N.J. Admin. Code § 7:28-22.9

Current through Register Vol. 56, No. 21, November 4, 2024

Section 7:28-22.9 - Medical Physicist's Fluoroscopic QC Survey

(a) The registrant of any medical diagnostic fluoroscopic equipment used in the healing arts shall develop and continuously implement a quality assurance program. Such a program shall include an initial and thereafter an annual (not to exceed 14 months) Medical Physicist's Fluoroscopic QC Survey performed by a qualified medical physicist for the supervision of quality assurance programs for diagnostic x-ray imaging. The Medical Physicist's Fluoroscopic QC Survey shall include the elements identified in Table 5, Medical Physicist's Fluoroscopic QC Survey, below. If the standard for any test in Table 5 refers to a manufacturer's specification and no such specification exists, then that standard does not apply.

TABLE 5
Medical Physicist's Fluoroscopic QC Survey
Item	Test	Standard
1.	Fluoroscopic Unit Assembly	As required at 7:28-15.5
Evaluation
2.	Entrance Exposure Rate to	Fluoroscopic equipment manufacturers'
Image Intensifier	specifications
3.	Patient Entrance Exposure Rate	Fluoroscopic equipment manufacturers'
specifications
4.	Maximum Exposure Rate	As required at 7:28-15.5
5.	High Contract Resolution/Low	Fluoroscopic equipment manufacturers'
Contrast for Fluoroscopy Video	specifications
Monitor
6.	Spot Film Automatic Exposure	Fluoroscopic equipment manufacturers'
Control (AEC) System	specifications
Performance
7.	High Contrast Resolution/Low	Fluoroscopic equipment manufacturers'
Contrast for Fluoroscopy Image	specifications
Recording System (that is,
spot film device, cine system,
videotape system, etc.)
8.	Half-Value Layer	Fluoroscopic equipment manufacturers'
specifications
9.	Kilovoltage	Fluoroscopic equipment manufacturers'
specifications
10.	Fluoroscopic and Spot Film	As required at 7:28-15.5
Collimation Assessment
11.	Review of Facility and	Review QC tests for proper procedure and
Technologist QC Test	corrective action
12.	Physicist Report and	Communicate results and recommendations to
Recommendations	registrant

(b) A qualified medical physicist for the supervision of quality assurance programs for diagnostic x-ray imaging may delegate the performance testing required for the Medical Physicists Fluoroscopic QC Survey in (a) above to a qualified medical physicist assistant in fluoroscopy who holds a valid certificate issued by the Department except as provided below:

1. The qualified medical physicist for the supervision of quality assurance programs for diagnostic x-ray imaging may not delegate items 11 and 12 in Table 5, Medical Physicists Fluoroscopic QC Survey, above; and

2. The qualified medical physicist for the supervision of quality assurance program for diagnostic x-ray imaging may not delegate any items in Table 5, Medical Physicists Fluoroscopic QC Survey, above if the fluoroscopic equipment is located in a dedicated interventional special procedure suite.

(c) Not withstanding (b) above, the qualified medical physicist for the supervision of quality assurance programs for diagnostic x-ray imaging shall be fully responsible for the Medical Physicist's Fluoroscopic QC Survey and all of its measurements, conclusions and recommendations.

(d) Prior to delegating any performance testing permitted in (b) above, the qualified medical physicist shall provide adequate training and instruction to the qualified medical physicist assistant in fluoroscopy in the type of equipment and the specific test procedures to be delegated. This training and instruction shall be in addition to the minimum level of training and instruction required for the qualified medical physicist assistant in fluoroscopy to obtain the certificate from the Department in accordance with 7:28-22.13(d).

(e) All Medical Physicist's Fluoroscopic QC Survey reports shall be signed by the qualified medical physicist for the supervision of quality assurance programs for medical diagnostic imaging, and also by the qualified medical physicist assistant in fluoroscopy. The Medical Physicist's Fluoroscopic QC Survey report shall identify which tests, if any, were performed by the qualified medical physicist assistant.

(f) For the Fluoroscopic QC Survey:

1. If any of the Fluoroscopic QC survey test results from items 1 through 10 in Table 5, Medical Physicist's Fluoroscopic QC Survey, above indicate that the x-ray equipment does not meet the standards established in Table 5, the registrant shall immediately initiate corrective actions to meet the standards. All corrective actions shall be completed within 30 days.

2. For item 11 in Table 5, Medical Physicist's Fluoroscopic QC Survey, above, the medical physicist shall review the completed QC test records that have been performed by the registrant for the previous year to ensure the tests were performed properly and corrective actions taken.

3. For item 12 in Table 5, Medical Physicists Fluoroscopic QC Survey, above, the medical physicist shall prepare a report that reviews the overall quality assurance program being carried out by the registrant and contains:

i. Raw data and results of the medical physicists equipment tests performed in accordance with items 1 through 10 in Table 5, Medical Physicists Fluoroscopic QC Survey, above and recommendations based on these tests; and

ii. Results and recommendations based on the medical physicists review performed in accordance with item 11 in Table 5, Medical Physicists Fluoroscopic QC Survey, above.

N.J. Admin. Code § 7:28-22.9

Amended by 46 N.J.R. 768(a), effective 5/5/2014.