Medical – Policy Changes

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Medical – Policy Changes

  1. 1. Medical – Policy Changes Peter H. Myers, Manager Radioactive Material Licensing Group
  2. 2. Topics for Discussion License Renewal Periods Default Financial Assurance Amounts Mobile Nuclear Medicine Dx Nuclear Medicine Model Procedures Information Notices
  3. 3. License Renewal Periods Renewal periods had been: 7 years for higher risk licensees 10 years for lower risk licensees Renewal periods are now: 10 years for all licensees Rationale: Assists in managing workload No adverse affect on pubic health & safety Matches NRC renewal period
  4. 4. License Renewal Periods
  5. 5. License Renewal Periods
  6. 6. Default financial assurance amounts $750K now $850K $150K now $170K $ 75K now $ 85K Licensees using default financial assurance will be required to increase their financial assurance when renewing their license
  7. 7. Mobile Nuclear Medicine Full-service, in van Full-service, in client-site Limited service, in van
  8. 8. Mobile Nuclear Medicine Full-service, in van • Possession/use of Dx NucMed material
  9. 9. Mobile Nuclear Medicine Full-service, in van • Possession/use of Dx NucMed material • Delivery to service’s licensed site
  10. 10. Mobile Nuclear Medicine Full-service, in van • Possession/use of Dx NucMed material • Delivery to service’s licensed site • Injection/scanning in van at client sites
  11. 11. Mobile Nuclear Medicine Full-service, in van • Possession/use of Dx NucMed material • Delivery to service’s licensed site • Injection/scanning in van at client sites • Survey/decon before departing client site
  12. 12. Mobile Nuclear Medicine Full-service, in van • Possession/use of Dx NucMed material • Delivery to service’s licensed site • Injection/scanning in van at client sites • Survey/decon before departing client site • APU supervise each technologist at a reasonable frequency (e.g., once/month)
  13. 13. Mobile Nuclear Medicine Full-service, in van • Possession/use of Dx NucMed material • Delivery to service’s licensed site • Injection/scanning in van at client sites • Survey/decon before departing client site • APU supervise each technologist at a reasonable frequency (e.g., once/month) • Provide actual schedule to Agency when requested to allow for inspections.
  14. 14. Mobile Nuclear Medicine Full-service, in client-site • Possession/use of Dx NucMed material
  15. 15. Mobile Nuclear Medicine Full-service, in client-site • Possession/use of Dx NucMed material • Delivery to service’s licensed site
  16. 16. Mobile Nuclear Medicine Full-service, in client-site • Possession/use of Dx NucMed material • Delivery to service’s licensed site • Service takes control of client-site
  17. 17. Mobile Nuclear Medicine Full-service, in client-site • Possession/use of Dx NucMed material • Delivery to service’s licensed site • Service takes control of client-site • Injection/scanning in client sites
  18. 18. Mobile Nuclear Medicine Full-service, in client-site • Possession/use of Dx NucMed material • Delivery to service’s licensed site • Service takes control of client-site • Injection/scanning in client sites • Survey/decon before departing client site
  19. 19. Mobile Nuclear Medicine Full-service, in client-site • Possession/use of Dx NucMed material • Delivery to service’s licensed site • Service takes control of client-site • Injection/scanning in client sites • Survey/decon before departing client site • APU supervise each technologist at a reasonable frequency (e.g., once/month)
  20. 20. Mobile Nuclear Medicine Full-service, in client-site • Possession/use of Dx NucMed material • Delivery to service’s licensed site • Service takes control of client-site • Injection/scanning in client sites • Survey/decon before departing client site • APU supervise each technologist at a reasonable frequency (e.g., once/month) • Provide actual schedule to Agency when requested to allow for inspections.
  21. 21. Mobile Nuclear Medicine Limited-service, in client-site • Service transports equipment to client
  22. 22. Mobile Nuclear Medicine Limited-service, in client-site • Service transports equipment to client • Client has own Dx NucMed license
  23. 23. Mobile Nuclear Medicine Limited-service, in client-site • Service transports equipment to client • Client has own Dx NucMed license • Service does not possess/use material; Client injects/scans in client site
  24. 24. Diagnostic Nuclear Medicine Model Procedures • Work Group • Consultants • Danny Harris, George Janik, Cathy Jones, Chuck Lazarre, Kitz Parker, John Pickett • DSHS • David Wood, Scott Kee, Pete Myers
  25. 25. Diagnostic Nuclear Medicine Model Procedures
  26. 26. Diagnostic Nuclear Medicine Model Procedures
  27. 27. Information Notices 11/26/06 Release of Patients 01/08/07 IR Cert Exam Cost Increases 02/14/07 Increased Controls 04/13/07 Medical Physicists 07/27/07 Fingerprinting
  28. 28. Information Notices 11/26/07 Release of Patients • Advise patients alarms may trigger • Provide patients with licensee’s busi- ness card and information for use by law enforcement/security officials.
  29. 29. Information Notices 01/08/07 IR Cert Exam Costs • Cost recovery catch-up (12 years ago) • Was $40; now $60
  30. 30. Information Notices 02/14/07 Increased Controls • Based on NRC’s 1st year of inspections • Informs licensees of information and resources available to answer questions • Documents some common issues identified during inspections.
  31. 31. Information Notices 04/13/07 Medical Physicists • Based on new Part 35 T&E requirements • Texas’ Part 35-counterpart expected to be effective 10/01/07 • No grandfathering • Get listed on a license now; need: • LMP (Therapeutic Radiological Physics) & • Certificate of manufacturer’s training, or • Documented Broad-scope RSC approval.
  32. 32. Information Notices 07/27/07 Fingerprinting • Provided addressees advance notice of impending new requirement. • Fingerprinting and FBI ID & criminal history check for unescorted access.
  33. 33. Discussion

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