Chapter 246-240 WAC

Last Update: 10/11/23

RADIATION PROTECTION—MEDICAL USE OF RADIOACTIVE MATERIAL

WAC Sections

HTMLPDF246-240-001Purpose and scope.
HTMLPDF246-240-004Other federal and state requirements.
HTMLPDF246-240-007Provisions for the protection of human research subjects.
GENERAL PROVISIONS
HTMLPDF246-240-010Definitions, abbreviations, and acronyms.
HTMLPDF246-240-013Maintenance of records.
HTMLPDF246-240-016License required.
HTMLPDF246-240-019Application for license, amendment, or renewal.
HTMLPDF246-240-022License amendments.
HTMLPDF246-240-025Notifications.
HTMLPDF246-240-028Exemptions regarding Type A specific licenses of broad scope.
HTMLPDF246-240-031License issuance and specific exemptions.
GENERAL ADMINISTRATIVE REQUIREMENTS
HTMLPDF246-240-051Authority and responsibilities for the radiation protection program.
HTMLPDF246-240-054Radiation protection program changes.
HTMLPDF246-240-057Supervision.
HTMLPDF246-240-060Written directives.
HTMLPDF246-240-063Procedures for administrations requiring a written directive.
HTMLPDF246-240-066Suppliers for sealed sources or devices for medical use.
HTMLPDF246-240-069Training for radiation safety officer and associate radiation safety officer.
HTMLPDF246-240-072Training for an authorized medical physicist.
HTMLPDF246-240-075Training for an authorized nuclear pharmacist.
HTMLPDF246-240-078Training for experienced radiation safety officer, teletherapy or medical physicist, authorized medical physicist, authorized user, nuclear pharmacist, and authorized nuclear pharmacist.
HTMLPDF246-240-081Recentness of training.
HTMLPDF246-240-101Possession, use, and calibration of instruments used to measure the activity of unsealed radioactive material.
GENERAL TECHNICAL REQUIREMENTS
HTMLPDF246-240-104Calibration of survey instruments.
HTMLPDF246-240-107Determination of dosages of unsealed radioactive material for medical use.
HTMLPDF246-240-110Authorization for calibration, transmission, and reference sources.
HTMLPDF246-240-113Requirements for possession of sealed sources and brachytherapy sources.
HTMLPDF246-240-116Labeling of vials and syringes.
HTMLPDF246-240-119Surveys of ambient radiation exposure rate.
HTMLPDF246-240-122Release of individuals containing unsealed radioactive material or implants containing radioactive material.
HTMLPDF246-240-125Provision of mobile medical service.
HTMLPDF246-240-128Decay-in-storage.
HTMLPDF246-240-151Use of unsealed radioactive material for uptake, dilution, and excretion studies for which a written directive is not required.
UNSEALED RADIOACTIVE MATERIAL - WRITTEN DIRECTIVE NOT REQUIRED
HTMLPDF246-240-154Training for uptake, dilution, and excretion studies.
HTMLPDF246-240-157Use of unsealed radioactive material for imaging and localization studies for which a written directive is not required.
HTMLPDF246-240-160Permissible molybdenum-99, strontium-82, and strontium-85 concentrations.
HTMLPDF246-240-163Training for imaging and localization studies.
UNSEALED RADIOACTIVE MATERIAL - WRITTEN DIRECTIVE REQUIRED
HTMLPDF246-240-201Use of unsealed radioactive material for which a written directive is required.
HTMLPDF246-240-204Safety instruction.
HTMLPDF246-240-207Safety precautions.
HTMLPDF246-240-210Training for use of unsealed radioactive material for which a written directive is required.
HTMLPDF246-240-213Training 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).
HTMLPDF246-240-216Training for the oral administration of sodium iodide I-131 requiring a written directive in quantities greater than 1.22 gigabecquerels (33 millicuries).
HTMLPDF246-240-219Training for the parenteral administration of unsealed radioactive material requiring a written directive.
MANUAL BRACHYTHERAPY
HTMLPDF246-240-251Use of sources for manual brachytherapy.
HTMLPDF246-240-254Surveys after source implant and removal.
HTMLPDF246-240-260Brachytherapy source accountability.
HTMLPDF246-240-263Safety instruction.
HTMLPDF246-240-266Safety precautions.
HTMLPDF246-240-269Calibration measurements of brachytherapy sources.
HTMLPDF246-240-272Strontium-90 sources for ophthalmic treatments.
HTMLPDF246-240-275Therapy-related computer systems.
HTMLPDF246-240-278Training for use of manual brachytherapy sources.
HTMLPDF246-240-281Training for ophthalmic use of strontium-90.
SEALED SOURCES FOR DIAGNOSIS
HTMLPDF246-240-301Use of sealed sources and medical devices for diagnosis.
HTMLPDF246-240-304Training for use of sealed sources and medical devices for diagnosis.
PHOTON EMITTING REMOTE AFTERLOADER UNITS, TELETHERAPY UNITS, AND GAMMA STEREOTACTIC RADIOSURGERY UNITS
HTMLPDF246-240-351Use of a sealed source in a remote afterloader unit, teletherapy unit, or gamma stereotactic radiosurgery unit.
HTMLPDF246-240-354Surveys of patients and human research subjects treated with a remote afterloader unit.
HTMLPDF246-240-357Installation, maintenance, adjustment, and repair.
HTMLPDF246-240-360Safety procedures and instructions for remote afterloader units, teletherapy units, and gamma stereotactic radiosurgery units.
HTMLPDF246-240-363Safety precautions for remote afterloader units, teletherapy units, and gamma stereotactic radiosurgery units.
HTMLPDF246-240-366Dosimetry equipment.
HTMLPDF246-240-369Full calibration measurements on teletherapy units.
HTMLPDF246-240-372Full calibration measurements on remote afterloader units.
HTMLPDF246-240-375Full calibration measurements on gamma stereotactic radiosurgery units.
HTMLPDF246-240-378Periodic spot-checks for teletherapy units.
HTMLPDF246-240-381Periodic spot-checks for remote afterloader units.
HTMLPDF246-240-384Periodic spot-checks for gamma stereotactic radiosurgery units.
HTMLPDF246-240-387Additional technical requirements for mobile remote afterloader units.
HTMLPDF246-240-390Radiation surveys.
HTMLPDF246-240-393Full-inspection servicing for teletherapy and gamma stereotactic radiosurgery units.
HTMLPDF246-240-396Therapy-related computer systems.
HTMLPDF246-240-399Training for use of remote afterloader units, teletherapy units, and gamma stereotactic radiosurgery units.
HTMLPDF246-240-501Other medical uses of radioactive material or radiation from radioactive material.
OTHER MEDICAL USES OF RADIOACTIVE MATERIAL OR RADIATION FROM RADIOACTIVE MATERIAL
RECORDS
HTMLPDF246-240-551Records of authority and responsibilities for radiation protection programs.
HTMLPDF246-240-554Records of radiation protection program changes.
HTMLPDF246-240-557Records of written directives.
HTMLPDF246-240-560Records for procedures for administrations requiring a written directive.
HTMLPDF246-240-563Records of calibrations of instruments used to measure the activity of unsealed radioactive material.
HTMLPDF246-240-566Records of radiation survey instrument calibrations.
HTMLPDF246-240-569Records of dosages of unsealed radioactive material for medical use.
HTMLPDF246-240-572Records of leak tests and inventory of sealed sources and brachytherapy sources.
HTMLPDF246-240-575Records of surveys for ambient radiation exposure rate.
HTMLPDF246-240-578Records of the release of individuals containing unsealed radioactive material or implants containing radioactive material.
HTMLPDF246-240-581Records of mobile medical services.
HTMLPDF246-240-584Records of decay-in-storage.
HTMLPDF246-240-587Records of molybdenum-99, strontium-82, and strontium-85 concentrations.
HTMLPDF246-240-590Records of safety instruction.
HTMLPDF246-240-593Records of surveys after source implant and removal.
HTMLPDF246-240-596Records of brachytherapy source accountability.
HTMLPDF246-240-599Records of calibration measurements of brachytherapy sources.
HTMLPDF246-240-602Records of decay of strontium-90 sources for ophthalmic treatments.
HTMLPDF246-240-605Records of installation, maintenance, adjustment, and repair of remote afterloader units, teletherapy units, and gamma stereotactic radiosurgery units.
HTMLPDF246-240-608Records of safety procedures.
HTMLPDF246-240-611Records of dosimetry equipment used with remote afterloader units, teletherapy units, and gamma stereotactic radiosurgery units.
HTMLPDF246-240-614Records of teletherapy, remote afterloader, and gamma stereotactic radiosurgery full calibrations.
HTMLPDF246-240-617Records of periodic spot-checks for teletherapy units.
HTMLPDF246-240-620Records of periodic spot-checks for remote afterloader units.
HTMLPDF246-240-623Records of periodic spot-checks for gamma stereotactic radiosurgery units.
HTMLPDF246-240-626Records of additional technical requirements for mobile remote afterloader units.
HTMLPDF246-240-629Records of surveys of therapeutic treatment units.
HTMLPDF246-240-632Records of full-inspection servicing for teletherapy and gamma stereotactic radiosurgery units.
REPORTS
HTMLPDF246-240-651Report and notification of a medical event.
HTMLPDF246-240-654Report and notification of a dose to an embryo/fetus or a nursing child.
HTMLPDF246-240-657Report of a leaking source.
HTMLPDF246-240-660Report and notification for an eluate exceeding permissible molybdenum-99, strontium-82, and strontium-85 concentrations.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
246-240-015Policy and procedures for therapy administration. [Statutory Authority: RCW 70.98.050. WSR 98-13-037, § 246-240-015, filed 6/8/98, effective 7/9/98; WSR 95-01-108, § 246-240-015, filed 12/21/94, effective 1/21/95.] Repealed by WSR 06-05-019, filed 2/6/06, effective 3/9/06. Statutory Authority: RCW 70.98.050.
246-240-020Interstitial, intracavitary and superficial applications. [Statutory Authority: RCW 70.98.050. WSR 98-13-037, § 246-240-020, filed 6/8/98, effective 7/9/98; WSR 94-06-017, § 246-240-020, filed 2/22/94, effective 3/25/94. Statutory Authority: RCW 70.98.050 and 70.98.080. WSR 91-15-112 (Order 184), § 246-240-020, filed 7/24/91, effective 8/24/91. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-240-020, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.98.080. WSR 87-01-031 (Order 2450), § 402-32-020, filed 12/11/86; WSR 83-19-050 (Order 2026), § 402-32-020, filed 9/16/83. Statutory Authority: RCW 70.98.050. WSR 81-01-011 (Order 1570), § 402-32-020, filed 12/8/80; Order 1084, § 402-32-020, filed 1/14/76; Order 1, § 402-32-020, filed 1/8/69; Rules (part), filed 10/26/66.] Repealed by WSR 06-05-019, filed 2/6/06, effective 3/9/06. Statutory Authority: RCW 70.98.050.
246-240-030Teletherapy. [Statutory Authority: RCW 70.98.050 and 70.98.080. WSR 91-15-112 (Order 184), § 246-240-030, filed 7/24/91, effective 8/24/91. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-240-030, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.98.080. WSR 83-19-050 (Order 2026), § 402-32-030, filed 9/16/83. Statutory Authority: RCW 70.98.050. WSR 81-01-011 (Order 1570), § 402-32-030, filed 12/8/80; Order 1084, § 402-32-030, filed 1/14/76; Order 1, § 402-32-030, filed 1/8/69; Rules (part), filed 10/26/66.] Repealed by WSR 06-05-019, filed 2/6/06, effective 3/9/06. Statutory Authority: RCW 70.98.050.
246-240-040Special requirements for teletherapy licensees. [Statutory Authority: RCW 70.98.050 and 70.98.080. WSR 91-15-112 (Order 184), § 246-240-040, filed 7/24/91, effective 8/24/91. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-240-040, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.98.080. WSR 87-01-031 (Order 2450), § 402-32-100, filed 12/11/86; WSR 83-19-050 (Order 2026), § 402-32-100, filed 9/16/83. Statutory Authority: RCW 70.98.050. WSR 81-01-011 (Order 1570), § 402-32-100, filed 12/8/80.] Repealed by WSR 06-05-019, filed 2/6/06, effective 3/9/06. Statutory Authority: RCW 70.98.050.
246-240-050Notifications, records, and reports of therapy misadministrations. [Statutory Authority: RCW 70.98.050. WSR 98-13-037, § 246-240-050, filed 6/8/98, effective 7/9/98. Statutory Authority: RCW 70.98.050 and 70.98.080. WSR 92-06-008 (Order 245), § 246-240-050, filed 2/21/92, effective 3/23/92.] Repealed by WSR 06-05-019, filed 2/6/06, effective 3/9/06. Statutory Authority: RCW 70.98.050.
246-240-451Radiation safety officer. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-451, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-454Training for uptake, dilution, and excretion studies. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-454, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-457Training for imaging and localization studies. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-457, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-460Training for therapeutic use of unsealed radioactive material. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-460, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-463Training for treatment of hyperthyroidism. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-463, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-466Training for treatment of thyroid carcinoma. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-466, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-469Training for use of brachytherapy sources. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-469, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-472Training for ophthalmic use of strontium-90. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-472, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-475Training for use of sealed sources for diagnosis. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-475, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-478Training for use of therapeutic medical devices. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-478, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-481Training for authorized medical physicist. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-481, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-484Training for an authorized nuclear pharmacist. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-484, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.
246-240-487Training for experienced nuclear pharmacists. [Statutory Authority: RCW 70.98.050. WSR 06-05-019, § 246-240-487, filed 2/6/06, effective 3/9/06.] Repealed by WSR 07-14-131, filed 7/3/07, effective 8/3/07. Statutory Authority: RCW 70.98.050.