OAR 333-123-0125
Superficial Electronic Brachytherapy Personnel Requirements

(1) To be an authorized user for superficial electronic brachytherapy the individual must:
(a) Be licensed as a physician by the Oregon Medical Board; and
(A) A dermatologist who has had training in the use, safety and operation of a superficial electronic brachytherapy device approved by the Authority; or
(B) A qualified radiation therapy physician.
(b) Comply with all training described in these rules.
(2) Before treating, or assisting with treating, with superficial electronic brachytherapy, an authorized user must first complete an approved Authority radiation use and safety course which covers the following topics:
(a) Sources of radiation:
(A) Natural, cosmic, and internal;
(B) Man-made, consumer products and nuclear testing; and
(C) Industrial uses.
(b) Radiation defined:
(A) Particle vs. electromagnetic;
(B) Ionizing and non-ionizing; and
(C) Radioactive decay; alpha, beta, gamma, and neutron.
(c) Major components of an X-ray system:
(A) X-ray tube, tube housing, and filtration;
(B) X-ray characteristics, interaction of radiation with matter; and
(C) Types of scatter and photoelectric absorption.
(d) Radiation detection use and measurement:
(A) Types of meters;
(B) Understanding units; and
(C) Calibration.
(e) Biological effects:
(A) Radiation quantities and units;
(B) Exposure dose, absorbed dose, dose equivalent, does rate, quality factors and type of radiation involved;
(C) Size of dose and rate of dose;
(D) Part of body exposed and age; and
(E) Biological differences, effects of radiation by biological organization (molecular, subcellular, inhibition of cell division, cell death, mutation), and the effects to organs and tissue.
(f) Mechanisms of biological damage.
(g) Acute and latent reaction to X-ray radiation.
(h) Risk of stochastic effects.
(i) Radiation dose from natural and man-made sources.
(j) Occupationally exposed individuals.
(k) Shielding.
(l) Dosimetry devices and monitoring methods:
(A) Monitoring requirements;
(B) External monitoring; and
(C) External dose evaluation.
(m) Federal and state regulations.
(n) Oregon’s registration requirements.
(o) Radiological safety surveys, records and documentation:
(A) Surveys and inspections;
(B) Radiological controls and ALARA; and
(C) Radiological emergencies and reporting medical events.
(p) Emergency procedures.
(q) Clinical applications.
(r) Treatment plans:
(A) Fractions and fraction dose; and
(B) Total dose and frequency.
(3) Upon successful completion of the training required in section (2) of this rule, and before treating, or assisting with treating, with superficial electronic brachytherapy, an authorized user must complete the manufacturer’s application training as defined in OAR 333-106-0005 (Definitions).
(4) Upon completion of the training required in sections (2) and (3) of this rule, and before treating with superficial electronic brachytherapy, an authorized user must assist with treating 15 or more patients undergoing superficial electronic brachytherapy treatment under the personal supervision of an authorized user who has been performing superficial electronic brachytherapy for at least three years. To satisfy this requirement, training must include, but not limited to the following:
(a) Evaluation of prepared treatment plans and selecting proper dose;
(b) Treatment simulation and post-administration follow ups;
(c) Patient positioning and how dose are administered; and
(d) Radiation protection for patients and occupational workers.
(5) The registrant must retain copies of training records demonstrating completion of the requirements of this rule until the registration is terminated. Records must be in accordance with OAR 333-100-0057 (Maintenance of Records) and made available to the Authority for inspection.
(6) To be a superficial electronic brachytherapy operator, the individual must:
(a) Be registered in therapy by the American Registry of Radiologic Technologist [RT(T)] and licensed by the Oregon Board of Medical Imaging or must be a qualified radiation therapy physician; and
(b) Complete the manufacturer’s applications training as defined in OAR 333-106-0005 (Definitions)(5).
(7) The authorized user and the superficial electronic brachytherapy device operator must be trained in the operation and emergency response for the superficial electronic brachytherapy device.

Source: Rule 333-123-0125 — Superficial Electronic Brachytherapy Personnel Requirements, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-123-0125.

Purpose and Scope
General Requirements, Operating Procedures, Surveys, Dosimetry, and Instrument Calibration for Facilities Using Therapeutic Radiation Machines
Training and Qualification Requirements for Individuals in the External Beam Radiation Therapy Area
Reports and Notifications of Unplanned Medical Treatment
Requirements for Therapeutic Radiation Machines
Facility Design Requirements for Therapeutic Radiation Machines
Calibration, Acceptance Testing and Commissioning of Therapeutic Radiation Machines
Quality Assurance And Safety Checks
Quality Assurance Program
Qualified Medical Physicist Support in Facilities Having Therapeutic Radiation Machines with Energies of 1 Mv and Above
Electronic Brachytherapy
Facility Design Requirements for Electronic Brachytherapy Devices
Electrical Safety for Electronic Brachytherapy Devices
Control Panel Functions
Medical Physicist
Operating Procedures
Safety Precautions for Electronic Brachytherapy Devices
Electronic Brachytherapy Source Calibration Measurements
Periodic and Day-of-Use Quality Assurance Checks for Electronic Brachytherapy Devices
Therapy Related Computer Systems
Mobile Electronic Brachytherapy Service
Superficial Electronic Brachytherapy
Superficial Electronic Brachytherapy Personnel Requirements
Superficial Electronic Brachytherapy: Refresher Training
Superficial Electronic Brachytherapy: Activation of the Superficial Electronic Brachytherapy X-ray Tube
Superficial Electronic Brachytherapy: Facility Design Requirements
Superficial Electronic Brachytherapy: Calibration, Acceptance Testing and Commissioning
Superficial Electronic Brachytherapy: Quality Assurance Checks
Superficial Electronic Brachytherapy: Operating Procedures
Last Updated

Jun. 8, 2021

Rule 333-123-0125’s source at or​.us