DHS 157.64(8)(a)1.1. A preceptor authorized user who meets the requirements in sub. (4), s. DHS 157.61 (10), or equivalent NRC or agreement state requirements and has experience in administering dosages in the same dosage category or categories as the individual requesting authorized user status.

DHS 157.64(8)(a)2.2. A residency program director who affirms in writing that the attestation represents the consensus of the residency program faculty where at least one faculty member is an authorized user who meets the requirements in sub. (4), s. DHS 157.61 (10), or equivalent NRC or agreement state requirements, has experience in administering dosages in the same dosage category or categories as the individual requesting authorized user status, and concurs with the attestation provided by the residency program director. The residency training program must be approved by the Residency Review Committee of the Accreditation Council for Graduate Medical Education or the Royal College of Physicians and Surgeons of Canada or the Council on Postdoctoral Training of the American Osteopathic Association and must include training and experience specified in sub. (4) (b).

DHS 157.64(8)(b)(b) Oral administration of sodium iodide I-131 requiring a written directive in quantities less than or equal to 1.22 Gigabecquerels (33 millicuries). As required by sub. (5) (c) 3., the licensee shall require an authorized user of sodium iodide I-131 for oral administration to have obtained written attestation that the individual has successfully completed the requirements in sub. (5) (c), and is able to independently fulfill the radiation safety-related duties as an authorized user for oral administration of less than or equal to 1.22 Gigabecquerels (33 millicuries) of sodium iodide I-131 for medical uses authorized under sub. (1). The attestation must be obtained from either of the following:

DHS 157.64(8)(b)1.1. A preceptor authorized user who meets the requirements in sub. (4), (5) or (6), s. DHS 157.61 (10), or equivalent NRC or agreement state requirements and has experience in administering sodium iodide I-131 dosages as specified in sub. (4) (b) 2. g.

DHS 157.64(8)(b)2.2. A residency program director who affirms in writing that the attestation represents the consensus of the residency program faculty where at least one faculty member is an authorized user who meets the requirements in sub. (4), (5) or (6), s. DHS 157.61 (10). or equivalent NRC or agreement state requirements, has experience in administering sodium iodide I-131 dosages as specified in sub. (4) (b) 2. g., and concurs with the attestation provided by the residency program director. The residency training program must be approved by the Residency Review Committee of the Accreditation Council for Graduate Medical Education or the Royal College of Physicians and Surgeons of Canada or the Council on Postdoctoral Training of the American Osteopathic Association and must include training and experience specified in sub. (5) (c).

DHS 157.64(8)(c)(c) Oral administration of sodium iodide I-131 requiring a written directive in quantities greater than 1.22 Gigabecquerels (33 millicuries). As required by sub. (6) (c) 3., a licensee shall require an authorized user of sodium iodide I-131 requiring a written directive in quantities greater than 1.22 Gigabecquerels (33 millicuries) to have obtained written attestation that the individual has successfully completed the requirements in sub. (6) (c), and is able to independently fulfill the radiation safety-related duties as an authorized user for oral administration of greater than 1.22 Gigabecquerels (33 millicuries) of sodium iodide I-131 under sub. (1). The attestation must be obtained from either of the following:

DHS 157.64(8)(c)1.1. A preceptor authorized user who meets the requirements in sub. (4) or (6), s. DHS 157.61 (10), or equivalent NRC or agreement state requirements and has experience in administering dosages of I-131 greater than 1.22 Gigabecquerels (33 millicuries) as specified in sub. (4) (b) 2. g.

DHS 157.64(8)(c)2.2. A residency program director who affirms in writing that the attestation represents the consensus of the residency program faculty where at least one faculty member is an authorized user who meets the requirements in sub. (4) or (6), s. DHS 157.61 (10), or equivalent NRC or agreement state requirements, has experience in administering dosages of I-131 greater than 1.22 Gigabecquerels (33 millicuries) as specified in sub. (4) (b) 2. g. and concurs with the attestation provided by the residency program director. The residency training program must be approved by the Residency Review Committee of the Accreditation Council for Graduate Medical Education or the Royal College of Physicians and Surgeons of Canada or the Council on Postdoctoral Training of the American Osteopathic Association and must include training and experience specified in sub. (6) (c).

DHS 157.64(8)(d)(d) Parenteral administration of unsealed radioactive material requiring a written directive. As required by sub. (7) (c) 3., the licensee shall require a user for the parenteral administration of unsealed radioactive material requiring a written directive to have obtained written attestation that the individual has successfully completed the requirements in sub. (7) (c), and is able to independently fulfill the radiation safety-related duties as an authorized user for the parenteral administration of unsealed radioactive material requiring a written directive as specified in sub. (4) (b) 2. g. The attestation must be obtained from either of the following:

DHS 157.64(8)(d)1.1. A preceptor authorized user who meets the requirements in sub. (4) or (7), s. DHS 157.61 (10), or equivalent NRC or agreement state requirements. A preceptor authorized user who meets the requirements in sub. (4) or (7), or equivalent NRC or agreement state requirements, must have experience in administering dosages in the same category or categories as the individual requesting authorized user status.

DHS 157.64(8)(d)2.2. A residency program director who affirms in writing that the attestation represents the consensus of the residency program faculty where at least one faculty member is an authorized user who meets the requirements in sub. (4) or (7), s. DHS 157.61 (10), or equivalent NRC or agreement state requirements, has experience in administering parenteral dosages as specified in sub. (4) (b) 2. g., and concurs with the attestation provided by the residency program director. The residency training program must be approved by the Residency Review Committee of the Accreditation Council for Graduate Medical Education or the Royal College of Physicians and Surgeons of Canada or the Council on Postdoctoral Training of the American Osteopathic Association and must include training and experience specified in sub. (7) (c).

DHS 157.64 HistoryHistory: CR 01-108: cr. Register July 2002 No. 559, eff. — see Note at the start of the chapter; CR 06-021: r. and recr. (4) to (6), cr. (7) and (8) Register October 2006 No. 610, eff. 11-1-06; CR 09-062: am. (1) (a), (b) (intro.), (4) (b) 2. (intro.), (5) (b), (c) 2. (intro.), (6) (c) 2. (intro.), (7) (c) 2. (intro.), (8) (a) to (d) Register April 2010 No. 652, eff. 5-1-10; CR 22-015: am. (1) (intro.), (4) (intro.), (a) 1., (b) 2. (intro.), g., 3., cr. (4) (b) 3., am. (5) (intro.), (b), (c) (intro.), 2., 3., (6) (intro.), (b), (c) (intro.), 2. (intro.), cr. (6) (c) 3., am. (7) (intro.), (a), (b), (c) (intro.), (c) 1. (intro.), 2. (intro.), f., cr. (7) (c) 3., r. and recr. (8) Register June 2023 No. 810, eff. 7-1-23; correction in (7) (c) 2. (intro.) made under s. 35.17, Stats., Register June 2023 No. 810.

DHS 157.65(1)(a)(a) As approved in the sealed source and device registry for manual brachytherapy medical use. The manual brachytherapy sources may be used for manual brachytherapy uses that are not explicitly listed in the Sealed Source and Device Registry, but must be used in accordance with the radiation safety conditions and limitations described in the SSDR.

DHS 157.65(1)(b)(b) In research to deliver therapeutic doses for medical use in accordance with an active investigational device exemption application accepted by the FDA, provided the requirements of s. DHS 157.61 (6) (a) are met.

DHS 157.65(2)(a)(a) Immediately after implanting sources in a patient or a human research subject, a licensee shall make a survey to locate and account for all sources that have not been implanted.

DHS 157.65(2)(b)(b) Immediately after removing the last temporary implant source from a patient or a human research subject, a licensee shall conduct a survey of the patient or the human research subject with a radiation detection survey instrument, with the sources shielded and outside the room, to confirm that all sources have been removed from the patient.

DHS 157.65(4)(a)(a) Provide radiation safety instruction, initially and at least once in each year, at intervals no greater than 13 months, to personnel caring for patients or human research subjects undergoing implant therapy and cannot be released under s. DHS 157.62 (8). To satisfy this requirement, the instruction shall be commensurate with the duties of the personnel and include all of the following: