La. Admin. Code tit. 33 § XV-707

Current through Register Vol. 50, No. 9, September 20, 2024

Section XV-707 - Radiation Safety Committee

A. Each medical institution licensee shall establish a radiation safety committee to oversee the use of radioactive material.

1. The committee shall meet the following administrative requirements.

a. Membership must consist of at least three individuals and shall include an authorized user of each type of use permitted by the license, the radiation safety officer, a representative of the nursing service, and a representative of management who is neither an authorized user nor a radiation safety officer. Other members may be included as the licensee deems appropriate.

b. The committee shall meet at least once each calendar quarter.

c. To establish a quorum and to conduct business, one-half of the committee's membership shall be present, including the radiation safety officer and the management's representative.

d. The minutes of each radiation safety committee meeting shall include:

i. the date of the meeting;

ii. members present;

iii. members absent;

iv. summary of deliberations and discussions;

v. recommended actions and the numerical results of all ballots; and

vi. documentation of any reviews required in LAC 33:XV.705.C and 707.A.1.b.

e. The committee shall provide each member with a copy of the meeting minutes and retain one copy until the department authorizes its disposition.

2. To oversee the use of licensed material, the committee shall:

a. be responsible for monitoring the institutional program to maintain occupational doses as low as reasonably achievable;

i. review, on the basis of safety and with regard to the training and experience standards of this Chapter, and approve or disapprove any individual who is to be listed as an authorized user, an authorized nuclear pharmacist, the radiation safety officer, or a teletherapy physicist before submitting a license application or request for amendment or renewal; and

ii. review, in accordance with LAC 33:XV.703.A.2, on the basis of the board certification, the license, or the permit identifying an individual, and approve or disapprove any individual prior to allowing that individual to work as an authorized user or authorized nuclear pharmacist;

c. review on the basis of safety and approve or disapprove each proposed method of use of radioactive material;

d. review on the basis of safety, and approve with the advice and consent of the radiation safety officer and the management representative, or disapprove, procedures and radiation safety program changes prior to submittal to the department for licensing action;

e. review quarterly, with the assistance of the radiation safety officer, occupational radiation exposure records of all personnel working with radioactive material;

f. review quarterly, with the assistance of the radiation safety officer, all incidents involving radioactive material with respect to cause and subsequent actions taken;

g. review annually, with the assistance of the radiation safety officer, the radioactive material program; and

h. establish a table of investigational levels for occupational dose that, when exceeded, will initiate investigations and considerations of appropriate action by the radiation safety officer.

La. Admin. Code tit. 33, § XV-707

Promulgated by the Department of Environmental Quality, Office of Air Quality and Radiation Protection, Radiation Protection Division, LR 18:34 (January 1992), amended LR 24:2102 (November 1998), amended by the Office of Environmental Assessment, Environmental Planning Division, LR 26:2588 (November 2000).

AUTHORITY NOTE: Promulgated in accordance with R.S. 30:2001 et seq.