reglab/statecodes huggingface dataset:
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 1 - General Provisions and Standards for Protection Against Radiation › Section 216-RICR-40-20-1.20 - Quantities of Licensed Material Requiring Labeling

Current through June 14, 2024
For the purpose of this Part, quantities of licensed
					 material requiring labeling are defined in Appendix C to
					 10 C.F.R. Part
					 20.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 1 - General Provisions and Standards for Protection Against Radiation › Section 216-RICR-40-20-1.21 - Requirements for Transfers of Low-Level Radioactive Waste Intended for Disposal at Licensed Land Disposal Facilities and Manifests

Current through June 14, 2024
For the purpose of this Part, requirements for transfers of
					 low-level radioactive waste intended for disposal at licensed land disposal
					 facilities and manifests are defined in Appendix G to
					 10 C.F.R. Part
					 20.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 1 - General Provisions and Standards for Protection Against Radiation › Section 216-RICR-40-20-1.22 - Nationally Tracked Source Thresholds

Current through June 14, 2024
For the purpose of this Part, requirements for nationally
					 tracked source thresholds are defined in Appendix E to
					 10 C.F.R. Part
					 20.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 2 - Notices, Instructions, and Reports to Workers; Inspections and Compliance Procedures › Section 216-RICR-40-20-2.1 - Authority and Purpose

Current through June 14, 2024
A. This Part is
				  promulgated pursuant to the authority conferred under R.I. Gen. Laws §
										23-1.3-5.
B. This Part establishes requirements for
				  notices, instructions and reports by licensees or registrants to individuals
				  engaged in work under a license or registration and options available to such
				  individuals in connection with Agency inspections of licensees or registrants
				  to ascertain compliance with the provisions of the Act and Regulations, orders,
				  licenses and certificates of registration issued thereunder regarding
				  radiological working conditions. Except as otherwise specifically provided,
				  this Part applies to persons licensed or registered by the Agency to receive,
				  possess, use, transfer, or dispose of any source of radiation; provided,
				  however, that nothing in this Part shall apply to any person to the extent such
				  person is subject to regulation by the U.S. Nuclear Regulatory
				  Commission.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 2 - Notices, Instructions, and Reports to Workers; Inspections and Compliance Procedures › Section 216-RICR-40-20-2.2 - Incorporated Material

Current through June 14, 2024
A. Except as
				  provided in this Part, the requirements of  10 C.F.R. Part 19  (2021) are
				  incorporated by reference, not including any further editions or amendments
				  thereof and only to the extent that the provisions therein are not inconsistent
				  with this Part.
B. Notwithstanding
				  the provisions of §
										2.2(A)   of
				  this Part,
				   10 C.F.R. §§
											19.3  (definition of
				  "regulated entities" only), 19.4, 19.5, 19.8, 19.11(b) and (e), 19.14(a),
				  19.18, 19.20, 19.30, 19.31, 19.32 and 19.40 are not incorporated by
				  reference.
C. Effect of
				  incorporation of    10 C.F.R. Part 19    . To reconcile differences between this Part
				  and the incorporated sections of 10 C.F.R. Part 19, the following words and
				  phrases shall be substituted for the language in 10 C.F.R. Part 19 as follows:
1. Any reference to NRC or Commission shall
				  be deemed to be a reference to the Agency.
2. Any reference to NRC or agreement state
				  shall be deemed to be a reference to the Agency, NRC or agreement
				  State.
3. Any reference to
				  byproduct material shall be deemed to be a reference to radioactive
				  material.
4. Any notifications,
				  reports or correspondence referenced in the incorporated sections of  10 C.F.R.
				  Part 19  shall be directed to the Agency using contact information specified in
				  §
											1.4   of
				  this Subchapter.
5. Any reference
				  to licensee shall be deemed to include registrant.
6. Any reference to license shall be deemed
				  to include registration.
7. Any
				  reference to licensed shall be deemed to include registered.
8. Any reference to NRC Form 3 shall be
				  deemed to be a reference to Agency Form RCA-1.
9. Any requirement to utilize NRC Form 4 may
				  also be satisfied by use of Agency Form RCA-2.
10. Any requirement to utilize NRC Form 5 may
				  also be satisfied by use of Agency Form RCA-3.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 2 - Notices, Instructions, and Reports to Workers; Inspections and Compliance Procedures › Section 216-RICR-40-20-2.3 - Definitions

Current through June 14, 2024
A. In addition to the definitions contained
				  in  10 C.F.R. §
											19.3, whenever used in this Part, the
				  following terms shall be construed as follows:
1. "Act" means R.I. Gen. Laws Chapter
				  23-1.3 entitled "Radiation
				  Control."
2. "Agency" means Rhode
				  Island Radiation Control Agency (RCA), Center for Health Facilities Regulation
				  - Radiation Control Program, Rhode Island Department of Health.
3. "Radioactive material" means any material
				  (solid, liquid, or gas) which emits radiation spontaneously.
4. "Registrant" means any person who is
				  registered with the Agency and is legally obligated to register with the Agency
				  pursuant to this Subchapter and the Act.
5. "Registration" means registration with the
				  Agency pursuant to this Subchapter and the Act.
6. "Regulated entities" means any individual
				  person, organization or corporation that is subject to the regulatory
				  jurisdiction of Rhode Island.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 2 - Notices, Instructions, and Reports to Workers; Inspections and Compliance Procedures › Section 216-RICR-40-20-2.4 - Posting of Notices to Workers

Current through June 14, 2024
A. For the purpose
				  of this Part, requirements for posting of notices to workers are defined in
				   10 C.F.R. §
											19.11, excluding
				   10 C.F.R. §§
											19.11(b) and (e).
B. Notwithstanding the requirements of §
										2.4(A)   of
				  this Part, Agency licensees and registrants shall post Agency Form RCA-1 in
				  lieu of NRC Form 3.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 2 - Notices, Instructions, and Reports to Workers; Inspections and Compliance Procedures › Section 216-RICR-40-20-2.5 - Instruction to Workers

Current through June 14, 2024
A. For the purpose
				  of this Part, requirements for instruction to workers are defined in
				   10 C.F.R. §
											19.12.
B. Use of Latex Gloves. Persons, firms or
				  corporations licensed or registered by the Agency that utilize latex gloves are
				  subject to Part
				  20-15-3
				  of this Title, Use of Latex Gloves by Health Care Workers, in Licensed Health
				  Care Facilities, and by Other Persons, Firms, or Corporations Licensed or
				  Registered by the Department, and the posting and employee notification
				  requirements contained therein.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 2 - Notices, Instructions, and Reports to Workers; Inspections and Compliance Procedures › Section 216-RICR-40-20-2.6 - Notifications and Reports to Individuals

Current through June 14, 2024
For the purpose of this Part, requirements for
					 notifications and reports to individuals are defined in
					  10 C.F.R. §
											19.13.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 2 - Notices, Instructions, and Reports to Workers; Inspections and Compliance Procedures › Section 216-RICR-40-20-2.7 - Presence of Representatives of Licensees and Regulated Entities, and Workers During Inspections

Current through June 14, 2024
For the purpose of this Part, requirements for presence of
					 representatives of licensees and regulated entities and workers during
					 inspections are defined in
					  10 C.F.R. §
											19.14, excluding
					  10 C.F.R. §
											19.14(a).
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 2 - Notices, Instructions, and Reports to Workers; Inspections and Compliance Procedures › Section 216-RICR-40-20-2.8 - Consultation with Workers During Inspections

Current through June 14, 2024
For the purpose of this Part, requirements for consultation
					 with workers during inspections are defined in
					  10 C.F.R. §
											19.15.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 2 - Notices, Instructions, and Reports to Workers; Inspections and Compliance Procedures › Section 216-RICR-40-20-2.9 - Requests by Workers for Inspections

Current through June 14, 2024
For the purpose of this Part, requirements for requests by
					 workers for inspections are defined in
					  10 C.F.R. §
											19.16.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 2 - Notices, Instructions, and Reports to Workers; Inspections and Compliance Procedures › Section 216-RICR-40-20-2.10 - Inspections Not Warranted; Informal Review

Current through June 14, 2024
For the purpose of this Part, requirements for inspections
					 not warranted; informal review are defined in
					  10 C.F.R. §
											19.17.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.1 - Authority

Current through June 14, 2024
A. This Part is promulgated pursuant to the
				  authority conferred under R.I. Gen. Laws §
										23-1.3-5.
B. This Part requires the registration of
				  X-ray equipment facilities and the registration of persons providing
				  installation and/or servicing of X-ray equipment to Agency registrants or
				  radiation physics services to Agency registrants or licensees. For purposes of
				  this Part, particle accelerator facilities, whether used primarily for X-ray
				  production or other purposes, shall be considered X-ray equipment
				  facilities.
C. In addition to the
				  requirements of this Part, all registrants are subject to the applicable
				  provisions of other Parts of this Subchapter.
D. Any notifications, reports or
				  correspondence referenced in this Part shall be directed to the Agency using
				  contact information specified in §
										1.4   of this
				  Subchapter.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.2 - Incorporation by Reference

Current through June 14, 2024
A. This Part hereby
				  adopts and incorporates the National Council on Radiation Protection and
				  Measurements' (NCRP) Report 144 "Radiation Protection for Particle Accelerator
				  Facilities" (2003) by reference, not including any further editions or
				  amendments thereof and only to the extent that the provisions therein are not
				  inconsistent with this Part.
B.
				  This Part hereby adopts and incorporates the National Council on Radiation
				  Protection and Measurements' (NCRP) Report 145, "Radiation Protection in
				  Dentistry" (2003) by reference, not including any further editions or
				  amendments thereof and only to the extent that the provisions therein are not
				  inconsistent with this Part.
C.
				  This Part hereby adopts and incorporates the National Council on Radiation
				  Protection and Measurements' (NCRP) Report 147, "Structural Shielding Design
				  for Medical X-ray Imaging Facilities" (2004) by reference, not including any
				  further editions or amendments thereof and only to the extent that the
				  provisions therein are not inconsistent with this Part.
D. This Part hereby adopts and incorporates
				  the National Council on Radiation Protection and Measurements' (NCRP) Report
				  148, "Radiation Protection in Veterinary Medicine" (2004) by reference, not
				  including any further editions or amendments thereof and only to the extent
				  that the provisions therein are not inconsistent with this Part.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.3 - Prohibitions and Exemptions

Current through June 14, 2024
A. Prohibitions. All
				  registrants shall prohibit any person from furnishing X-ray equipment servicing
				  or radiation physics services as described in §
										3.6   of this Part to their
				  X-ray equipment facility until such person provides evidence that they are
				  registered with the Agency as a provider of services in accordance with §
										3.6   of this Part.
B. Exemptions
1. Electronic equipment that produces
				  radiation incidental to its operation for other purposes is exempt from the
				  registration and certification requirements of this Part, providing dose
				  equivalent rate averaged over an area of ten square centimeters (10
				  cm2) does not exceed five tenths (0.5) mrem (five
				  (5) uSv) per hour at five (5) cm from any accessible surface of such equipment.
				  The production, testing, or factory servicing of such equipment shall not be
				  exempt.
2. X-ray equipment while in
				  transit or in storage incident to transit are exempt from the requirements of
				  this Part. This exemption does not apply to the providers of X-ray equipment
				  for mobile services.
3. Domestic
				  television receivers and video display terminals are exempt from the
				  requirements of this Part.
4.
				  Inoperable X-ray equipment is exempt from the requirements of this Part. For
				  the purposes of this Part, an inoperable X-ray equipment means X-ray equipment
				  that cannot be energized when connected to a power supply without repair or
				  modification.
5. Financial
				  institutions that take possession of operable X-ray equipment as the result of
				  foreclosure, bankruptcy, or other default of payment are subject to the
				  requirements in this Part. X-ray equipment which is operable for the sole
				  purpose of selling, leasing or transferring shall be registered in the Storage
				  category.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.4 - Definitions

Current through June 14, 2024
A. Whenever used in this Part, the following
				  terms shall be construed as follows:
1. "Act"
				  means R.I. Gen. Laws Chapter
				  23-1.3 entitled "Radiation
				  Control."
2. "Agency" means Rhode
				  Island Radiation Control Agency (RCA), Center for Health Facilities Regulation
				  - Radiation Control Program, Rhode Island Department of Health.
3. "Facility" means the location, building,
				  vehicle, or complex under one (1) administrative control, at which one (1) or
				  more radiation machines are installed, located and/or used.
4. "Registration" means registration with the
				  Agency pursuant to this Subchapter and the Act.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.5 - General Regulatory Requirements

Current through June 14, 2024
3.5.1
Shielding Plan Review
A. Except
				  as otherwise provided in §3.5.1(C) of this Part, all new X-ray equipment
				  (as defined by Part 4 of this Subchapter, Diagnostic X-Rays and Associated
				  Imaging Systems in the Healing Arts) facilities and modifications of existing
				  X-ray equipment facilities utilizing ionizing radiation machines shall require
				  shielding plan review by the Agency.
B. Prior to construction, the floor plans,
				  shielding specifications, and equipment arrangement shall be submitted to the
				  Agency for review and approval. The required information for all ionizing
				  radiation machines, except therapeutic radiation machines, is denoted in §
											3.13   of this Part. The
				  required information for therapeutic radiation machines is contained in §
											5.13   of this
				  Subchapter.
C. The Agency may
				  require the applicant to utilize the services of a person registered to provide
				  General Radiation Physics Services in developing the information required by
				  §
											3.13   of
				  this Part.
D. Shielding plan review
				  by the Agency is not required for the following type of X-ray equipment
				  facilities:
1. Any type of X-ray equipment
				  which provides sufficient self-shielding to reduce the radiation levels at all
				  external surfaces of the equipment below those levels required by
				  §§1.7.1, 1.7.7 and 1.8.1 of this Subchapter.
2. Any X-ray equipment facility performing
				  only dental intraoral and/or panoramic procedures whose estimated workload has
				  been evaluated in accordance with NCRP Report 145 ["Radiation Protection in
				  Dentistry" (2003)], and it has been documented that existing structural
				  configuration will provide sufficient shielding to reduce the radiation levels
				  to those required by §§1.7.1, 1.7.7 and 1.8.1 of this
				  Subchapter.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.6 - Application for Registration of X-Ray Equipment Servicing and Radiation Physics Services

Current through June 14, 2024
A. Each person who
				  is engaged in the business of installing or offering to install X- ray
				  radiation equipment in this State, or is engaged in the business of furnishing
				  or offering to furnish X-ray equipment servicing to an Agency registrant, or is
				  engaged in the business of furnishing or offering to furnish radiation physics
				  services to an Agency registrant or licensee shall apply for registration of
				  such installation and/or servicing or radiation physics services with the
				  Agency prior to furnishing or offering to furnish any such servicing or
				  services.
B. Application for
				  Registration shall be completed on forms furnished by the Agency and shall
				  contain all information required by the Agency as indicated on the forms and
				  accompanying instructions, including a designated e-mail address for receipt of
				  official Agency correspondence in electronic format.
1. An application for registration to provide
				  X-ray equipment servicing will be accepted from either a firm or an
				  individual.
2. An application for
				  registration to provide radiation physics services will only be accepted from
				  an individual. If a firm employs more than one (1) individual to provide
				  radiation physics services, each individual shall be required to obtain a
				  separate registration.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.7 - Certificate of Registration

Current through June 14, 2024
A. No person who is
				  required to be registered under this part shall operate an X-ray equipment
				  facility or radiation physics service without a valid Certificate of
				  Registration.
B. The Agency may
				  incorporate in the Certificate of Registration at the time of issuance or
				  thereafter by appropriate Rule, Regulation, or order, such additional
				  requirements and conditions with respect to the registrant's receipt,
				  possession, use, and transfer of radiation equipment as it deems appropriate or
				  necessary.
C. A current Certificate
				  of Registration or legible copy thereof shall be posted conspicuously at each
				  registered facility.
D. Except as
				  provided by §
										3.7(F)   of
				  this Part, each Certificate of Registration shall expire at the end of the
				  specified day in the month and year stated therein.
E. Application for renewal of registration
				  shall be filed in accordance with §§
										3.5  or
				   3.6   of this Part.
F. In any case in which a registrant not less
				  than thirty (30) days prior to the expiration of his existing Certificate of
				  Registration has filed an application in proper form for renewal, and has
				  remitted the renewal fee, such existing Certificate of Registration shall not
				  expire until the application status has been finally determined by the
				  Agency.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.8 - Report of Changes

Current through June 14, 2024
The registrant shall notify the Agency in writing before
					 making any change which would render the information contained in the
					 Application for Registration and/or the Certificate of Registration no longer
					 accurate. In the case of disposition of an X-ray system, such notification
					 should specify the recipient of the system. In the case of modifications
					 involving a structural change, or the addition or relocation of an X-ray
					 system, the Agency may require the registrant to submit the information
					 contained in §
										3.13   of this
					 Part.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.9 - Approval Not Implied

Current through June 14, 2024
No person, in any advertisement, shall refer to the fact
					 that he or his facility is registered with the Agency pursuant to the
					 provisions of §§
										3.5  or
					  3.6   of this Part and no
					 person shall state or imply that any activity under such registration has been
					 approved by the Agency.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.10 - Assembler and/or Transfer Obligation

Current through June 14, 2024
A. Any person
				  who sells, leases, transfers, lends, disposes, assembles, or installs X-ray
				  equipment in this State shall notify the Agency within fifteen (15) days of:
1. The name and address of persons who have
				  received this equipment.
2. The
				  manufacturer, model, and serial number of each X-ray system transferred;
				  and
3. The date of transfer of each
				  X-ray system.
4. In the case of
				  diagnostic X-ray systems which contain certified components, a copy of RCA Form
				  2579 shall be submitted to the Agency within fifteen (15) days following
				  completion of the assembly. Such report shall suffice in lieu of any other
				  report by the assembler.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.11 - Waiver of Registration for Temporary Use

Current through June 14, 2024
A.
				  Whenever any X-ray system is to be brought into the State, for any temporary
				  use, the person proposing to bring such system into the State shall give
				  written notice to the Agency at least two (2) working days before such machine
				  is to be used in the State. The notice shall include:
1. The type of X-ray system;
2. The nature, duration, and scope of
				  use;
3. The exact location(s) where
				  the X-ray system is to be used; and
4. The State(s) in which the X-ray system is
				  registered.
5. Upon receipt of such
				  notification, the Agency shall determine whether a waiver of registration will
				  be granted.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.12 - Registration Fees

Current through June 14, 2024
In accordance with authority granted to the Agency in R.I.
					 Gen. Laws §23-1.3 - 5(i), registration fees
					 are payable to the Treasurer, State of Rhode Island by persons applying for
					 registration. A current schedule of fees is available in Part
					 10-05-2 of this Title, Fee
					 Structure for Licensing, Laboratory and Administrative Services Provided by the
					 Department of Health. Upon approval of the application, the Agency will notify
					 the applicant of the correct fee which is due. A Certificate of Registration
					 will not be issued or renewed until the correct fee has been remitted. Fees
					 which remain unpaid beyond the expiration date of the current Certificate of
					 Registration may result in suspension of registration.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.13 - Information on Radiation Shielding Required for Plan Reviews

Current through June 14, 2024
A. All X-Ray Equipment Facilities must submit
				  the following information for plan reviews:
1. Basic facility information including:
a. Name;
b. RPS registration number and telephone
				  number of the individual responsible for the shielding
				  specifications;
c. Name and
				  telephone number of the facility supervisor; and
d. The street address [including room number(s)] of
				  the facility.
e. The plan should
				  also indicate whether this is a new structure or a modification to existing
				  structure(s). If the facility is currently registered, the Agency registration
				  number must be provided.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.14 - Education and Experience Requirements for Radiation Physics Services

Current through June 14, 2024
A. Radiotherapy Physics Services. Calibration
				  and surveys of: therapeutic X-ray equipment; medical accelerators; teletherapy
				  units, remote afterloader brachytherapy units and/or stereotactic radiosurgery
				  units utilizing sealed radioactive sources.
1.
				  Documentation of training sufficient to qualify as:
a. An Authorized Medical Physicist pursuant
				  to §9.5.11 of this Subchapter in the modality(s) for which registration is
				  being requested; or
b. A Qualified
				  Medical Physicist pursuant to §5.3.4 of this Subchapter.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.15 - Radiation Safety Officer (RSO) Requirements

Current through June 14, 2024
3.15.1
General Requirements
A. An RSO
				  shall meet the following general requirements, as well as any applicable
				  facility-specific requirements of §3.15.2 of this Part.
1. Knowledge of potential radiation hazards
				  and emergency precautions;
2.
				  Completed educational courses related to ionizing radiation safety or a
				  radiation safety officer course;
3.
				  Experience in the use and familiarity of the type of equipment used.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 3 - Registration of X-Ray Equipment Facilities and Radiation Physics Services › Section 216-RICR-40-20-3.16 - Duties and Responsibilities of The Radiation Safety Officer (RSO)

Current through June 14, 2024
A. Specific duties and responsibilities of
				  the Radiation Safety Officer (RSO) include, but are not limited to, the
				  following:
1. Establishment and oversight of
				  operating and safety procedures that maintain radiation exposures as low as
				  reasonably achievable (ALARA), and periodic review to ensure that the
				  procedures are current and conform with this Subchapter;
2. Ensure that individual monitoring devices
				  are properly used by occupationally-exposed personnel, that records are kept of
				  the monitoring results, and that timely notifications are made as required by
				  Part 1 of this Subchapter;
3.
				  Investigate and report to the Agency each known or suspected case of radiation
				  exposure to an individual or radiation level detected in excess of limits
				  established by this Subchapter and each theft or loss of source(s) of
				  radiation, determining the cause, and taking steps to prevent its
				  recurrence;
4. Maintain a thorough
				  knowledge of relevant management policies and administrative procedures of the
				  registrant and keep management informed on a periodic basis of the performance
				  of the registrant's radiation protection program, if applicable;
5. Authority to institute corrective actions
				  including shut-down of operations when necessary in emergency situations or
				  unsafe conditions;
6. Maintain
				  records as required by this Subchapter; and
7. Ensure that personnel are adequately
				  trained and complying with this Subchapter, the conditions of the Certificate
				  of Registration, and the operating and safety procedures of the
				  registrant.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 4 - Medical Diagnostic and Interventional X-Ray and Imaging Systems › Section 216-RICR-40-20-4.1 - Authority

Current through June 14, 2024
A. This Part is promulgated pursuant to the
				  authority conferred under R.I. Gen. Laws §
										23-1.3-5.
B. This Part establishes requirements, for
				  which a registrant is responsible, for use of diagnostic and interventional
				  X-ray equipment and imaging systems by, or under the supervision of, an
				  individual authorized by and licensed in accordance with applicable provisions
				  of the R.I. Gen. Laws to engage in the healing arts or veterinary medicine. The
				  provisions of this Part are in addition to, and not in substitution for, other
				  applicable provisions of this Subchapter.
C. Any notifications, reports or
				  correspondence required by this Part shall be directed to the Agency using
				  contact information specified in §
										1.4   of this
				  Subchapter.
4.1.1
Incorporation by Reference
A.
				  Except as provided in this Part, these Regulations hereby adopt and incorporate
				  the requirements of  21 C.F.R. Part 900  (2023) by reference, not including any
				  further editions or amendments thereof and only to the extent that the
				  provisions therein are not inconsistent with these Regulations.
B. These Regulations hereby adopt and
				  incorporate the requirements of ACR-AAPM Technical Standard for Management of
				  the Use of Radiation in Fluoroscopic Procedures (2021) by reference, not
				  including any further editions or amendments thereof and only to the extent
				  that the provisions therein are not inconsistent with these Regulations.
C. These Regulations hereby adopt
				  and incorporate the requirements of NCRP Report 168, Radiation Dose Management
				  for Fluoroscopically-Guided Interventional Medical Procedures (2010) by
				  reference, not including any further editions or amendments thereof and only to
				  the extent that the provisions therein are not inconsistent with these
				  Regulations.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 4 - Medical Diagnostic and Interventional X-Ray and Imaging Systems › Section 216-RICR-40-20-4.3 - General and Administrative Requirements

Current through June 14, 2024
4.3.1
Administrative Controls
A. The
				  registrant shall be responsible for directing the operation of the X-ray
				  system(s) under their administrative control. The registrant or the
				  registrant's agent shall assure that the requirements of this Subchapter are
				  met in the operation of the X-ray system(s).
B. The registrant shall have a radiation
				  safety program. The radiation safety program shall include but not be limited
				  to the following:
1. The use of ionizing
				  radiation within its purview is performed in accordance with the Act and Agency
				  Regulations.
2. All persons are
				  protected as required by Part 1 of this Subchapter.
C. The registrant shall have a mechanism in
				  place for the referring physician to access information on selecting the most
				  appropriate diagnostic procedure to answer the clinical question.
D. The registrant shall utilize nationally
				  recognized diagnostic reference levels (DRLs) when applicable.
E. The registrant shall select the
				  appropriate technique and employ available dose reduction methods and
				  technologies across all patient sizes and clinical indications.
F. Each registrant shall have a documented
				  procedure in place for verification of patient identity and exam to be
				  performed, including identification of the appropriate body part.
G. All X-ray equipment shall be installed and
				  used in accordance with the equipment manufacturer's
				  specifications.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 4 - Medical Diagnostic and Interventional X-Ray and Imaging Systems › Section 216-RICR-40-20-4.4 - General Requirements for All Diagnostic and Interventional X-ray Systems

Current through June 14, 2024
4.4.1
Applicability
In addition to other requirements of this Part, all
					 diagnostic and interventional X-ray systems shall meet the requirements of
					 §
											4.4   of
					 this Part. Requirements specific to dental intra-oral, panoramic,
					 cephalometric, volumetric dental imaging equipment are included in §
											4.14   of this
					 Part.
4.4.2
Maintaining Compliance
Diagnostic and interventional X-ray systems and their
					 associated components used on humans and certified pursuant to the Federal
					 X-ray Equipment Performance Standard ( 21 C.F.R. Part 1020 ) shall be maintained
					 in compliance with applicable requirements of that standard.
4.4.3
Warning Label
A. On systems manufactured on or before June
				  10, 2006, the control panel containing the main power switch shall bear the
				  following warning statement, or the warning statement in §4.4.3(B)
				  of this Part, legible and accessible to view: "WARNING: This X-ray unit may be
				  dangerous to patient and operator unless safe exposure factors and operating
				  instructions are observed."
B. On
				  systems manufactured after June 10, 2006, the control panel containing the main
				  power switch shall bear the following warning statement, legible and accessible
				  to view: "WARNING: This X-ray unit may be dangerous to patient and operator
				  unless safe exposure factors, operating instructions and maintenance schedules
				  are observed."
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 4 - Medical Diagnostic and Interventional X-Ray and Imaging Systems › Section 216-RICR-40-20-4.5 - Fluoroscopic Equipment

Current through June 14, 2024
4.5.1
Applicability
A. The provisions
				  of §
											4.5   of this Part apply to
				  equipment for fluoroscopic imaging or for recording images from the
				  fluoroscopic image receptor. X-ray systems subject to §
											4.5   of this Part shall also
				  meet the requirements of §
											4.4   of this Part.
B. Only image-intensified or direct-digital
				  receptor fluoroscopic equipment shall be used for
				  fluoroscopy.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 4 - Medical Diagnostic and Interventional X-Ray and Imaging Systems › Section 216-RICR-40-20-4.7 - Computed Tomography Equipment

Current through June 14, 2024
4.7.1
Requirements for CT Equipment
A.
				  Applicability. X-ray systems subject to §
											4.7   of this Part shall also
				  meet the applicable requirements of §
											4.4   of this Part. Unless
				  otherwise specified, the requirements for equipment contained in §4.7.1 of this Part are
				  applicable to CT X-ray systems manufactured or remanufactured on or after
				  September 3, 1985.
1. Accreditation. All
				  diagnostic CT X-ray equipment for human use shall be accredited by an
				  accrediting organization recognized by the Agency unless otherwise authorized
				  by the Agency.
2. Technical and
				  Safety Information. The technical and safety information relating to the
				  conditions of operation, dose information and imaging performance provided by
				  the CT manufacturer shall be maintained by the facility.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 4 - Medical Diagnostic and Interventional X-Ray and Imaging Systems › Section 216-RICR-40-20-4.8 - Mammography

Current through June 14, 2024
4.8.1
Applicability
The provisions of this section are in addition to, and not
					 in substitution for, other applicable provisions of this
					 Subchapter.
4.8.2
Certification Requirements
A.
				  Only X-ray systems in compliance with the requirements of the Mammography
				  Quality Standards Reauthorization Act of 1998,
				  Pub. Law
				  105-248, and  21 C.F.R. Part 900  shall be used for
				  screening and diagnostic mammography.
B. A facility performing mammography shall
				  have a valid certificate issued by the U.S. Department of Health and Human
				  Services, pursuant to the Mammography Quality Standards Reauthorization Act of
				  1998, Pub. Law
				  105-248, and  21 C.F.R. Part 900.
C. A facility performing mammography shall
				  ensure that the additional mammography activities of processing the X-ray film,
				  interpreting the image, and maintaining viewing conditions, wherever performed,
				  meet all quality standards pursuant to the Mammography Quality Standards
				  Reauthorization Act of 1998,
				  Pub. Law
				  105-248, and 21 C.F.R. Part
				  900.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 4 - Medical Diagnostic and Interventional X-Ray and Imaging Systems › Section 216-RICR-40-20-4.9 - Dual-Energy X-ray Absorptiometry (DXA) (Bone Densitometry)

Current through June 14, 2024
4.9.1
DXA Systems
A. DXA systems shall be:
1. Certified by the manufacturer pursuant to
				  the Medical Device Act and Subchapter C - Electronic Product Radiation Control
				  (EPRC) of Chapter V of the Federal Food, Drug and Cosmetic Act;
2. Registered in accordance with Part 3 of
				  this Subchapter; and
3. At a
				  minimum, maintained and operated in accordance with the manufacturer's
				  specification and recommendations.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 4 - Medical Diagnostic and Interventional X-Ray and Imaging Systems › Section 216-RICR-40-20-4.10 - Quality Assurance Program

Current through June 14, 2024
4.10.1
Quality Assurance
A. Except where
				  otherwise specified by the provisions of §4.10.1(A)(7)
				  of this Part, all registrants of diagnostic X-ray imaging equipment shall
				  establish and maintain a quality assurance program consisting of quality
				  control assessments addressing at least the following items:
1. Administration
a. Written standard operating procedures on
				  radiation protection are reviewed and updated by management at intervals not to
				  exceed twelve (12) months (± thirty (30) days);
b. Employee review and written
				  acknowledgement of standard operating procedures and policies on radiation
				  protection at intervals not to exceed twelve (12) months (± thirty (30)
				  days);
c. Maintenance of
				  documentation of minimum qualifications for practitioners, medical physicists,
				  and X-ray equipment operators; and d. Record retention in accordance with
				  applicable Rhode Island statutes and Regulations, but in no case less than
				  three (3) years.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 4 - Medical Diagnostic and Interventional X-Ray and Imaging Systems › Section 216-RICR-40-20-4.11 - Information to Be Submitted by Persons Proposing to Conduct Healing Arts Screening

Current through June 14, 2024
A. Persons
				  requesting that the Agency approve a healing arts screening program shall
				  submit the following information for evaluation and approval:
1. Name and address of the applicant and,
				  where applicable, the names and addresses of agents within Rhode
				  Island.
2. Diseases or conditions
				  for which the X-ray examinations are to be used in diagnoses.
3. A description of the X-ray examinations
				  proposed in the screening program (i.e., type and number of views).
4. Description of the population to be
				  examined in the screening program, (i.e., age range, gender, physical
				  condition, and other appropriate information).
5. An evaluation of any known alternate
				  methods not involving ionizing radiation that could achieve the goals of the
				  screening program and why these methods are not used in preference to the X-ray
				  examinations.
6. An evaluation by a
				  Qualified Medical Physicist of the X-ray system(s) to be used in the screening
				  program. The evaluation shall include the following:
a. Documentation that such system(s) satisfy
				  all requirements of this Subchapter; and
b. Measurement of appropriate patient
				  exposures from the X-ray examinations to be performed.
7. A description of the X-ray quality control
				  program.
8. A copy of the protocol
				  information for the X-ray examination procedures to be used.
9. The name and Rhode Island license number
				  of each radiologic technologist who will be operating the X-ray
				  system(s).
10. The name and Rhode
				  Island license number of each health care provider who will be supervising the
				  operators of the X-ray system(s). The extent of supervision and the method of
				  work performance evaluation shall be specified.
11. The name and address of the Rhode
				  Island-licensed practitioner of the healing arts who will interpret the
				  images.
12. Procedures to be used
				  in advising the individuals screened and their health care provider(s) of the
				  results of the screening procedure and any further medical needs
				  indicated.
13. Procedures for the
				  retention or disposition of the images and other records pertaining to the
				  X-ray examinations.
14. Frequency
				  of screening of individuals.
15.
				  The duration of the screening program.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 40 - Professional licensing and facility regulation › Subchapter 20 - Radiation › Part 4 - Medical Diagnostic and Interventional X-Ray and Imaging Systems › Section 216-RICR-40-20-4.12 - Instruction of Users of X-ray Equipment in the Healing Arts

Current through June 14, 2024
A. Fundamentals of Radiation Safety
1. Characteristics of x-radiation
2. Units of radiation dose
3. Hazards of excessive exposure to
				  radiation
4. Levels of radiation
				  from sources of radiation
5.
				  Methods of controlling radiation dose:
a.
				  Working time
b. Working
				  distances
c. Shielding