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(1) Demonstrate awareness of patterns of (1) Responsibilities. The clinical supervisor physical and emotional stress exhibited by shall be responsible for the clinical edupatients;

cation and evaluation of students assigned to (j) Produces and utilize immobilization and that clinical education center. beam directional devices;

(2) Qualifications. Must be a technologist, (k) Prepare commonly used brachytherapy with suitable experience, qualified in radisources;

ation therapy technology and educational (1) Demonstrate knowledge of methods of methodologies and must be credentialed in calibration of equipment, and quality assur

radiation therapy technology. ance;

(c) Medical Director/Medical Advisor (m) Prepare isodose summations;

(1) Responsibilities. The medical directori (n) Detect malfunctioning equipment;

medical advisor shall work in consultation (0) Apply rules and regulations for radi

with the program director in developing the ation safety, and detect defects which might

goals and objectives of the program and impose a radiation hazard;

plementing the standards for achievement. (p) Understand the function of equipment

(2) Qualifications. The medical director/ and accessories;

medical advisor shall be a qualified radiation (a) Demonstrate knowledge of methods of

oncologist certified by the American Board continuing patient evaluation (follow up);

of Radiology, or shall possess suitable equir

alent qualifications. (r) Apply wedge and compensating filters;

2. Instructional Staff, (a) Responsibilities. (8) Recognize patients' clinical progress,

The instructional staff shall be responsible complications, and demonstrate knowledge of when to withhold treatment until con

for submitting course outlines for each sultation with the physician; and

course assigned by the program director,

evaluating students and reporting progress (t) Interact with patients and families con

as required by the sponsoring Institution; cerning the physical and psychological needs and cooperating with the program director of patients.

in the periodic review and upgrading of C. Resources

course material.

(b) Qualifications. The instructors must be 1. Program Officials. The program must individually qualified, must be effective in have a qualified program official or officials. teaching the subjects assigned, and must Primary responsibilities shall include pro- meet the standards required by the sponsorgram development, organization, adminis- ing institution. tration, evaluation, and revision. A program (c) Instructor-to-Student Ratio. The instrucdirector is necessary; other program officials tor-to-student ratio shall be adequate to may be required.

achieve the stated objectives of the curricu(a) Program Director-(1) Responsibilities. lum. -The director of the educational program

(d) Professional Development Programs shall be responsible for the organization, shall have a policy that encourages contingAdministration, periodic review, continued ing education in radiation therapy techdevelopment, and general effectiveness of nology and assures ongoing instruction for the program. The program director's re- the faculty in curriculm design and teaching sponsibilities in teaching, administration, strategies. and coordination of the educational pro

3. Financial Resources. Financial resources gram in radiation therapy technology shall

for continued operation of the educational not be adversely affected by educationally program must be assured. unrelated functions.

4. Physical Resources (a) General. Adequate -In a collega-sponsored program, or a hos

classrooms, laboratories, and other facilities pital-sponsored multiple amliate program,

shall be provided. All afiliated institutions the program director shall be a employee shall provide space required for these faciiof the sponsoring institution. A schedule of

ties. regular amliate visits must be maintained. (b) Equipment and Suppžies. Appropriate (2) Qualifications.

modern equipment and supplies in sufficient

quandties shall be provided. -Must be a technologist qualified in ndi- (c) Laboratory. Energised laboratories must

ation therapy technology and educational meet Federal and/or State radiation and methodologies

safety regulations. -Must be credentialed in radiation theraps (d) Reference Materials. An adequate supply

technology or possess suitable equivalent of up-to-date books, periodicals, and other qualifications

reference materials related to the curricuMast bare at least two years' experience as lum and the profession shall be readily availsa instructor in an averedited educational adle to students

(e) Records. Records shall be maintained as ) Clinical Supervisor. Esch clinical ede- dictated by rood educational practices. cation center shall appoint s clinical super & instructional Resources. Instructional sids

such as clinical materialsreference mato

rials, and demonstration and other malts- APTADA PTO PART 3-STANDARDS media materials must be provided

ros LORSING RADIOGRAPEURS, NU

Cu Moto3 TSCENOLOGISTS, D. Students

AND RADIATION TEQAT TSCS Admission

NOLOGISTS 1. Applicants must be high school mad- The faboriss sectice describes besie ele uates (or equivalent) with an educational besta so te scorporated in credentialing background in basic science and mathe progress of States that choose to regulate matics.

personnel who priarm našiologic proce 2. For admission to a 12-month program dures the candidate must satisfy one of the follow

A License ing requirements:

(2) Graduation from an accredited or i Osis escible applicants who have passed equivalent program in radiography.

the licensere examination shall be licensed (b) Successful completion or challenge of w Radiographers, Naciez Medicine Tocbcourses in the following prerequisite content gologista o Regiation Therapy Tecb

Dologista areas:

2 Licenses shall be renewed at periodic in-Radiation physics;

terrak -Human structure and function; -Radiation protection;

B. Eligibility -Medical ethics and law,

1. Por regalar eligibility to take the licen-Methods of patient care;

sure examination, applicants shall have suc-Medical terminology; and

cessfully completed an accredited program of -Mathematics.

formal education in radiography, nuclear (c) Successful demonstration of the follow

medicine technology, or radiation therapy

technology. ing competencies:

2. Special eligibility to take the licensure -Practice oral and written communications, examination shall be provided for applicants -Perform basic mathematical functions; whose training and/or experience are equal -Demonstrate knowledge of human struc- to, or in excess of, those of a graduate of an ture and function;

accredited educational program. -Demonstrate knowledge of radiation phys ics in radiation interactions and radiation

C. Examination protection techniques;

A criterion-referenced examination in radi-Provide basic patient

care and ography, nuclear medicine technology, or racardiopulmonary resuscitation;

diation therapy technology shall be utilized -Demonstrate awareness of patterns of to test the knowledge and competencies of physical and emotional stress exhibited by

applicants. patients;

D. Continuing Competency -Apply rules and regulations for radiation safety, detect defects which might pose a

The licensed Radiographer, Nuclear Mediradiation bazard, and maintain control, if

cine Technologist, or Radiation Therapy a radiation accident occurs; and

Technologist shall maintain continuing com

petency in the area in which he/she is prac-Interact with patients and families con

ticing.
cerning patients physical and psycho-
logical needs.

E. Policies and Procedures
E. Continuing Program Evaluation

An organization that seeks to be recog

nized for the certifying of personnel shall 1. A process for periodic and systematic re- adopt definite policies to ensure validity, obview of the program's effectiveness must be jectivity, and fairness in the certifying proodocumented and reflected in policies.

ess. The National Commission for Health 2. Program evaluation shall include the Certifying Agencies (NCHCA) has published employment performance of recent grad- suitable criteria for a certifying organisuates.

tion to adopt with respect to policies for: (1)

Determination of appropriate examination NOTE: Educational programs accredited by content (but not the actual content for any an organization recognized by the United specific occupation); (2) construction of exStates Department of Education are consid- aminations; (3) administration of examinaered to have met these standards.

tions; and (4) fulfilling responsibilities to ap

an

plicants. An organization (whether
NCHCA member or not) that adopts these or
equivalent criteria will meet all of the re-
quirements of this section of these stand-
ards.
APPENDIX G TO PART 75–STANDARDS

FOR LICENSING DENTAL HYGIENISTS
AND DENTAL ASSISTANTS IN DENTAL

RADIOGRAPHY The following section describes basic elements to be incorporated in credentialing programs of States that choose to regulate personnel who perform radiologic procedures.

Currently, Dental Hygienists are credentialed through individual State licensure processes, all of which include assessment of competence in dental radiography. In all States, Dental Hygienists are required to be licensed prior to practicing. The existing State dental hygiene licensure processes meet the intent and purpose of the Consumer-Patient Radiation Health and Safety Act of 1981 and the standards for 11censing Dental Hygienists in dental radiography set forth below.

A. Licensure/Permit 1. To those who have passed a licensure or designated dental radiography examination, a license or permit shall be issued by the State entity responsible for credentialing dental personnel.

2. Licenses or permits shall be renewed at periodic intervals.

B. Eligibility 1. An individual shall provide proof of graduating student status or graduation from an

accredited or approved dental hygiene or dental assisting education program.

2. For dental assistants, special eligibility to take the examination shall be provided to applicants with appropriate combinations of training and/or experience.

C. Examination A criterion-referenced examination in dental radiography shall be utilized to test the knowledge and competencies of applicants.

D. Continuing Competency The Dental Hygienist or Dental Assistant shall be required to maintain continuing competency in the area in which he/she is practicing.

E. Policies and Procedures An organization that seeks to be recognized for the certifying of personnel shall adopt definite policies to ensure validity, objectivity, and fairness in the certifying process. The National Commission for Health Certifying Agencies (NCHCA) has published suitable criteria for a certifying organization to adopt with respect to policies for: (1) Determination of appropriate examination content (but not the actual content for any specific occupation); (2) construction of ex. aminations; (3) administration of examinations; and (4) fulfilling responsibilities to ap plicants. An organization (whether an NCHCA member or not) that adopts these or equivalent criteria will meet all of the requirements of this section of these standards.

SUBCHAPTER G-OCCUPATIONAL SAFETY AND HEALTH

RESEARCH AND RELATED ACTIVITIES

PART 80-ADMINISTRATIVE FUNC- NIOSH, 1014 Broadway, Cincinnati, OH

TIONS, PRACTICES, AND PROCE- 45202.
DURES

880.43 Tuition fees.
Subparts A-C (Reserved)

In accordance with the provisions of

the subpart, the National Institute for Subpart D-Tuition fees for Direct Training Occupational Safety and Health will Sec.

charge fees for all students attending 80.41 Applicability.

NIOSH direct training courses which 80.42 Definitions.

commence on or after July 1, 1973. 80.43 Tuition fees. 80.44 Schedule of fees.

880.44 Schedule of fees. 80.45 Procedure for payment.

(a) Tuition fees will be computed on 80.46 Refunds.

the basis of the cost to the Government

for the Institute's participation in the Subparts A-C (Reserved) course, as determined by the Director

of the Institute. Subpart D-Tuition Fees for Direct (b) Total tuition charges for each Training

course will be set forth in the course

announcement. AUTHORITY: Sec. 501, 65 Stat. 290; 31 U.S.C. 483a.

880.45 Procedure for payment. SOURCE: 38 FR 16645, June 25, 1973, unless (a) Applications for direct training otherwise noted.

courses shall be completed and submit

ted to the registration office in accord$80.41 Applicability.

ance with the instructions issued by The provisions of this subpart set

that office. forth the policies of the National Insti

(b) Federal agency personnel shall, tute for Occupational Safety and upon notification of their acceptance, Health with respect to its charging fees

submit a letter identifying the agency for direct training in occupational and office to be billed, the agency order safety or health.

number, and any code numbers or

other information necessary for billing $80.42 Definitions.

purposes. Any term not defined herein shall (c) All other applicants shall, upon have the same meaning as given it in notification of their acceptance by the act. As used in this subpart:

NIOSH, submit a check payable to the (a) Act means the Occupational Safe- National Institute for Occupational ty and Health Act of 1970 (29 U.S.C. 651 Safety and Health in the amount indiet seq.).

cated by the course announcement (b) Direct training means all technical prior to the commencement of the training courses conducted directly by training course. NIOSH for personnel of State and local governmental agencies, other Federal 880.46 Refunds. agencies, private industries, univer

An applicant may withdraw his applisities, and other non-NIOSH agencies

cation and receive full reimbursement and organizations.

of the fee provided that written notifi(C) NIOSH or Institute means the Na

cation to the registration office is tional Institute for Occupational Safety and Health.

mailed no later than 10 days before the (d) Registration Office means the Di

commencement of the course for which rect Training Registration Office,

registration has been submitted.

PART 84-APPROVAL OF RESPIRATORY PROTECTIVE DEVICES

Subpart A-Gonoral Provisions

Boc. ) M.1 Purpose. 4.2 Definitions. 84.3 Respirators for mine rescue or other

emergency use in mines.

Subpart B-Application for Approval 84.10 Application procedures. 84.11 Contents of application. 84.12 Delivery of respirators and components by applicant; requirements.

Subpart C-Foes 8.20 Examination, inspection, and testing

of complete respirator assemblies; fees. M.21 Examination, Inspection, and testing

of rospirator components or subassem

bllos; foos. 81.22 Unlisted foes; additional fees; payment

by applicant prior to approval. Subpart D-Approval and Disapproval 84.30 Cortifloatos of approval; scope of ap

proval. 04.31 Cortifontos of approval; contents. 84.82 Notloo of disapproval. 84.33 Approval labels and markings; ap

proval of oontonts; use. 84.31 Rovocation of certificates of approval. 04.36 Changos or modifications of approved

respirators; 188uanoe of modification of

certifionte of approval. 04.36 Delivery of changed or modified ap proved respirator.

Subpart E-Quality Control 84.40 Quality control plans; filing require

menta. 84.41 Quality oontrol plans; contents. 2.49 Proposed quality control plans; ap

proval by the Institute. 8.43 Quality control rooords; review by the

Institute; revocation of approval.

Subport G Gonord Construction and

Portormance Requirements 4.60 Construction and performance require

ments, general. 84.61 General construction requirements. 84.62 Component parts; minimum require

ments. 84.63 Test requirements, general. 84.64 Pretesting by applicant; approval of

test methods. 84.66 Conduct of examinations, inspections,

and tests by the Institute; assistance by applicant; observers; recorded data; pub

lic demonstrations. 84.66 Withdrawal of applications, refund of

fees.
Subpart H-Self-Containod Breathing

Apparatus 84.70 Self-contained breathing apparatus;

description. 84.71 Self-contained breathing apparatus;

required components. 84.72 Breathing tubes; minimum require

ments. 84.73 Harnesses; installation and construc

tion; minimum requirements. 84.74 Apparatus containers; minimum re

quirements. 84.76 Half-mask facepieces, full facepieces,

mouthpieces; At; minimum require

ments. 84.76 Facepieces; eyepieces; minimum re

quirements. 84.77 Inhalation and exhalation valves; min

imum requirements. 84.78 Head harnesses; minimum require

ments. 84.79 Breathing gas; minimum require

ments. 84.80 Interchangeability of oxygen and air

prohibited. 84.81 Compressed breathing gas and lique

fied breathing gas containers; minimum

requirements. 84.82 Gas pressure gages; minimum require

ments. 84.83 Timers; elapsed time indicators; re

maining service life indicators; minimum

requirements. 84.84 Hand-operated valves; minimum re

quirements. 84.85 Breathing begs; minimum require

ments. 8.8 Component parts exposed to oxygen

pressures; minimum requirements. 84.87 Compressed gas filters; minimum te

quirements. 84.88 Breathing-bas teste $.& Weight requirement 8.80 Breathing resistance test, inhalation. 8.91 Bresthing resistance test; exhalation. 8.8 febsistion valve leskage test. MS Gas for test, open circuit apparatus HN Gas dior fests closed circait apparatus.

Subport F-Classification of Approved Ros

pirators; Scope of Approval; Atmos

pheric Hazards; Service Time 84.80 Types of respirators to be approved;

soope of approval 84.81 Satry and escape, or escape only, alasantion piratory hasards: Olassification.

time: classification.

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