DHS 157.64(3)(a)3.3. Either monitor material and items removed from the patient’s or the human research subject’s room to determine that their radioactivity cannot be distinguished from the natural background radiation level with a radiation detection survey instrument set on its most sensitive scale and with no interposed shielding or handle such material and items as radioactive waste.

DHS 157.64(3)(b)(b) A licensee shall notify the radiation safety officer or his or her designee and the authorized user as soon as possible if the patient or human research subject has a medical emergency and immediately if the patient dies.

DHS 157.64(4)(4) Training for use of unsealed radioactive material for which a written directive is required. Except as provided in s. DHS 157.61 (10), a licensee shall require an authorized user of unsealed radioactive material for the uses authorized under sub. (1) to be a physician who meets either of the following requirements:

DHS 157.64(4)(a)(a) Is certified by a medical specialty board whose certification process is recognized by the department, the NRC or an agreement state and who meets the requirements of par. (b) 2. g. To be recognized, a specialty board shall require all candidates for certification to do all of the following:

DHS 157.64(4)(a)1.1. Successfully complete residency training in a radiation therapy or nuclear medicine training program or a program in a related medical specialty. These residency training programs shall include 700 hours of training and experience as described in par. (b) 1. and (b) 2. a., b., c., d., and e. Eligible training programs shall be approved by the Residency Review Committee of the Accreditation Council for Graduate Medical Education, the Royal College of Physicians and Surgeons of Canada, or the Council on Postdoctoral Training of the American Osteopathic Association.

DHS 157.64(4)(a)2.2. Pass an examination, administered by diplomates of the specialty board, which tests knowledge and competence in radiation safety, radionuclide handling, quality assurance, and clinical use of unsealed radioactive material for which a written directive is required.

DHS 157.64(4)(b)(b) Has completed 700 hours of certified training and experience, including a minimum of 200 hours of classroom and laboratory training, in basic radionuclide handling techniques applicable to the medical use of unsealed radioactive material requiring a written directive that includes all the following:

DHS 157.64(4)(b)1.a.a. Radiation physics and instrumentation.

DHS 157.64(4)(b)1.b.b. Radiation protection.

DHS 157.64(4)(b)1.c.c. Mathematics pertaining to the use and measurement of radioactivity.

DHS 157.64(4)(b)1.d.d. Chemistry of radioactive material for medical use.

DHS 157.64(4)(b)1.e.e. Radiation biology.

DHS 157.64(4)(b)2.2. Work experience under the supervision of an authorized user who meets the requirements in this subsection, s. DHS 157.61 (10), or equivalent NRC or agreement state requirements. A supervising authorized user who meets the requirements of this paragraph shall also have experience under subd. 2. g. in administering dosages in the same dosage category or categories as the individual requesting authorized user status. The work experience shall involve all of the following:

DHS 157.64(4)(b)2.a.a. Ordering, receiving and unpacking radioactive materials safely and performing the related radiation surveys.

DHS 157.64(4)(b)2.b.b. Performing quality control procedures on instruments used to determine the activity of dosages, and performing checks for proper operation of survey meters.

DHS 157.64(4)(b)2.c.c. Calculating, measuring, and safely preparing patient or human research subject dosages.

DHS 157.64(4)(b)2.d.d. Using administrative controls to prevent a medical event involving the use of unsealed radioactive material.

DHS 157.64(4)(b)2.e.e. Using procedures to contain spilled radioactive material safely.

DHS 157.64(4)(b)2.f.f. Using proper decontamination procedures.

DHS 157.64(4)(b)2.g.g. Administering dosages of radioactive drugs to patients or human research subjects involving a minimum of 3 cases in each of the following categories for which the individual is requesting authorized user status: oral administration of less than or equal to 1.22 GBq (33 millicurie) of sodium iodide I-131 for which a written directive is required; oral administration of greater than 1.22 GBq (33 millicuries) of sodium iodide I-131; and parenteral administration of any radioactive drug that contains a radionuclide that is primarily used for its electron emission, beta radiation characteristics, alpha radiation characteristics, or photon energy of less than 150 keV, for which a written directive is required. Experience with at least 3 cases of oral administration of greater than 1.22 GBq (33 millicuries) of I-131 also satisfies the requirement for experience with 3 cases of oral administration of less than or equal to 1.22 GBq (33 millicuries) of I-131.

DHS 157.64(5)(5) Training for the oral administration of sodium iodide i-131 requiring a written directive in quantities less than or equal to 1.22 gigabecquerels (33 millicuries). Except as provided in s. DHS 157.61 (10), a licensee shall require an authorized user for the oral administration of sodium iodide I-131 requiring a written directive in quantities less than or equal to 1.22 Gigabecquerels (33 millicuries), to be a physician who meets any of the following requirements:

DHS 157.64(5)(a)(a) Is certified by a medical specialty board whose certification process includes all of the requirements in par. (c) and whose certification process has been recognized by the department, the NRC or an agreement state.

DHS 157.64(5)(c)(c) Has successfully completed training and work experience, applicable to the medical use of sodium iodide I-131 for procedures requiring a written directive that includes all of the following: