1. (a) For each individual who operates a medical or veterinary x-ray device, the registrant shall maintain a record of all training and educational programs attended by each operator to establish that the operator is able to independently operate a device capable of emitting ionizing radiation. The record for each operator must identify the

   1. (1) trainer, or training organization, and the training method;
   2. (2) dates of the training;
   3. (3) subjects included in the training curriculum; and
   4. (4) test or certification that establishes that the training was completed.

2. (b) The minimum acceptable training curriculum for an operator of a medical x-ray device must include

   1. (1) fundamentals of radiation safety, including

      1. (A) characteristics of x-radiation, radiation units, methods for reducing exposures;
      2. (B) radiobiologic effects of radiation exposure and risk or benefit analysis, and principles of ALARA described in 7 AAC 18.105(d);
      3. (C) stochastic effects and nonstochastic effects of radiation exposure;
      4. (D) hazards of excessive exposure to ionizing radiation; and
      5. (E) use of personnel monitoring equipment;

   2. (2) device operation and radiation controls, including

      1. (A) methods for controlling ionizing radiation dose, technique charts, and automatic exposure controllers;
      2. (B) use of positioning procedures and anatomy to minimize repeat rate and critical organ doses;
      3. (C) state and federal radiation control regulations and incident reporting requirements;
      4. (D) radiographic accessories that affect exposure dose; and
      5. (E) special exposure considerations on limitations of computerized and digital systems;

   3. (3) quality control procedures and the role of the procedures in minimizing exposures, including

      1. (A) optimizing image processing for minimum exposures;
      2. (B) periodically verifying the machine for operational accuracy; and
      3. (C) conducting repeat analyses and technical critiques of images; and
   4. (4) the registrant's written operating and emergency procedures.
3. (c) An operator of medical fluoroscopic equipment must receive a minimum of 10 hours of instruction in the safe operation of the fluoroscope.

(Eff. 4/9/2009, Register 190)

Authority: AS 18.60.475, AS 18.60.485