42 C.F.R. § 486.104
Portable X-ray services are provided by qualified technologists.
(a)
Standard: Qualifications of technologists. All operators of the portable X-ray equipment meet the requirements of paragraph
(a)(1) or
(2) of this section.
(1)
Successful completion of a program of formal training in X-ray technology at which the operator received appropriate training and demonstrated competence in the use of equipment and administration of portable x-ray procedures; or
(2)
Successful completion of 24 full months of training and experience under the direct supervision of a physician who is certified in radiology or who possesses qualifications which are equivalent to those required for such certification.
(b)
Standard—personnel orientation. The supplier of portable X-ray services has an orientation program for personnel, based on a procedural manual which is: Available to all members of the staff, incorporates relevant portions of professionally recognized documents, and includes instruction in all of the following:
(1)
Precautions to be followed to protect the patient from unnecessary exposure to radiation;
(2)
Precautions to be followed to protect an individual supporting the patient during X-ray procedures from unnecessary exposure to radiation;
(3)
Precautions to be followed to protect other individuals in the surrounding environment from exposure to radiation;
(4)
Precautions to be followed to protect the operator of portable X-ray equipment from unnecessary exposure to radiation;
(5)
Considerations in determining the area which will receive the primary beam;
(6)
Determination of the time interval at which to check personnel radiation monitors;
(7)
Use of the personnel radiation monitor in providing an additional check on safety of equipment;
(8)
Proper use and maintenance of equipment;
(9)
Proper maintenance of records;
(10)
Technical problems which may arise and methods of solution;
(11)
Protection against electrical hazards;
(12)
Hazards of excessive exposure to radiation.
(c)
Standard: Employee records. Records are maintained and include evidence that—
(1)
Each employee is qualified for his or her position by means of training and experience; and
(2)
Employees receive adequate health supervision.
Notes, amendments, and revision history
Amendments
[34 FR 388, Jan. 10, 1969. Redesignated at 42 FR 52826, Sept. 30, 1977, and amended at 53 FR 12015, Apr. 12, 1988; 60 FR 45086, Aug. 30, 1995; 73 FR 69942, Nov. 19, 2008; 84 FR 51830, Sept. 30, 2019]
Authority
Authority: Secs. 1102, 1861(s) (3), (11) and (12), 1864, and 1871 of the Social Security Act (42 U.S.C. 1302, 1395x(s) (3), (11), and (12), 1395aa and 1395hh).
Source
Source: 34 FR 388, Jan. 10, 1969, unless otherwise noted. Redesignated at 42 FR 52826, Sept. 30, 1977, and further redesignated and amended at 60 FR 2326, Jan. 9, 1995.
Authority
Authority: 42 U.S.C. 273, 1302, 1320b-8, and 1395hh.
Amendments
[34 FR 388, Jan. 10, 1969. Redesignated at 42 FR 52826, Sept. 30, 1977, and amended at 53 FR 12015, Apr. 12, 1988; 60 FR 45086, Aug. 30, 1995; 73 FR 69942, Nov. 19, 2008; 84 FR 51830, Sept. 30, 2019]