WAC 246-240-219
Training for the parenteral
administration of unsealed radioactive material requiring a
written directive. Except as provided in WAC 246-240-078, the
licensee shall require an authorized user for the parenteral
administration requiring a written directive, to be a
physician who:
(1) Is an authorized user under WAC 246-240-210 for uses listed in WAC 246-240-210 (2)(b)(vii)(C) or (D), or equivalent
agreement state or U.S. NRC requirements; or
(2) Is an authorized user under WAC 246-240-278 or 246-240-399, or equivalent agreement state or U.S. NRC
requirements and who meets the requirements in subsection (4)
of this section; or
(3) Is certified by a medical specialty board whose
certification process has been recognized by the U.S. NRC or
an agreement state under WAC 246-240-278 or 246-240-399, and
who meets the requirements in subsection (4) of this section.
(4)(a) Has successfully completed eighty hours of
classroom and laboratory training, applicable to parenteral
administrations, for which a written directive is required, of
any beta emitter or any photon-emitting radionuclide with a
photon energy less than 150 keV, and/or parenteral
administration of any other radionuclide for which a written
directive is required. The training must include:
(i) Radiation physics and instrumentation;
(ii) Radiation protection;
(iii) Mathematics pertaining to the use and measurement
of radioactivity;
(iv) Chemistry of radioactive material for medical use;
and
(v) Radiation biology; and
(b) Has work experience, under the supervision of an
authorized user who meets the requirements in WAC 246-240-210, 246-240-219, or equivalent agreement state or U.S. NRC
requirements, in the parenteral administration, for which a
written directive is required, of any beta emitter or any
photon-emitting radionuclide with a photon energy less than
150 keV, and/or parenteral administration of any other
radionuclide for which a written directive is required. A
supervising authorized user who meets the requirements in WAC 246-240-210 must have experience in
administering dosages as specified in WAC 246-240-210
(2)(b)(vii)(C) and/or (D). The work experience must involve:
(i) Ordering, receiving, and unpacking radioactive
materials safely, and performing the related radiation
surveys;
(ii) Performing quality control procedures on instruments
used to determine the activity of dosages, and performing
checks for proper operation of survey meters;
(iii) Calculating, measuring, and safely preparing
patient or human research subject dosages;
(iv) Using administrative controls to prevent a medical
event involving the use of unsealed radioactive material;
(v) Using procedures to contain spilled radioactive
material safely, and using proper decontamination procedures;
and
(vi) Administering dosages to patients or human research
subjects, that include at least three cases involving the
parenteral administration, for which a written directive is
required, of any beta emitter, or any photon-emitting
radionuclide with a photon energy less than 150 keV and/or at
least three cases involving the parenteral administration of
any other radionuclide, for which a written directive is
required; and
(5) Has obtained written certification that the
individual has satisfactorily completed the requirements in
subsection (2) or (3) of this section, and has achieved a
level of competency sufficient to function independently as an
authorized user for the parenteral administration of unsealed
radioactive material requiring a written directive. The
written certification must be signed by a preceptor authorized
user who meets the requirements in WAC 246-240-210,
246-240-219, or equivalent agreement state or U.S. NRC
requirements. A preceptor authorized user, who meets the
requirements in WAC 246-240-210, must have
experience in administering dosages as specified in WAC 246-240-210 (2)(b)(vii)(C) and/or (D).
[Statutory Authority: RCW 70.98.050. 07-14-131, §
246-240-219, filed 7/3/07, effective 8/3/07; 06-05-019, §
246-240-219, filed 2/6/06, effective 3/9/06.]