Section 180-7-070 - SAFETY PROCEDURES AND INSTRUCTIONS FOR REMOTE AFTERLOADER UNITS, TELETHERAPHY UNITS, AND GAMMA STEREOTACTIC RADIOSURGERY UNITS070.01SAFETY AND WRITTEN PROCEDURES. A licensee must:(A) Secure the unit, the console, the console keys, and the treatment room when not in use or unattended;(B) Permit only individuals approved by the authorized user, RSO, or authorized medical physicist to be present in the treatment room during treatment with the source or sources;(C) Prevent dual operation of more than one radiation producing device in a treatment room if applicable; and(D) Develop, implement, and maintain written procedures for responding to an abnormal situation when the operator is unable to place the source or sources in the shielded position, or remove the patient or human research subject from the radiation field with controls from outside the treatment room. These procedures must include:(i) Instructions for responding to equipment failures and the names of the individuals responsible for implementing corrective actions;(ii) The process for restricting access to and posting of the treatment area to minimize the risk of inadvertent exposure; and(iii) The names and telephone numbers of the authorized users, the authorized medical physicist, and the RSO to be contacted if the unit or console operates abnormally.070.02PROCEDURE LOCATION. A copy of the procedures required by 180 NAC 7-070.01(D) must be physically located at the unit console.070.03INSTRUCTION POSTING. A licensee must post instructions at the unit console to inform the operator of: (A) The location of the procedures required by 180 NAC 7-70.01(D); and(B) The names and telephone numbers of the authorized users, the authorized medical physicist, and the RSO to be contacted if the unit or console operates abnormally.070.04INSTRUCTION FREQUENCY. A licensee must:(A) Prior to the first use for patient treatment of a new unit or an existing unit with a manufacturer upgrade that affects the operation and safety of the unit, ensure that vendor operational and safety training is provided to all individuals who will operate the unit. The vendor operational and safety training must be provided by the device manufacturer or by an individual certified by the device manufacturer to provide the operational and safety training; and(B) Provide operational and safety instructions initially and at least annually to all individuals who operate the unit at the facility, as appropriate to the individual's assigned duties. The instructions must include: (i) The procedures identified in 180 NAC 7-070.01(D); and(ii) The operating procedures for the unit.070.05PARTICIPATION IN DRILLS AND EMERGENCY PROCEDURES. A licensee must ensure that operators, authorized medical physicists, and authorized users participate in drills of the emergency procedures, initially and at least annually.070.06RECORDS. A licensee must retain a record of individuals receiving instruction required by 180 NAC 7-070.04, according to 180 NAC 7-101.180 Neb. Admin. Code, ch. 7, § 070
Amended effective 11/3/2020Amended effective 6/14/2023