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  This regulation has been filed with the Office of Administrative Law. The Office of Administrative Law may edit the regulation before publishing it in the New Jersey Register. Please refer to the January 16, 2001 issue of the Register for the final text. 1 REGULATION:QUALITY ASSURANCE PROGRAMSFOR MEDICAL DIAGNOSTIC X-RAYINSTALLATIONSN.J.A.C. 7:28-22  New Jersey Department of Environmental ProtectionBureau of Radiological HealthPO Box 415Trenton NJ 08625FAX609-984-5811Website: http://www.state.nj.us/dep/rpp  This regulation has been filed with the Office of Administrative Law. The Office of Administrative Law may edit the regulation before publishing it in the New Jersey Register. Please refer to the January 16, 2001 issue of the Register for the final text. 2 Table of Contents Section Section Title Page(s) 22.1   Purpose, Scope, and Applicability3 22.2Definitions3 22.3General Provisions4 22.4 Quality Assurance Program Manual722.5   Quality Assurance Program For Medical Diagnostic RadiographicEquipment 822.6   Quality Assurance Program For Medical Diagnostic FluoroscopicEquipment 1222.7   Quality Assurance Program For Medical Diagnostic ComputedTomography Equipment15 22.8Medical Physicist’s Radiographic QC Survey19 22.9Medical Physicist’s Fluoroscopic QC Survey22 22.10Medical Physicist’s Computed Tomography QC Survey25 22.11Quality Assurance For X-ray Bone Densitometer28 22.12Qualifications of Medical Physicists and Medical Physicist 28Assistants 22.13Certification and Decertification of Qualified Medical Physicists 32and Qualified Medical Physicist Assistants 22.14Compliance Schedule33 22.15 Severability34  This regulation has been filed with the Office of Administrative Law. The Office of Administrative Law may edit the regulation before publishing it in the New Jersey Register. Please refer to the January 16, 2001 issue of the Register for the final text. 3 New Jersey Department of Environmental ProtectionBureau of Radiological HealthAdopted and Effective on January 16, 2001 SUBCHAPTER 22 QUALITY ASSURANCE PROGRAMS FOR MEDICALDIAGNOSTIC X-RAY INSTALLATIONS 7:28-22.1PURPOSE, SCOPE AND APPLICABILITY(a) The purpose of this Subchapter is to increase protection to the public andradiation workers from unnecessary exposure to radiation and to reduce theoccurrence of misdiagnosis caused by faulty equipment and operator error.(b) This Subchapter establishes requirements for the development andimplementation of quality assurance (QA) programs to ensure that registrants of diagnostic x-ray equipment who perform diagnostic x-ray procedures in the healingarts achieve consistent high quality imaging and improve diagnosis while reducingunnecessary radiation to the patients and workers. This Subchapter furtherestablishes certain responsibilities of registrants of radiation sources used in thepractice of diagnostic radiology. This Subchapter also establishes the qualificationsand training requirements for medical physicists, medical physicist assistants andqualified individuals designing or implementing QA programs in accordance withthis Subchapter. Certification requirements and associated fees are alsoestablished for medical physicists and medical physicist assistants.(c) All registrants of medical diagnostic x-ray imaging equipment and computedtomography equipment, which is used for performing diagnostic radiography,fluoroscopy, x-ray bone densitometry, or computed tomography in the healing arts,are required to develop and continually implement quality assurance programs.Such equipment includes, but is not limited to, equipment used in performingdiagnostic radiology procedures in hospital, medical, podiatric, chiropractic,industrial, school, and government facilities.(d) The provisions of this subchapter are not applicable to diagnosticradiographic mammography equipment that must comply with the FederalMammography Quality Standards Act, 42 U.S.C.A. §263(b), or N.J.A.C. 7:28-15.4.7:28-22.2DEFINITIONS The words and terms listed below, when used in this subchapter, shall have thefollowing meanings, unless the context clearly indicates otherwise.  This regulation has been filed with the Office of Administrative Law. The Office of Administrative Law may edit the regulation before publishing it in the New Jersey Register. Please refer to the January 16, 2001 issue of the Register for the final text. 4 “Dedicated interventional special procedure suite” means a room dedicated to theperformance of fluoroscopic interventional special procedures. These proceduresinclude but are not limited to, angioplasty, angiography, cardiac catheterization,etc.“Immediate supervision means in-room supervision.“Initially” means no later than the date of the required implementation of thequality assurance program specified in N.J.A.C. 7:28-22.14 or within 60 days of the date the x-ray machine is acquired. Qualified medical physicist for the supervision of quality assurance programs forcomputed tomography equipment means an individual who meets thequalifications for a Qualified medical physicist for the supervision of qualityassurance programs for computed tomography equipment in N.J.A.C. 7:28-22.12(b). Qualified medical physicist for the supervision of quality assurance programs fordiagnostic x-ray imaging means an individual who meets the qualifications for Qualified medical physicist for the supervision of quality assurance programs fordiagnostic x-ray imaging in N.J.A.C. 7:28-22.12(a). Qualified medical physicist assistant in fluoroscopy means an individual whomeets the qualifications for “Qualified medical physicist assistant in fluoroscopy” inN.J.A.C. 7:28-22.12(d). Qualified medical physicist assistant in radiography means an individual whomeets the qualifications for “Qualified medical physicist assistant in radiography” inN.J.A.C. 7:28-22.12(c).“Registrant” means a person who is required to register a source of radiation withthe Department pursuant to this chapter.7:28-22.3 GENERAL PROVISIONS(a) No person shall perform or permit the performance of a diagnostic x-rayprocedure in the healing arts using radiographic, fluoroscopic, x-ray bonedensitometry, or computed tomography(CT) equipment unless the registrant hasdeveloped and continues to implement a quality assurance program in accordancewith the compliance schedule in N.J.A.C. 7:28-22.14 and that satisfies therequirements of this subchapter.
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