Current through Register Vol. 61, No. 4, April 1, 2022
(1) Within six months following the effective
date of these rules, the CT facility shall establish default scanning protocols
in consultation with a qualified CT medical physicist.
Default scanning protocols shall be
password protected or a written policy shall be in place that prohibits anyone
from changing protocols without documented approval from the CT medical
director, lead CT technologist or supervising CT radiologist.
(a) Each facility shall establish a policy to
review all of their default CT protocols at least annually to ensure they are
correct and are the intended protocols.
(b) Written and signed documentation of this
annual review shall be kept and made available for inspection for each CT unit
at the facility.
The CT operator shall ensure all technique factors and dose indices are
appropriate for the protocol being used and the patient being imaged. This may
be accomplished by reviewing dose indicator devices if available or dose
indices such as the technique factors.
(4) The facility shall establish a written
policy for retaking CT exams on patients.
(5) Staff shall not be required by the
licensee or registrant to hold patients during CT examinations.
(6) When a patient must be held in position
for a CT procedure, mechanical supporting or restraining devices shall be used
unless contraindicated. If the patient must be held by an individual, this
individual shall wear a protective apron of 0.5 millimeter minimum lead
equivalence and be so positioned that no part of his or her body shall be in
the path of the primary beam and that his or her body is as far as possible
from the edge of the primary beam.
(7) Only individuals whose presence is
necessary are allowed in a CT scan room during exposure. Each individual,
except the patient, shall be protected by at least 0.5 millimeter lead
equivalent aprons or a whole body protective barrier.
(8) A CT scanner shall not be left unattended
without locking the apparatus, room, or building in some manner which must
prevent use of the apparatus by unauthorized persons.