following CT examinations on standard
				phantoms shall not exceed the dose limits listed below:
(1) Adult head, 80 mGy;
(2) Adult abdomen, 30 mGy;
(3) Pediatric abdomen (five years of age or
			 40 pounds, 20 mGy; and
(4)
			 Pediatric head, 40 mGy.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0367 - Records and Report Retention

Current through Register Vol. 63, No. 7, July 1, 2024
A facility with a CT scanner shall maintain records and reports
				on file and shall make the records and reports available for review by the
				Authority as follows:
(1) Records
			 documenting the qualifications of all personnel who worked at the facility as
			 an operator or CT medical physicist.
(2) Records of personnel no longer employed
			 by the facility shall be kept on file until the next inspection following the
			 employee's termination has been completed and the Agency has determined that
			 the facility is in compliance with the CT personnel requirements.
(3) A report of a CT medical event required
			 under OAR
			 333-106-0368  shall be maintained on file for at least seven years.
(4) Initial and annual CT medical physicist
			 performance evaluation reports required under OAR
			 333-106-0364  shall be maintained on file for at least five years.
(5) Records of the results from the ongoing
			 quality control evaluation required under OAR
			 333-106-0363  shall be maintained on file for at least three years.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0368 - Qualified CT Medical Physicist

Current through Register Vol. 63, No. 7, July 1, 2024
In order to perform a CT survey or provide consultative
				services on a CT unit, a person must be approved by the Authority, under the
				provisions of OAR
				333-101-0020,
				as a provider of radiation services in CT. In addition, the qualified CT
				medical physicist shall meet the requirements outlined below:
(1) Initial qualifications. Before beginning
			 to provide consultation to a CT facility, a medical physicist shall meet one of
			 the following:
(a) Be certified in diagnostic
			 radiological physics or radiological physics by the American Board of
			 Radiology, or in diagnostic imaging physics by the American Board of Medical
			 Physics, or in diagnostic radiology physics by the Canadian College of
			 Physicists in Medicine; or
(b)
			 Have a graduate degree in medical physics, radiological physics, physics, or
			 other relevant physical science or engineering discipline from an accredited
			 institution and have formal coursework in the biological sciences with at least
			 one course in biology or radiation biology and one course in anatomy,
			 physiology, or similar topics related to the practice of medical physics, and
			 have three years of documented experience in a clinical CT environment. An
			 accredited institution is a college or university accredited by a regional
			 accrediting organization that has been recognized either by the U.S. department
			 of education (USDE) or by the council for higher education accreditation (CHEA)
			 or both. Individuals with non-U.S. degrees shall provide documentation that
			 their foreign degrees are equivalent to those granted from an approved
			 institution in the U.S. and that the granting institution is equivalent to a
			 regionally accredited institution in the USA; or
(c) CT medical physicists who, prior to
			 August 1, 2014, have been actively working in the area of CT in the State of
			 Oregon and are specifically approved by the Authority to provide CT medical
			 physics services in Oregon, are exempt from the requirements in subsections (a)
			 and (b) this section.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0369 - Report and Notification of a CT Medical Event

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A CT facility shall notify the Authority
			 within 48 hours of any CT medical event in which a patient who has undergone a
			 CT study has incurred a deterministic radiation injury, such as epilation or
			 erythema.
(2) The registrant shall
			 submit a written report to the Authority within 30 days after the CT medical
			 event is discovered.
(3) The
			 written report shall include all of the following:
(a) The registrant's name, address, facility
			 registration number, and machine registration tag number as they appear on the
			 registration certificate;
(b) The
			 name of the individual who determined a CT medical event occurred;
(c) The dates of occurrence and discovery of
			 the CT medical event;
(d) A
			 narrative description of the CT medical event, including an estimated dose to
			 the patient, if possible, and body part involved;
(e) The cause of the CT medical event;
(f) The effect on the individual
			 who received the exposure;
(g) A
			 narrative detailing corrective action taken or planned to prevent a recurrence;
(h) Certification that the
			 registrant notified the individual or the individual's responsible relative or
			 guardian and, if not, why not; and
(i) The name and signature of the person
			 preparing the report.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0370 - Computed Tomography X-ray Systems: Operator Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Computed
			 Tomography (CT) X-ray systems shall be operated by individuals who are
			 authorized to operate CT in accordance with the statutes and rules of the
			 Oregon Board of Medical Imaging.
(2) A CBCT scanner shall be operated by a
			 dentist, hygienist, dental assistant or an individual that meets the
			 requirements in section (1) of this rule after completing a machine specific
			 manufacturer operator training program.
(3) A mini-CT machine shall be operated by an
			 ear, nose and throat physician or individual who meets the requirements of
			 section (1) of this rule for otolaryngology imaging after completing a machine
			 specific manufacturer operator training program.
Statutory/Other Authority: ORS
				  453.605 - 453.807
Statutes/Other Implemented: ORS
				  453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0601 - Veterinary X-ray Systems: Veterinary Medicine Radiographic Installations Additional Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Equipment:
(a) The protective tube housing
			 shall be of the diagnostic type;
(b) Collimating devices shall be provided and
			 used for collimating the useful beam to the area of clinical
			 interest;
(c) All X-ray equipment
			 sold after October 1991 must be equipped with a variable adjustable collimator
			 and beam-defining light that meets all of the requirements of OAR
			 333-106-0301(1), (2) and (3);
(d)
			 The total filtration permanently in the useful beam shall not be less than 0.5
			 mm Al equivalent for machines operating up to 50 kVp, 1.5 mm Al equivalent for
			 machines operating between 50 and 70 kVp, and 2.5 mm Al equivalent for machines
			 operating above 70 kVp;
(e) A
			 device shall be provided to terminate the exposure after a preset time or
			 exposure;
(f) A dead-man type of
			 exposure switch shall be provided, together with an electrical cord of
			 sufficient length, so that the operator can stand out of the useful beam and at
			 least 12 feet (3.66 m) from the animal during all X-ray
			 exposures.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0710 - Equipment Standards

Current through Register Vol. 63, No. 7, July 1, 2024
Only x-ray systems meeting the design and performance standards
				required under Mammography Quality Standards Act (MQSA) shall be used, unless
				otherwise specified in the following rules.
(1) System design. The x-ray system shall be
			 specifically designed for mammography.
(2) Image receptor.
(a) Image receptor systems shall be
			 specifically designed, or appropriate for mammography.
(b) Systems using screen-film image receptors
			 shall provide, at a minimum, image receptor sizes of 18 X 24 and 24 X 30
			 cm.
(c) An adequate number of image
			 receptors shall be provided to accommodate the resting period recommended by
			 the manufacturer.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0720 - Quality Assurance Program

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The registrant shall have a written, on-going equipment quality assurance
			 program specific to mammographic imaging, covering all components of the
			 diagnostic X-ray imaging system. The quality assurance program shall include
			 the testing required in section (5) of this rule, as well as the evaluation of
			 the test results and corrective actions necessary to ensure consistently
			 high-quality images with minimum patient exposure. Responsibilities under this
			 requirement are as follows:
(a) The
			 registrant shall identify in policy/procedure, by name, a Lead Interpreting
			 Physician meeting the requirements of OAR 333-106-0750(2), whose
			 responsibilities at a minimum must include:
(A) Ensuring that the registrant's quality
			 assurance program meets all associated rules and regulations;
(B) Ensuring that an effective quality
			 assurance program exists;
(C)
			 Providing frequent feedback to mammography technologists regarding film quality
			 and quality control procedures;
(D)
			 Reviewing the Quality Control Technologist's test data at least every three
			 months, or more if consistency has not been shown or problems are
			 evident;
(E) Reviewing the Medical
			 Physicist's annual survey report or equipment evaluation results.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0730 - Additional Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Masks.
			 Masks shall be provided on the view boxes to block extraneous light from the
			 viewer's eye when the illuminated surface of the view box is larger than the
			 area of clinical interest.
(2) Film
			 processors utilized for mammography shall be:
(a) Used with X-ray film for mammography that
			 has been designated by the film manufacturer as appropriate for
			 mammography.
(b) Use chemical
			 solutions that are capable of developing the films used by the facility in a
			 manner equivalent to the minimum requirements specified by the film
			 manufacturer.
(c) Be adjusted to
			 and operated at the specifications recommended by the mammographic film
			 manufacturer, or at other settings such that the sensitometric performance is
			 at least equivalent.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0735 - Breast Density Notification

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 As used in this rule:
(a) "Breast Density"
			 refers to the relative amount of different tissues present in the breast. A
			 dense breast has less fat than glandular and connective tissue. Mammogram films
			 of breasts with higher density are harder to read and interpret than those of
			 less dense breasts. (Source: National Cancer Institute).
(b) "Facility" has the meaning given that
			 term in  42 U.S.C. 263  b and includes but is not limited to a hospital,
			 outpatient department, clinic, radiology practice, or mobile unit, an office of
			 a physician, or other facility that conducts breast cancer screening or
			 diagnosis through mammography activities. "Facility" does not include a
			 facility of the Department of Veterans Affairs.
(c) "Mammography activities" means the
			 operation of equipment to produce a mammogram, the processing of the film, the
			 initial interpretation of the mammogram and the viewing conditions for that
			 interpretation.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 106 - X-RAYS IN THE HEALING ARTS › Section 333-106-0750 - Mammography Personnel Qualifications

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Operator qualifications. In order to use
			 any mammography X-ray machine the operator of the mammography X-ray unit must
			 have the following qualifications:
(a) Have a
			 current license issued by the Oregon Board of Medical Imaging; and
(b) Have prior to the effective date of these
			 rules qualified as a radiologic technologist under the MQSA interim rules or
			 completed 40 contact hours of documented training specific to mammography under
			 the supervision of a qualified instructor. The hours of documented training
			 shall include, but not be limited to:
(A)
			 Training in breast anatomy and physiology, positioning and compression, quality
			 assurance/quality control techniques, imaging patients with breast implants;
(B) The performance of 25
			 examinations under the personal supervision of an individual qualified under
			 this section; and
(C) At least
			 eight hours of training in each mammography modality to be used by the
			 technologist in performing mammography exams; and
(D) Be currently registered and in good
			 standing with the American Registry of Radiologic Technologist (ARRT); and
(E) Be certified in mammography by
			 the ARRT or the equivalent; or
(F)
			 Provide documented evidence that an ARRT mammography certification test is
			 scheduled. Technologists meeting the requirements of subsection (1)(a) and
			 paragraphs (1)(b)(A), (B), (C), and (D) of this rule may work under the
			 supervision (supervision means that a fully qualified technologist is on-site
			 and readily available to answer questions or assist) of a technologist, meeting
			 all of the requirements of this rule, for up to one year while waiting to take
			 the certification test.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0001 - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
(1) This
			 division establishes procedures for the registration and the use of particle
			 accelerators.
(2) In addition to
			 the requirements of this division, all registrants are subject to the
			 requirements of divisions 100, 101, 120 and 111 of these rules. Registrants
			 engaged in industrial radiographic operations are also subject to the
			 requirements of divisions 105 and 108 of these rules, and registrants engaged
			 in the healing arts are also subject to the requirements of division 106 of
			 these rules. Registrants whose operations result in the production of
			 radioactive material are also subject to the requirements of division 102 of
			 these rules.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0002 - Registration Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
No person may receive, possess, use, transfer, own, or acquire
				a particle accelerator unless they apply for, and are granted, a registration
				issued pursuant to division 333-101.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0003 - General Requirements for the Issuance of a Registration for Particle Accelerators

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to the requirements of division 101 of these rules,
				a registration application for use of a particle accelerator will be approved
				only if the Authority 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 division and divisions 120 and 111 of these
			 rules in such a manner as to minimize danger to public health and safety or
			 property;
(2) The applicant's
			 equipment, facilities, operating and emergency procedures are adequate to
			 protect health and minimize danger to public health and safety or
			 property;
(3) The issuance of the
			 registration will not be harmful to the health and safety of the
			 public;
(4) The applicant has
			 appointed a qualified 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 to its intended uses;
(6) The applicant has established a radiation
			 safety committee to approve, in advance, proposals for uses of particle
			 accelerators, whenever deemed necessary by the Authority;
(7) The applicant has an adequate training
			 program for operators of particle accelerators;
(8) A shielding design, by a qualified expert
			 licensed to do shielding design in Oregon, must be submitted with the
			 registration application; ;
(9) For
			 all new accelerators, a record indicating that a radiation safety survey has
			 been conducted prior to the use of the accelerator, must be sent to the
			 Authority as soon as practical after the registration application is submitted;
			 and
(10) Copies of the facility's
			 operating and emergency procedures must be submitted with the registration
			 application.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0005 - Equipment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A label bearing
			 essentially the words CAUTION -- RADIATION -- THIS MACHINE PRODUCES RADIATION
			 WHEN ENERGIZED must be placed near any switch which energizes any portion of
			 the machine. All labels must be the conventional colors (magenta or purple on
			 yellow background) and bear the conventional radiation symbol.
(2) Any apparatus used in beam alignment
			 procedures must be designed in such a way that excessive radiation will not
			 strike the operator.
(3) Any switch
			 or device which may cause the radiation machine to produce radiation when
			 actuated must be located on a control panel or console, and must cause a
			 warning light immediately adjacent to such switch or device to light; this
			 light must remain lit when, and only when, the associated control circuit is
			 energized.
(4) A lock must be
			 provided on the control panel or console that prevents unauthorized operation
			 of the accelerator.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0010 - Administrative Responsibilities

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 person at each facility must be designated to be responsible for maintaining
			 radiation safety. This person, designated the radiation safety officer, must be
			 responsible for the following:
(a)
			 Establishing and maintaining operational procedures so that the radiation
			 exposure of each worker is kept as far below the maximum permissible dose as is
			 practical;
(b) Instructing all
			 personnel who work with or near radiation producing machines, in safety
			 practices;
(c) Maintaining a system
			 of personnel monitoring;
(d)
			 Arranging for establishment of radiation control areas, including placement of
			 appropriate radiation warning signs and/or devices;
(e) Providing for radiation safety inspection
			 of radiation producing machines, including operation of all safety devices on a
			 routine basis;
(f) Reviewing
			 modifications to apparatus, shielding and safety interlocks;
(g) Investigating and reporting to proper
			 authorities any case of excessive exposure to personnel and taking remedial
			 action;
(h) Being familiar with all
			 applicable rules for the control of ionizing radiation; and
(i) Terminating operations at the facility
			 because of radiation safety considerations.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0015 - Operating Procedures

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Particle
			 accelerators, when not in operation must be secured to prevent unauthorized
			 use.
(2) Written operating
			 procedures pertaining to radiation safety must be established for each
			 accelerator facility by the radiation safety officer.
(3) Written emergency procedures pertaining
			 to radiation safety must be established by the radiation safety officer. These
			 must list the telephone number(s) of the radiation safety officer and must
			 include the following actions to be taken in case of a known, or suspected,
			 accident involving radiation exposures:
(a)
			 Notifying the radiation safety officer; and
(b) Arranging for medical
			 examination.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0025 - Shielding and Safety Design Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A qualified expert, acceptable to the
			 Authority, must be consulted in the design of a particle accelerator
			 installation and called upon to perform a radiation survey when the accelerator
			 is first capable of producing radiation.
(2) Each particle accelerator installation
			 must be provided with such primary and/or secondary barriers as are necessary
			 to assure compliance with OAR
			 333-120-0100  and
			 333-109-0030.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0030 - Particle Accelerator Controls and Interlock Systems

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Instrumentation, readouts and controls on
			 the particle accelerator control console must be clearly identified and easily
			 discernible.
(2) Each entrance into
			 a target room or other high radiation area must be provided with a safety
			 interlock that shuts down the machine under conditions of barrier
			 penetration.
(3) Each safety
			 interlock must be on a circuit which must allow it to operate independently of
			 all other safety interlocks.
(4)
			 All safety interlocks must be designed so that any defect or component failure
			 in the safety interlock system prevents operation of the accelerator.
(5) When a safety interlock system has been
			 tripped, it must only be possible to resume operation of the accelerator by
			 manually resetting controls at the position where the safety interlock has been
			 tripped and, lastly, at the main control console.
(6) A scram button or other emergency power
			 cutoff switch must be located and easily identifiable in all high radiation
			 areas. Such a cutoff switch must include a manual reset so that the accelerator
			 cannot be restarted from the accelerator control console without resetting the
			 cutoff switch.
(7) All safety
			 interlocks must not be dependent upon the operation of a single circuit; i.e.,
			 they must be of redundant or fail-safe design.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0035 - Warning Devices

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each
			 location designated as a high radiation area, and each entrance to such
			 location, must be equipped with easily observable warning lights that operate
			 when, and only when, radiation is being produced.
(2) Except in facilities designed for human
			 exposure, each high radiation area must have an audible warning device which
			 must be activated for 15 seconds prior to the possible creation of such high
			 radiation area. Such warning device must be clearly discernible in all high
			 radiation areas.
(3) Barriers,
			 temporary or otherwise and pathways leading to high radiation areas must be
			 posted in accordance with OAR
			 333-120-0400.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0040 - Radiation Monitoring Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) There must be available at each particle
			 accelerator facility appropriate portable monitoring equipment which is
			 operable and has been appropriately calibrated for the radiations being
			 produced at the facility. Such equipment must be tested for proper operation
			 daily and calibrated at intervals not to exceed one year and after each
			 servicing and repair.
(2) A
			 radiation protection survey must be performed and documented by a qualified
			 expert, acceptable to the Authority, when changes have been made in shielding,
			 operation, equipment or occupancy of adjacent areas.
(3) Radiation levels in all high radiation
			 areas must be continuously monitored. The monitoring devices must be
			 electrically independent of the accelerator control and safety interlock
			 systems and capable of providing a readout at the control panel.
(4) All area monitors must be calibrated at
			 intervals not to exceed one year and after each servicing and repair.
(5) Whenever applicable, periodic surveys
			 must be made to determine the amount of airborne particulate radioactivity
			 present.
(6) Whenever applicable,
			 periodic smear surveys must be made to determine the degree of
			 contamination.
(7) All surveys must
			 be made in accordance with the written procedures established by a qualified
			 expert, acceptable to the Authority or the radiation safety officer.
(8) Records of all radiation protection
			 surveys, calibrations and instrumentation tests must be maintained at the
			 accelerator facility for inspection by the Authority.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 109 - RADIATION SAFETY REQUIREMENTS FOR PARTICLE ACCELERATORS › Section 333-109-0045 - Ventilation Systems

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Ventilation
			 systems must be provided to ensure that personnel entering any area where
			 airborne radioactivity may be produced will not be exposed to airborne
			 radioactive materials in excess of those limits specified in  10 CFR Part 20
			  Table 1 of Appendix B to 20.1001 to 20.2401.
(2) A registrant, as required by OAR
			 333-120-0190,
			 must not vent, release or otherwise discharge airborne radioactive material to
			 an unrestricted area which exceed the limits specified in  10 CFR Part 20  Table
			 2 Appendix B to 20.1001 to 20.2401, except as authorized pursuant to OAR
			 333-104-0035. For purposes of this rule concentrations may be averaged over a
			 period not greater than one year. Every effort should be made to maintain
			 releases of radioactive material to unrestricted areas as far below these
			 limits as is reasonably achievable.
Stat. Auth.: ORS 453.605 - 453.807
Stats. Implemented: ORS 453.605 -
				  453.807