medical – policy changes

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Medical – Policy Changes Peter H. Myers, Manager Radioactive Material Licensing Group

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Page 1: Medical – Policy Changes

Medical – Policy Changes

Peter H. Myers, ManagerRadioactive Material Licensing Group

Page 2: Medical – Policy Changes

Topics for Discussion

License Renewal Periods Default Financial Assurance Amounts

Mobile Nuclear Medicine Dx Nuclear Medicine Model Procedures

Information Notices

Page 3: Medical – Policy Changes

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

Page 4: Medical – Policy Changes

License Renewal Periods

Page 5: Medical – Policy Changes

License Renewal Periods

Page 6: Medical – Policy Changes

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

Page 7: Medical – Policy Changes

Mobile Nuclear Medicine

Full-service, in van

Full-service, in client-site

Limited service, in van

Page 8: Medical – Policy Changes

Mobile Nuclear Medicine Full-service, in van

• Possession/use of Dx NucMed material

Page 9: Medical – Policy Changes

Mobile Nuclear Medicine Full-service, in van

• Possession/use of Dx NucMed material• Delivery to service’s licensed site

Page 10: Medical – Policy Changes

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

Page 11: Medical – Policy Changes

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

Page 12: Medical – Policy Changes

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)

Page 13: Medical – Policy Changes

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.

Page 14: Medical – Policy Changes

Mobile Nuclear Medicine Full-service, in client-site

• Possession/use of Dx NucMed material

Page 15: Medical – Policy Changes

Mobile Nuclear Medicine Full-service, in client-site

• Possession/use of Dx NucMed material• Delivery to service’s licensed site

Page 16: Medical – Policy Changes

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

Page 17: Medical – Policy Changes

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

Page 18: Medical – Policy Changes

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

Page 19: Medical – Policy Changes

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)

Page 20: Medical – Policy Changes

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.

Page 21: Medical – Policy Changes

Mobile Nuclear Medicine Limited-service, in client-site

• Service transports equipment to client

Page 22: Medical – Policy Changes

Mobile Nuclear Medicine Limited-service, in client-site

• Service transports equipment to client• Client has own Dx NucMed license

Page 23: Medical – Policy Changes

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

Page 24: Medical – Policy Changes

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

Page 25: Medical – Policy Changes

Diagnostic Nuclear Medicine Model Procedures

Page 26: Medical – Policy Changes

Diagnostic Nuclear Medicine Model Procedures

Page 27: Medical – Policy Changes

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

Page 28: Medical – Policy Changes

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.

Page 29: Medical – Policy Changes

Information Notices 01/08/07 IR Cert Exam Costs

• Cost recovery catch-up (12 years ago)

• Was $40; now $60

Page 30: Medical – Policy Changes

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.

Page 31: Medical – Policy Changes

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.

Page 32: Medical – Policy Changes

Information Notices 07/27/07 Fingerprinting

• Provided addressees advance notice of impending new requirement.

• Fingerprinting and FBI ID & criminal history check for unescorted access.

Page 33: Medical – Policy Changes

Discussion