NAC459.5922. Therapeutic X-ray systems: Requirements for authorized users.

     1. A registrant for any therapeutic X-ray device shall require an authorized user to:

     (a) Be an authorized user of radioactive sources for electronic brachytherapy pursuant to the radioactive material license of the registrant who had completed specific training on the device provided by the manufacturer and approved by the Division; or

     (b) Be a physician who:

          (1) Is licensed by this State as a physician pursuant to chapter 630 of NRS or an osteopathic physician pursuant to chapter 633 of NRS;

          (2) Is certified in:

               (I) Radiation oncology or therapeutic radiology by the American Board of Radiology;

               (II) Radiation oncology by the American Osteopathic Board of Radiology;

               (III) Radiology, with specialization in radiotherapy, as a Fellow of the Faculty of Radiology or Fellow of the Royal College of Radiologists of the United Kingdom; or

               (IV) Therapeutic radiology by the Royal College of Physicians and Surgeons of Canada;

          (3) Has completed specific training on the system provided by the manufacturer and approved by the Division; and

          (4) Has had his or her training reviewed and approved by the Division.

     2. An authorized user:

     (a) Must be physically present during the initiation of all patient treatment or identify in writing an authorized medical physicist for electronic brachytherapy who is trained in the operation and emergency response for the system who will be physically present during the initiation of all patient treatments;

     (b) Shall review the case of a patient to ensure that the therapeutic X-ray procedure is appropriate;

     (c) Shall regularly review the progress of each patient receiving therapy and modify the originally prescribed dose if necessary; and

     (d) Shall prevent the clinical use of a system in which a malfunction has been identified pursuant to the spot check required by NAC 459.5934, until such time as the spot check has been evaluated and the malfunction corrected or the equipment repaired.

     3. The training and experience required by subsection 1 must be obtained within the 7 years immediately preceding the date of the application, or the person must have related continuing education experience in the same type of radiation therapy on an annual basis.

     4. The registrant shall retain all records of annual training for at least 3 years.

     (Added to NAC by Bd. of Health by R185-08, eff. 5-7-2010)