DHS 157.81(3)(c)5. 5. When a door or moveable panel is used as an integral part of the booth structure, it shall have a permissive device that prevents an exposure when the door or panel is not closed.

DHS 157.81(3)(c)6. 6. Verbal communication with the patient shall be possible at all times during the x-ray procedure.

DHS 157.81(3)(c)7. 7. The x-ray exposure control shall be located within the shielded area and at least 1 meter (3.3 feet) from the open end of the protective barrier, excluding mammography units.

DHS 157.81(4) (4) Operational analysis. The department may require additional modifications to a shielding plan after initial approval of the plan if a subsequent analysis of operating conditions indicates the possibility of a person receiving a dose in excess of the limits prescribed in ss. DHS 157.22 (1) and (5) to (8) and 157.23 (1) and (2). An existing x-ray room constructed using 5 mSv (500 mrem) as the public exposure limit may continue to operate without modification until the x-ray equipment is replaced or the room is modified.

DHS 157.81 History History: CR 01-108: cr. Register July 2002 No. 559, eff. 8-1-02; CR 06-021: am. (3) (a) Register October 2006 No. 610, eff. 11-1-06; CR 09-062: am. (1) and (2), cr. (3) (c) 7. Register April 2010 No. 652, eff. 5-1-10; CR 22-015: am. (4) Register June 2023 No. 810, eff. 7-1-23.

DHS 157.82 DHS 157.82 General administrative requirements for facilities using therapeutic radiation machines for human use.

DHS 157.82(1) (1) Administrative controls. A registrant shall be responsible for directing the operation of the therapeutic radiation machines that have been registered with the department. All persons operating a therapeutic radiation machine shall be instructed in and shall comply with the provisions of the radiation safety requirements of ss. DHS 157.22 (1) and (5) to (8) and 157.25 (2). A therapeutic radiation machine that does not meet the provisions of this subchapter but is of a type accepted by the US food and drug administration may not be used for irradiation of human patients.

DHS 157.82(2) (2) Training for radiation therapy users.

DHS 157.82(2)(a) (a) A registrant for any therapeutic radiation machine, except dermatology units under 150 kV, shall require the authorized user to be a physician who meets any of the following requirements:

DHS 157.82(2)(a)1. 1. Certified or board eligible in one or more of the following:

DHS 157.82(2)(a)1.a. a. Radiology or therapeutic radiology by the American board of radiology.

DHS 157.82(2)(a)1.b. b. Radiation oncology by the American osteopathic board of radiology.

DHS 157.82(2)(a)1.c. c. Radiology, with specialization in radiotherapy, as a British “Fellow of the Faculty of Radiology” or “Fellow of the Royal College of Radiology”.

DHS 157.82(2)(a)1.d. d. Therapeutic radiology by the Canadian royal college of physicians and surgeons.

DHS 157.82(2)(a)2. 2. Actively practices therapeutic radiology and has completed all of the following:

DHS 157.82(2)(a)2.a. a. The radiation therapy residency.

DHS 157.82(2)(a)2.b. b. Two hundred hours of instruction in basic radiation techniques applicable to the use of an external beam radiation therapy unit.

DHS 157.82(2)(a)2.c. c. Five hundred hours of supervised work experience in therapeutic radiology.

DHS 157.82(2)(a)2.d. d. A minimum of 3 years of supervised clinical experience or 5 years of post graduate clinical experience in therapeutic radiology.

DHS 157.82(2)(a)3. 3. Has equivalent training and submits the training of the prospective user physician for department review on a case-by-case basis.

DHS 157.82(2)(b) (b) A dermatologist using x-ray units under 150 kV shall be board certified in dermatology or have 40 hours of instruction and 100 hours of supervised therapeutic work using x-ray units for the treatment of skin diseases.

DHS 157.82(2)(c) (c) A registrant for electronic brachytherapy shall require the authorized user to complete device specific instruction from the manufacturer or individual trained by the manufacturer, and training on procedures required by s. DHS 157.85 (16) (g) 4. and 5.

DHS 157.82(3) (3) Visiting users. A registrant may permit any physician qualified under sub. (2) to act as a visiting user under the term of the registrant’s registration for up to 60 days per year under all the following conditions:

DHS 157.82(3)(a) (a) The visiting user has the prior written permission of the registrant’s management and if the use occurs on behalf of an institution, the institution’s radiation safety committee.

DHS 157.82(3)(b) (b) The registrant maintains copies of all records documenting the qualifications of the visiting user for 3 years from the date of the last visit.

DHS 157.82(4) (4) Medical physicist support.

DHS 157.82(4)(a) (a) The services of a medical physicist is required in facilities having one or more therapeutic radiation machines.

DHS 157.82(4)(b) (b) The registrant for any therapeutic radiation machine shall require the medical physicist to have any of the following:

DHS 157.82(4)(b)1. 1. Certification by the American board of radiology in one or more of the following: