þÿ<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns="http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv="Content-Language" content="en-us"> <meta http-equiv="Content-Type" content="text/html; charset=unicodeFFFE"> <title>Section Home&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Program O</title> <link rel="File-List" href="radprotprog_files/filelist.xml"> <style> <!-- table.MsoNormalTable {mso-style-parent:""; font-size:10.0pt; font-family:"Times New Roman"; } table.MsoTableGrid {border:1.0pt solid windowtext; font-size:10.0pt; font-family:"Times New Roman"; } --> </style> <!--[if !mso]> <style> v\:* { behavior: url(#default#VML) } o\:* { behavior: url(#default#VML) } .shape { behavior: url(#default#VML) } </style> <![endif]--> <!--[if gte mso 9]> <xml><o:shapedefaults v:ext="edit" spidmax="1027"/> </xml><![endif]--> <meta name="Microsoft Border" content="b, default"> </head> <body background="images/ribbon.gif" style="background-attachment: fixed"><!--msnavigation--><table dir="ltr" border="0" cellpadding="0" cellspacing="0" width="100%"><tr><!--msnavigation--><td valign="top"> <div align="center"> <table border="0" width="800" cellspacing="0" cellpadding="0" id="table1"> <tr> <td> &nbsp;</td> </tr> <tr> <td> <img border="0" src="images/mammobanner.jpg" width="796" height="141"></td> </tr> <tr> <td height="50"> <p align="center">&nbsp;<p align="center"><b> <a target="_self" href="http://ncradiation.net/"> Section Home</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp; <a target="_self" href="progoverview.htm"> Program Overview</a>&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp; &nbsp;&nbsp; <a target="_self" href="mammcontacts.htm">Mammography Contacts</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <a target="_self" href="documents/ncac.rules.pdf"> NC Regulations</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; &nbsp;&nbsp; <a target="_self" href="http://www.fda.gov/Radiation-EmittingProducts/MammographyQualityStandardsActandProgram/default.htm">MQSA Regulations</a></b></td> </tr> <tr> <td> <p class="MsoNormal" align="center" style="text-align:center">&nbsp;</p> <p class="MsoNormal" align="center" style="text-align:center"><u><b> <font size="5">OUTLINE FOR WRITTEN SAFETY PROGRAM&nbsp;</font></b></u></p> <p class="MsoNormal" align="center" style="text-align:center">&nbsp;</p> <div align="center"> <table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" style="border-collapse: collapse; border: medium none" id="table2" width="603"> <tr style="page-break-inside: avoid; height: 19.9pt"> <td width="133" valign="top" style="width: 99.75pt; height: 19.9pt; border: 1.0pt solid windowtext; padding-left: 5.4pt; padding-right: 5.4pt; padding-top: 0in; padding-bottom: 0in"> <p class="MsoHeader" style="margin-bottom:2.0pt"><!--[if gte vml 1]><v:shapetype id="_x0000_t75" coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"> <v:stroke joinstyle="miter"/> <v:formulas> <v:f eqn="if lineDrawn pixelLineWidth 0"/> <v:f eqn="sum @0 1 0"/> <v:f eqn="sum 0 0 @1"/> <v:f eqn="prod @2 1 2"/> <v:f eqn="prod @3 21600 pixelWidth"/> <v:f eqn="prod @3 21600 pixelHeight"/> <v:f eqn="sum @0 0 1"/> <v:f eqn="prod @6 1 2"/> <v:f eqn="prod @7 21600 pixelWidth"/> <v:f eqn="sum @8 21600 0"/> <v:f eqn="prod @7 21600 pixelHeight"/> <v:f eqn="sum @10 21600 0"/> </v:formulas> <v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"/> <o:lock v:ext="edit" aspectratio="t"/> </v:shapetype><v:shape id="_x0000_s1025" type="#_x0000_t75" style='width:87.75pt; height:37.5pt' fillcolor="window"> <v:imagedata src="radprotprog_files/image001.png" o:title="RPSLogo(BW)_2"/> </v:shape><![endif]--><![if !vml]><img border=0 width=117 height=50 src="radprotprog_files/image002.gif" v:shapes="_x0000_s1025"><![endif]></td> <td style="width: 439px; height: 19.9pt; border-left: medium none; border-right: 1.0pt solid windowtext; border-top: 1.0pt solid windowtext; border-bottom: 1.0pt solid windowtext; padding-left: 5.4pt; padding-right: 5.4pt; padding-top: 0in; padding-bottom: 0in"> <p class="MsoHeader" align="center" style="margin-bottom:2.0pt;text-align:center"> <b> <span style="font-size: 12.0pt; text-transform: uppercase"> RADIATION PROTECTION SECTION</span></b></p> <p class="MsoHeader" align="center" style="margin-bottom:2.0pt;text-align:center"> <b><span style="font-size:12.0pt">&nbsp;QUICK REFERENCE GUIDE</span></b></td> </tr> </table> </div> <p class="MsoNormal" align="center"><b><font size="5">Written Safety Program </font></b><span style="font-size:8.0pt">&nbsp; </span></p> <div style="mso-element:para-border-div;border:solid white 1.0pt;mso-border-alt: solid white .25pt;padding:1.0pt 4.0pt 1.0pt 4.0pt"> <p class="MsoNormal" style="border: medium none; padding: 0in"> &nbsp;&nbsp;&nbsp;&nbsp; This guide may be used to help construct a Radiation Protection Program specific for each facility, but should not be used to substitute the registrants Radiation Protection Program. <b><span style="color:red">The facility can use the <u>Model Guide For The Preparation of Operating and Safety Procedures</u> as part of their safety program if available, by following these simple updates:</span></b><p class="MsoNormal" style="text-indent: 6.0pt"> <b><span style="color:red">-&nbsp;&nbsp;&nbsp;&nbsp; check the Model Guide against this outline (add any activities being done in the facility that are not <br> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp; addressed in the Model Guide)&nbsp; &nbsp;&nbsp;</span></b></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 24.0pt"> <span style="color:red">-<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="color:red">change the Model Guide heading to the name of the facility</span></b></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 24.0pt"> <span style="color:red">-<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="color:red">remove sections that do not apply to the facility</span></b></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 24.0pt"> <span style="color:red">-<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="color:red">remove the following words in the document:&nbsp; model procedures and sample set of procedures</span></b></p> <p class="MsoNormal"><b><span style="color:red">Be sure to annually review the safety program and keep these records for inspection review.</span></b></p> <p class="MsoNormal">Each registrant must develop procedures for each modality used and should be included in the program (Diagnostic, Dental, Bone Density, CT, and Special Procedures).&nbsp; The following sections of the regulations, if applicable, need to be addressed, reference <b>15A NCAC 11</b> .0100 .0200, .0600, .1000, and .1600: <br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </p> <p class="MsoNormal" style="text-indent: -1.0in; margin-left: 1.0in"> <span style="font-family: Wingdings">v<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b>General Information [.1603(a)]</b> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </p> <p class="MsoNormal"><b><span style="font-size:4.0pt">&nbsp;</span></b><span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Name and duties of the Radiation Safety Officer <b> [.0203(b)(2) &amp; (3)]</b></p> <p class="MsoNormal" style="text-indent: -.75in; margin-left: 1.0in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Describe retention for all records, to include but not limited: to current registration, plan reviews, letter of</p> <p class="MsoNormal" style="margin-left:.25in">&nbsp;&nbsp;&nbsp; acknowledgements, post installation room surveys, and FDA forms (2579) <b>[.0603(a)(2) </b></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Updating the Notice of Registration (NOR) when any changes occur <b>[.0209]</b></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Location in the facility of&nbsp; the following items: <span style="color:red">&nbsp;<b>(where can the employees see these documents)</b></span></p> <p class="MsoNormal" style="margin-left: .5in">-&nbsp;&nbsp; Notice to Employee <b>[.1002(c)]<span style="color:red">&nbsp;&nbsp;&nbsp; (keep all documents for inspection review)</span></b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </p> <p class="MsoNormal" style="margin-left: .5in">-&nbsp;&nbsp; NC Regulation Book <b>[.1002(a)(1)]</b>&nbsp;&nbsp; </p> <p class="MsoNormal" style="margin-left: 30.0pt">&nbsp; - &nbsp; Plan Review <b>[.0603(a)(2)(A)]</b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b> <span style="color:red">See -</span></b>&nbsp; <a style="color: blue; text-decoration: underline; text-underline: single" href="http://ncradiation.net/xray/checklist.htm"> Records Reviewed During Inspections</a></p> <p class="MsoNormal" style="margin-left: 30.0pt">&nbsp; - &nbsp; Acknowledgement Letters <b>[.0603(a)(2)(A)]</b></p> <p class="MsoNormal" style="margin-left: 30.0pt">&nbsp; - &nbsp; Report of Assembly (FDA 2579) <b>[0603(a)(2)(A)]</b></p> <p class="MsoNormal" style="margin-left: 30.0pt">&nbsp; - &nbsp; Post-Installation Survey <b>[.0603(a)(2)(B)]</b> </p> <p class="MsoNormal">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; - &nbsp; Notice of Registration <b> [.0603(a)(2)(A)]</b></p> <p class="MsoNormal" style="margin-left: 30.0pt">&nbsp; -&nbsp;&nbsp; Written Safety Program <b>[.0603(a)(1)(D)]&nbsp;&nbsp;&nbsp;&nbsp; </b></p> <p class="MsoNormal" style="margin-left: .25in">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; - &nbsp; Review of Written Safety Program <b><span style="color:red">(annually and/or when changes are made)</span></b> <b>[.1603(c)]</b> <b> [.1636(a)(2)]<br> &nbsp;</b></p> <p class="MsoNormal"><b><span style="font-family: Wingdings">v</span><span style="font-family:&quot;Wingdings 3&quot;"> </span>Facility Policies &amp; Procedures to include but not limited to:</b></p> <p class="MsoNormal"><b><span style="font-size:4.0pt">&nbsp;</span></b></p> <p class="MsoNormal"><b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Personnel Training Policy</b>&nbsp;&nbsp; <b> [.1603(a)] [.0603(a)(1)(B)]</b></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Describe the training for operators of the x-ray equipment: </p> <p class="MsoNormal" style="margin-left:30.0pt;text-indent:6.0pt"> <span style="color:black">- If in house trained:&nbsp; name of trainer, name of trainee and topics covered; or</span></p> <p class="MsoNormal" style="margin-left: .25in"> <span style="color:black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; - Certification:&nbsp; if everyone is required to be certified a statement to this fact is sufficient.</span></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Describe the location of the operator during exposures </p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Technique Chart contents <b>[.0603(a)(1)(C)]</b></p> <p class="MsoNormal" style="text-indent: -6.0pt; margin-left: 42.0pt"> -<span style="font:7.0pt &quot;Times New Roman&quot;"> </span> Describe the procedures for selecting exposure techniques for the different body size and each exam performed</p> <p class="MsoNormal" style="text-indent: .25in; margin-left: 0in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Persons allowed in the x-ray room during exposures <b>[.0603(a)(1)(E)]</b></p> <p class="MsoNormal" style="text-indent: -6.0pt; margin-left: 42.0pt"> <span style="font-size: 11.0pt">-<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp; </span></span> Requirements for professional staff (if in room during exposure)<b><span style="font-size: 11.0pt">[.0603(a)(1)(E)(ii)] [.0603(a)(1)(J)]&nbsp; [.1614]</span></b></p> <p class="MsoNormal" style="text-indent: -6.0pt; margin-left: 42.0pt"> -<span style="font:7.0pt &quot;Times New Roman&quot;"> </span> Requirements for non professional and ancillary individuals in room during exposure other than patient&nbsp;&nbsp;&nbsp;&nbsp; </p> <p class="MsoNormal" style="margin-left: 30.0pt">&nbsp;&nbsp;&nbsp; <b> [.0603(a)(1)(E)(iv)]</b></p> <p class="MsoNormal" style="text-indent: -12.0pt; margin-left: 30.0pt"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Use of Lead shielding&nbsp; <b>[.0603(a)(1)(F)]</b> <b> <span style="color:red">(patients and personnel)</span></b></p> <p class="MsoNormal" style="text-indent: -.75in; margin-left: 1.0in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Ordering of examinations and re-takes <b> [.0603(a)(1)(G)]</b></p> <p class="MsoNormal" style="text-indent: -12.0pt; margin-left: 30.0pt"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Auxiliary support of patient or film during a radiograph&nbsp;&nbsp; <b>[.0603(a)(1)(H)]</b></p> <p class="MsoNormal" style="text-indent: 12.0pt; margin-left: .25in"> -&nbsp;&nbsp; Describe the training for using mechanical restraining devices for humans.</p> <p class="MsoNormal" style="text-indent: -24.0pt; margin-left: .75in"> -<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span>Describe the requirements for selecting a human holder. </p> <p class="MsoNormal" style="text-indent: 12.0pt; margin-left: .25in"> -&nbsp;&nbsp; Describe the training for a human holding patients during a <span style="font-size:11.0pt">radiograph</span></p> <p class="MsoNormal" style="text-indent: -12.0pt; margin-left: 30.0pt"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Principals of ALARA&nbsp; <b>[.0603(a)(1)(I)]&nbsp; [.1603(b)]&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </b> <a style="color: blue; text-decoration: underline; text-underline: single" href="http://ncradiation.net/xray/documents/pregnguide.pdf"> Pregnancy Policy</a><b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </b></p> <p class="MsoNormal" style="text-indent: -6.0pt; margin-left: .5in"> -<span style="font:7.0pt &quot;Times New Roman&quot;"> </span> <b>&nbsp;&nbsp;</b>Define personnel voluntary declared pregnancy policy <b> [.1610] [.1640(f)]&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </b></p> <p class="MsoNormal" style="text-indent: -6.0pt; margin-left: .5in"> -<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span>Patient pregnancy policy</p> <p class="MsoNormal" style="text-indent: -42.0pt; margin-left: 1.0in"> -<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span>Speed of screen film combinations to minimize patient exposure </p> <p class="MsoNormal" style="text-indent: -42.0pt; margin-left: 1.0in"> -<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span>Describe measures taken to keep exposure to a minimum </p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Mobile/Portable exams <b>[.0603(a)(1)(I)(iii)] [.0603(a)(1)(E)(iii) &amp;(iv)] <span style="color:red">(if applicable)</span></b></p> <p class="MsoNormal" style="text-indent: -6.0pt; margin-left: .5in"> -<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span>Use of mobile or portable machine</p> <p class="MsoNormal" style="text-indent: -6.0pt; margin-left: .5in"> -<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span>Shielding of patients not being examined when possible </p> <p class="MsoNormal" style="text-indent: -.75in; margin-left: 1.0in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Closing doors during exposures to prevent unnecessary exposure to staff or public&nbsp; <b>[.0604(b)]</b></p> <p class="MsoNormal" style="text-indent: -12.0pt; margin-left: 30.0pt"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Visual contact with the patient <b> [.0604(b)(1)(C)]&nbsp;&nbsp; </b></p> <p class="MsoNormal" style="text-indent: -12.0pt; margin-left: 30.0pt"> <span style="font-size: 11.0pt; font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Visual and audible indication for control panel during exposure <b><span style="font-size:11.0pt"> [Medical-.0606(b)(2)(B)(ii)]&nbsp; [Dental-.0607(e)(3)]</span></b></p> <p class="MsoNormal" style="text-indent: -12.0pt; margin-left: 30.0pt"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Describe any additional radiation safety activities being preformed in the facility<b> [.0603(a)]&nbsp; [.1603(a)]</b></p> <p class="MsoNormal">&nbsp;<b>Radiation Exposure Limits&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </b> </p> <p class="MsoNormal" style="margin-left:9.35pt;text-indent:-9.35pt"> <span style="font-size:4.0pt">&nbsp;</span></p> <p class="MsoNormal" style="text-indent: -.5in; margin-left: .5in"> <span style="font-family: Wingdings">v<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b>Personnel&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </b> </p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Describe the personnel exposure policy <b> [.1603(a)]</b>&nbsp; <b>[.1614]</b></p> <p class="MsoNormal" style="text-indent: 30.0pt; margin-left: 0in"> -<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span>If monitoring not provided, document how the choice to not monitor was determined.</p> <p class="MsoNormal" style="text-indent: -42.0pt; margin-left: 1.0in"> -<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span>Time frame for exchanging badges</p> <p class="MsoNormal" style="text-indent: -42.0pt; margin-left: 1.0in"> -<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span>Describe how the control and personnel monitoring devices are stored </p> <p class="MsoNormal">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; -&nbsp;&nbsp; Retention of exposure records <b><span style="color:red">(keep all dosimetry reports)</span></b> <b>[.1640]</b> </p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Occupational dose limits for adults&nbsp; <b>[.1604] &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</b><a style="color: blue; text-decoration: underline; text-underline: single" href="http://www.ncradiation.net/Xray/documents/doselimgud.pdf">ALARA</a> <span style="font-size:9.0pt">&nbsp;</span></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Occupation dose limits for minors <b>[.1609] &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</b></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Acquiring prior occupational dose for new workers <b>&nbsp;[.1638(a)(1)&amp;(2)]</b></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Retention of exposure records <b> <span style="color:red">(keep all dosimetry reports)</span></b> <b>[.1640]</b></p> <p class="MsoNormal"><span style="font-size:10.0pt">&nbsp;</span><span style="font-family: Wingdings">v<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b>General Public&nbsp; </b></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Dose Limits For Individual Members Of The Public <b>[.1611]&nbsp;&nbsp;&nbsp;&nbsp; </b> <a style="color: blue; text-decoration: underline; text-underline: single" href="http://www.ncradiation.net/Xray/documents/doselimgud.pdf">ALARA</a> <span style="font-size:9.0pt;color:red">&nbsp;</span></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: .5in"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Describe compliance method to ensure dose limits to general public is below limits.<b>[.1612]</b> </p> <p class="MsoNormal" style="text-indent: -.5in; margin-left: .5in"> <span style="font-family: Wingdings">v<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b>Exceeding Exposure Limits [.1647] &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</b><a style="color: blue; text-decoration: underline; text-underline: single" href="http://www.ncradiation.net/Xray/documents/doselimgud.pdf">ALARA</a> <span style="font-size:9.0pt;color:red">&nbsp;</span></p> <p class="MsoNormal" style="text-indent: -48.0pt; margin-left: 66.0pt"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Describe reporting of exceeding limits <b> [.1647(a)]</b></p> <p class="MsoNormal" style="text-indent: -48.0pt; margin-left: 66.0pt"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Information to be reported <b>[.1647(a)(3)(b) &amp;(c)] </b></p> <p class="MsoNormal" style="text-indent: -48.0pt; margin-left: 66.0pt"> <span style="font-family: Symbol">·<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp; </span></span>Notify appropriate individuals and/or agencies <b> &nbsp;[.1647(d)&amp;(e)] [.0111]</b></p> <table class="MsoTableGrid" border="0" cellspacing="0" cellpadding="0" align="left" style="width: 748px; border-collapse: collapse; margin-left: 6.75pt; margin-right: 6.75pt" id="table3"> <tr style="height: 9.0pt"> <td colspan="2" valign="top" style="width: 732px; height: 9.0pt; padding-left: 5.4pt; padding-right: 5.4pt; padding-top: 0in; padding-bottom: 0in"> <p class="MsoNormal" align="center" style="text-align: center"> <i><span style="font-size:10.0pt">Visit our website <a style="color: blue; text-decoration: underline; text-underline: single" href="http://www.ncradiation.net/"> www.ncradiation.net</a></span></i></td> </tr> <tr style="height: 6.75pt"> <td width="300" valign="top" style="width:225.15pt;padding:0in 5.4pt 0in 5.4pt; height:6.75pt"> <p class="MsoNormal"> <span style="font-size:8.0pt;color:black">1645 Mail Service Center - Raleigh, NC&nbsp;&nbsp; 27699-1645</span></td> <td valign="top" style="width: 431px; height: 6.75pt; padding-left: 5.4pt; padding-right: 5.4pt; padding-top: 0in; padding-bottom: 0in"> <p class="MsoNormal" align="right" style="text-align: right"> <span style="font-size:8.0pt">Radiation Safety Program </span></td> </tr> <tr style="height: 5.85pt"> <td width="300" valign="top" style="width:225.15pt;padding:0in 5.4pt 0in 5.4pt; height:5.85pt"> <p class="MsoNormal"> <span style="font-size:8.0pt;color:black">Phone: (919) 571-4141&nbsp;&nbsp;&nbsp; FAX: (919) 571-4148</span></td> <td valign="top" style="width: 431px; height: 5.85pt; padding-left: 5.4pt; padding-right: 5.4pt; padding-top: 0in; padding-bottom: 0in"> <p class="MsoNormal" align="right" style="text-align: right"> <i><span style="font-size: 8.0pt">Revised&nbsp; </span></i> <span style="font-size: 8pt"><i>08/20/07</i></span></td> </tr> </table> <p class="MsoNormal" style="text-indent: -.25in; text-autospace: none; margin-left: .75in">&nbsp;</p> <p class="MsoNormal" style="text-indent: -.25in; text-autospace: none; margin-left: .75in">&nbsp;</div> </td> </tr> <tr> <td> <p align="center"> <b><font size="4">Also available as a Word or PDF document by clicking on these icons:&nbsp;&nbsp;&nbsp; <a target="_self" href="http://www.ncradiation.net/Xray/documents/healartsprog.pdf"> <img border="0" src="images/pdf.gif" width="24" heigh4" color="#3333FF"></a><a target="_self" href="documents/radprotprog.pdf"> </font></b></p> <p align="center"><b><font size="4"> <a target="_self" href="index.htm">Mammography Home</a></font></b></td> </tr> </table> </div> <!--msnavigation--></td></tr><!--msnavigation--></table><!--msnavigation--><table border="0" cellpadding="0" cellspacing="0" width="100%"><tr><td> <p>&nbsp;</p> <p>&nbsp;</p> </td></tr><!--msnavigation--></table></body> </html>