Federal Regulations / Resources - NRC, DOT

NRC Form 3

NRC Form 3 Notice to Employees REQUIRED POSTING

NRC Form 3A Notice to Employees (Spanish) REQUIRED POSTING

Notification of Noncompliance

Notification of Noncompliance

Materials License Application

NRC Form 313 Application for Materials License

Preceptor Statements

Medical / Specialty Board Certification - Recognized by NRC

NRC Form 313a Preceptor Statement Radiation Safety Officer

NRC Form 313a Preceptor Statement Authorized User - Diagnostic

NRC Form 313a Preceptor Statement Authorized User - Radiopharm Tx

NRC Form 313a Preceptor Statement Authorized User Brachytherapy

NRC Form 313a Preceptor Statement Authorized Medical Physicist

NRC Form 313a Preceptor Statement Authorized Nuclear Pharmacist

In-Vivo Testing - General License

NRC Form 483 Registration Certificate in vivo Testing - General License

Materials Disposition - Close Out

NRC Form 314 Final Disposition of Materials

Reciprocity

NRC Form 241 Reciprocity

Small Entity - Fees

NRC Form 526 Certification of Small Entity Status for Fees

NRC Form 531 Request for Tax Payer ID

10 CFR Part 170 Application Fees

10 CFR Part 171 Annual Fees

Occupational Dose History

NRC Form 4 Occupational Dose History

NRC Form 5 Occupational Dose History for Monitoring Period

Waste Manifests

NRC Form 540 Low Level Waste Manifest Ship to Licensed Waste Hauler

NRC Form 542 Low Level Waste Manifest Regional Waste Compact

Code of Federal Regulations - NRC

10 CFR Part 19 Instruction to Workers

10 CFR Part 20 Standards for Protection

10 CFR Part 21 Reporting Defects & Noncompliance

10 CFR Part 30 Domestic Licensing

10 CFR Part 35 Medical Use of Byproduct Material

FAQ's Regarding 10 CFR Part 35

10 CFR Part 37 - DRAFT - Physical Protection of Byproduct Material

10 CFR Part 37 Physical Protection of Byproduct Material Draft - NRC Slides

10 CFR Part 71 Transportation of Radioactive Material

10 CFR Part 170 Application Fees

10 CFR Part 171 Annual Fees

NARM Final Rule

Code of Federal Regulations - DOT

HAZMAT Training Q & A's

Summary of DOT Requirements - NUREG-1556 Appendix Z

49 CFR 171.8 Hazardous Materials Program Definitions

49 CFR 172.403 Radioactive Materials Class 7

49 CFR 172.436 "Radioactive White I" Label

49 CFR 172.438 "Radioactive Yellow II" Label

49 CFR 172.440 "Radioactive Yellow III" Label

49 CFR 172.450 "Empty" Label

DOT UN2910 Labels for Printing

49 CFR 172.602 Emergency Response Information

49 CFR 172.604 Emergency Response Telephone Number

49 CFR 172.700 - HAZMAT TRAINING - Purpose & Scope

49 CFR 172.701 - HAZMAT TRAINING - Federal / State Relationship

49 CFR 172.702 - HAZMAT TRAINING - Applicability & Responsibility for Training & Testing

49 CFR 172.704 - HAZMAT TRAINING - Training Requirements

HAZMAT Training Information from DOT

49 CFR 173.403 Radioactive Materials - Transportation Definitions

49 CFR 173.412 Type A Package Requirements

49 CFR 173.421 Excepted Packages of Limited Quantity Requirements

49 CFR 173.425 Limited Quantity Activity Limits

49 CFR 173.428 Empty Radioactive Materials Packaging

49 CFR 173.433 Shipping and Labeling

DOT Guide for Preparing Shipping Papers

49 CFR 173.435 Table of A1 and A2 Activity Values

49 CFR 173.441 Radioactive Exposure Level Limitations - Packages

49 CFR 173.443 Radioactive Contamination Control - Packages

49 CFR.173.465 Type A Packaging Tests

 

 

	Regulatory Guides - NUREG, USP, JCAHO

NUREG

NUREG - 1556 Volume 5 - Self-Shielded Irradiators

NUREG - 1556 Volume 9 Version 2 - Medical Use Licenses

NUREG - 1556 Volume 11 - Broad Scope Licenses

NUREG - 1556 Volume 15 - Bankruptcy

NUREG - 1556 Volume 19 Reciprocity

NUREG - 1736 10 CFR Part 20 - Bureaucracy to English Translation

NUREG/CR - 6345 Radiopharmaceutical Radiation Dose Estimates

NUREG/CR - 6918 Assessing Skin Dose from Skin Contamination

Regulatory Guide 8.9 Bioassay Program (1993)

NUREG/CR - 4884 Interpretation of Bioassay Results (1987) [56 MB]

Regulatory Guide 8.13 Instructions Concerning Prenatal Exposure (1999)

Regulatory Guide 8.18 Medical Institution ALARA (1982)

Regulatory Guide 8.29 Risks of Occupational Exposure (1996)

Regulatory Guide 8.36 Radiation Dose to the Embryo / Fetus (1992)

Regulatory Guide 8.37 ALARA Levels for Effluent from Material Facilities (1993)

Licensing Guidance

Licensing Guidance 35.1000 - TheraSphere / SIRSpheres Y-90 Microspheres

Licensing Guidance 35.1000 - NeoVista Sr-90 Ophthalmic Brachytherapy

Licensing Guidance 35.1000 - GliaSite

Licensing Guidance 35.1000 - I-125 & Pd-103 Seed Localization

NMSS Newsletters

NMSS Newsletters (FSME Quarterly Newsletters)

Regulatory Issue Summaries (RIS)Information Notices (IN)

Regulatory Issue Summaries - Chronological Listing 1999- 2010

Information Notice - Patient Release Precautions 2003-22 Supplement (8-09)

Medical Licensee Exemption Mo99 / Tc99m Shortage (7-09)

Information Notice - Moly-99 Breakthrough - 2009

RIS Sentinel Lymph Node Biopsy - 2009

RIS Patient Release Dose Limit 10 CFR 35.75 (2008)

USP Chapter <797> Sterility of Compounded Products

USP <797> Basic Training Module (Coupon Code: isoto)

Guidebook on USP General Chapter <797> Pharmaceutical Compounding - Sterile Preparations

JCAHO Standards

JCAHO Standards - Purchase Portal

 

 

	State Regulations / Resources

ALABAMA

Notice to Employees REQUIRED POSTING

Notice of Document Location REQUIRED POSTING

Radiation Emergency - Contacts REQUIRED POSTING

ADPH - Regulations REQUIRED POSSESSION

Alabama Department of Public Health (ADPH)- Radiation Control

ADPH - Radiation Control Forms

FLORIDA

Notice to Employees REQUIRED POSTING

Regulations REQUIRED POSSESSION

Emergency Notification Poster REQUIRED POSTING

Florida Bureau of Radiation Control

FDOH Radiation Control - Radioactive Materials Forms & Documents

FDOH Radiation Control - X-ray Machine Forms & Documents

 

GEORGIA

Notice to Employees REQUIRED POSTING

Rules & Regulations -Radioactive Materials & X-Ray REQUIRED POSSESSION

Radioactive Materials Program Fees

IDAHO

Idaho X-ray Regulations REQUIRED POSSESSION

X-ray Machine Registration Form #1

X-ray Machine Registration Form #2

ILLINOIS

Notice to Employees REQUIRED POSTING

Radioactive Material Rules & Regulations REQUIRED POSSESSION

Radiation Producing Machines Rules & Regulations REQUIRED POSSESSION

Radiation Accident Patient Checklist - Emergency Rooms

Radiation Accident - Guide for Medical Professionals

Registration Requirements for Diagnostic Imaging Specialists & Therapeutic Radiological Physicists

Notices & Instructions to Workers

Division of Nuclear Safety Homepage

INDIANA

Notice to Employees REQUIRED POSTING

Reporting Radiation Incidents REQUIRED POSTING

ISDH Radiological Emergency Response

Indiana Regulations REQUIRED POSSESSION

Indiana Regs - Licensing Radiography, Nuclear Med & Radiation Oncology

Indiana Regs - Radiologic Health

Indiana Regs - Radiation Control

Radiation Machine Registration Application

Technologists Licensing Criteria

Application for Health Professional Radiology License

Directory of State Approved Technologist Educational Programs

Directory of State Approved Physicists / Inspectors

Application for Radioactive Material Registration

KENTUCKY

Radioactive Materials

Radioactive Materials License Application

Disposition of Radioactive Materials

Training & Experience - Preceptor Forms

Radioactive Materials Program - Regulations & Forms

Guide for the Preparation of Medical Use License Programs

X-ray Machines

X-ray Machine Registration Application

Radiation Producing Machines Program - Regulations & Forms

Qualified Experts - Requirements

LOUISANA

Notice to Employees REQUIRED POSTING

Radioactive Material License Application

Radioactive Material - Renewal License Application

Disposition of Radioactive Materials

Schedule of Radioactive Materials /Qualifications

Reciprocity - Radioactive Materials

Cumulative Occupational Dose History

Occupational Dosimetry Record

Radioactive Material License Guide - Medical Use

Radioactive Material License Guide - Mobile Nuclear Medicine

Radioactive Material License Guide - PET

X-ray Machine Registration Application

X-ray Shielding Review

Registration - Licensing Fees

State of Louisiana - Forms Regulations & Guides - Single Portal

MICHIGAN

Agreement State Initiative Information

Radioactive Materials

Notice to Employees - Radioactive Materials REQUIRED POSTING

Ionizing Radiation Rules - Radioactive Materials REQUIRED POSTING

Radioactive Materials Registration Form REQUIRED POSSESSION

Radiation Accident - Emergency Guidelines

X-Ray Machines

Notice to Employees - X-ray Machines REQUIRED POSTING

Ionizing Radiation Rules - X-ray Machines REQUIRED POSTING

Ionizing Radiation Rules - X-ray Machines ORDER FORM

MDCH X-ray Machine Registration Application

Michigan Department of Community Health - Radiation Safety Section

Patient Exposures - Standard of Care

Patient Radiation Exposures - Michigan Standard of Care

Shielding

Application - Radiation Shielding Plan Review

Gonad Shielding Suppliers

Lead Suppliers List

Mammography

Mammography Radiation Rules

Stereotactic Mammography - Quality Control Testing

Stereotactic Mammography - Medical Physicist Evaluation

Mammography Quality Assurance Manual - Recommendations

Machine Operator Performance Evaluation

Mammography Medical Director - Duties & Responsibilities

Mammography Supervisor - Duties & Responsibilities

Mammography Physicist - Information Required

Mammography Physicist - Summary of Qualifications

Mammography Technologist - Summary of Qualifications

Mammography Interpreting Physician - Summary of Qualifications

Radiation Dosimetry

Personnel Dosimetry Requirements - Fluoroscopic Operators

Occupational External Radiation Exposure History

MDCH Fluoro Dosimeter Policy 07/01/2007

Excessive Exposure Reports - Guidelines

MINNESOTA

 

"Radiation Safety" Rules and Regulations - Radioactive Material

"Ionizing Radiation" Rules and Regulations - X- Ray Machines

MISSOURI

Rules & Regulations REQUIRED POSSESSION

MONTANA

Administrative Rules of Montana - Radiation Control

NEVADA

Notice to Employees REQUIRED POSTING

General License Registration Form

Certificate of RAM Disposition / License Termination

Generic Radiation Protection Program

Medical Use License Application

Preceptor Forms

Radioactive Material Fees

Reciprocity Form

Regulatory Guides

Nevada Division of Radiological Health

Nevada State Regulations

RSO Delegation of Authority / Acceptance Form

University of Nevada EHS web site - Resource Page

X-ray Machines

Mammography Machine Certification Application

Mammography Fees

Mammography Technologist Application

Letter - Add Mammo Physician

X-ray Fees

Mammography Regulations

Radiation Machine Registration Form

X-ray Termination Form

NORTH CAROLINA

DEH - Radiation Protection Section

North Carolina Regulations

Shielding Application

Radiation Protection Services Application

OHIO

Radioactive Materials

Notice to Employees REQUIRED POSTING

Ohio Regulations REQUIRED POSSESSION

Radioactive Materials License Application

Healthcare Facility Application

Reciprocity - Ohio

Occupational Exposure Record

Lifetime Occupational Exposure History

X-ray Machines

Registration - X-ray Equipment

Registration - X-ray Equipment - Amendment

Disposal / Transfer X-ray Equipment

Licensure - Radiology Personnel

UTAH

Radioactive Materials

Notice to Employees REQUIRED POSTING

Notice to Employees (Spanish) REQUIRED POSTING

Utah Regulations REQUIRED POSSESSION

Utah Division of Radiation Control

Materials License Application

Radioactive Materials License Application

Disposition of Materials - Close Out

Disposition of Radioactive Materials

Preceptor Statements

Preceptor Form Guidance

Preceptor Attestation - RSO (RSO)

Preceptor Attestation - Diagnostic (AUD)

Preceptor Attestation - Written Directive Required (AUT)

Utah Forms / Preceptor / General Forms

Occupational Exposure History

Occupational Exposure History

Occupational Exposure Record

X-Ray Machines

X-ray Equipment Registration Application

New & Disposed of X-ray Equipment Form

WISCONSIN

Radioactive Materials

Notice To Employees REQUIRED POSTING

Radiation Emergency - Posting REQUIRED POSTING

Wisconsin Regulations REQUIRED POSSESSION

Wisconsin Regulatory Guides

Record Retention Guide

Materials License Application

License Application - Medical Use (.pdf)

License Application - Medical Use - Fillable Form Version

Preceptor Statements

Preceptor Attestation - RSO (.pdf)

Preceptor Attestation - RSO - Fillable Form Version

Preceptor Attestation - Diagnostic (.pdf)

Preceptor Attestation - Diagnostic - Fillable Form Version

Preceptor Attestation - Written Directive Required (.pdf)

Preceptor Attestation - Written Directive Required - Fillable Form Version

Preceptor Attestation - Manual Brachytherapy (.pdf)

Preceptor Attestation - Manual Brachytherapy - Fillable Form Version

Occupational Exposure History

Occupational Exposure Record

Occupational Exposure History

Disposition of Materials - Close Out

Certificate of Radioactive Materials Disposition - Fillable Form Version

Reciprocity

Reciprocity - Required Information Checklist

X-Ray Machines

Wisconsin Regulations REQUIRED POSSESSION

Registration - X-ray Equipment

Wisconsin Forms / Postings

WYOMING

 

 

	MPC Forms / Resources - Nuclear Medicine
** "Title Highlight" Colors = MPC Binder Tabs

RADIATION PROTECTION PROGRAM

Annual Review of Radiation Protection Program

RECORD RETENTION

NRC Minimum Retention Periods

Record keeping requirements NUREG - 1556 Appendix X

TRANSFER OF CONTROL - CHANGE OF OWNERSHIP

Information Required for Transfer of Control NUREG - 1556 Appendix G

NOTICE TO EMPLOYEES - NRC / STATE

Notice to Employees - NRC

Notice to Employees - Generic State

Notice to Employees - Alabama

Notice to Employees - Florida

Notice to Employees - Georgia

Notice to Employees - Idaho

Notice to Employees - Illinois

Notice to Employees - Indiana

Notice to Employees - Kentucky

Notice to Employees - Louisiana

Notice to Employees - Michigan

Notice to Employees - Missouri

Notice to Employees - Montana

Notice to Employees - Nevada

Notice to Employees - Ohio

Notice to Employees - Utah

Notice to Employees - Wisconsin

Notice to Employees - Wyoming

RADIATION SAFETY OFFICER

RSO Duties & Responsibilities REQUIRED POSSESSION

RSO Letter of Understanding - Management REQUIRED POSSESSION

Typical RSO Duties / Responsibilities NUREG - 1556 Appendix I

REGULATORY INSPECTIONS

NRC Reporting Requirements NUREG - 1556 Appendix Y

NRC Inspection Focus Elements

Self-Identified Violation Form

	WRITTEN DIRECTIVE PROGRAM
** "Title Highlight" Colors = MPC Binder Tabs

Written Directive REQUIRED POSSESSION

Patient Specific Calculations - Hyperthyroid / Thyroid Ablation REQUIRED POSSESSION

Patient Specific Calculations - Thyroid Carcinoma REQUIRED POSSESSION

Policy - Assurance Written Directive Followed REQUIRED POSSESSION

Policy Verification of Patient Identity REQUIRED POSSESSION

Radiopharmaceutical Written Directive Authorizations for 35.300

Written Directive Program - NUREG - 1556 Appendix S

WDP - Radiopharmaceutical Section - Summary

	PATIENT RELEASE
** "Title Highlight" Colors = MPC Binder Tabs

Record of Patient Release - Iodine-131 REQUIRED POSSESSION

Patient Specific Calculations - Hyperthyroid / Thyroid Ablation REQUIRED POSSESSION

Patient Instructions - Less than 7 mCi Sodium Iodide-131

Patient Instructions - Less than 7 - 15 mCi

Patient Instructions Less than 16 - 33 mCi

Patient Instructions Less than 34 - 55 mCi

Patient Specific Calculations - Thyroid Carcinoma REQUIRED POSSESSION

Patient Instructions - Less than 33 mCi Sodium Iodide-131

Patient Instructions - Less than 33 - 100 mCi

Patient Instructions - Less than 101 - 150 mCi

Patient Instructions - Less than 151 - 200 mCi

Activity / Dose Rate Limits for Patient Release NUREG - 1556 Appendix U-1

Activity / Dose Rate Requiring Patient Instruction NUREG - 1556 Appendix U-2

NRC - RIS Iodine-131 Release Criteria for Protection of Children & Infants

Patient Release - Model Program NUREG - 1556 Appendix U

MPC I-131 Patient Release Calculation Ver.4.8 05-10-10

	DECOMISSIONING
** "Title Highlight" Colors = MPC Binder Tabs

Records of Safe & Effective Decommissioning REQUIRED POSSESSION

Closeout Letter - Template

	EPA CLEAN AIR ACT
** "Title Highlight" Colors = MPC Binder Tabs

EPA Clean Air Act Compliance Report

EPA Annual Worksheet - MPC Template

	ACCIDENTAL ADMINISTRATION / MEDICAL EVENT
** "Title Highlight" Colors = MPC Binder Tabs

Accidental Dosage Administration - Internal Incident Report

Medical Event Definition

Medical Event - Fact Sheet

Radiopharmaceutical Dosimetry Calculation - Worksheet FORWARD TO MPC

	FETAL DOSIMETRY / PATIENT DOSIMETRY
** "Title Highlight" Colors = MPC Binder Tabs

Radiopharmaceutical Fetal Dose - Data Sheet

Brigham - Harvard Fetal Dose - Physician Reference Guide

CDC - Prenatal Radiation Exposure - A Fact Sheet for Physicians

Cytogenetic Biodosimetry Lab - ORAU - REACTS

MPC TheraSphere Dose Calculation Rev.2.7 05-10-10

RADAR Internal Sources - Fetal Thyroid Dose

RAdiation Dose Assessment Resource (RADAR) - Stanford Dosimetry Site

RADAR Patient Radiation Dose Calculator

Radiation Risk Calculator

Radiopharmaceutical Dosimetry NUREG-6345 - Stabin 1996

Regulatory Guide 8.36 - Radiation Dose to the Embryo / Fetus (1992)

	RADIATION SAFETY COMMITTEE
** "Title Highlight" Colors = MPC Binder Tabs

Radiation Safety Committee Sample Agenda

	PERSONNEL DOSIMETRY / BIOASSAY
** "Title Highlight" Colors = MPC Binder Tabs

Addition of Previous Exposure History to Dosimetry Supplier

Annual Exposure Report

Bioassay Program - Iodine -131

Concurrent Employment - Exposure Estimate

Estimated Previous Exposure History

I-131 Bioassay Compliance Calc

IAEA #37 Methods for Assessing Occupational Dose Due to Intake

NUREG / CR - 4884 Interpretation of Bioassay Results - 1987

Occupational Dosimetry Program - NUREG - 1556 Appendix M

Personnel Dosimetry - Correct Badge Position Poster-Cardinal Health 2008

Regulatory Guide 8.9 Bioassay Program (1993)

Request for Previous Dose Records

	ALARA PROGRAM
** "Title Highlight" Colors = MPC Binder Tabs

ALARA Limits

ALARA Notification - Hospital

ALARA Notification - Clinic

Regulatory Guide 8.18 Medical Institution ALARA (1982)

	WORKER INSTRUCTION
** "Title Highlight" Colors = MPC Binder Tabs

Radiation Safety - Nuclear Medicine Technologist - English

Radiation Safety - Stress Tech - English

Radiation Safety - Nuclear Medicine Physician - English

Radiation Safety - Mobile Truck Driver - English

Radiation Safety - Nursing - English

Radiation Safety - Clerical Personnel - English

Radiation Safety - Security Personnel - English

Radiation Safety - Clerical / Security Personnel - Spanish

Radiation Safety - Environmental Personnel - English

Radiation Safety - Environmental Personnel - Spanish

Radiation Safety - Maintenance Personnel - English

Radiation Safety - Maintenance Personnel - Spanish

Radiation Safety - Echosonographer - English

	WORKER INSTRUCTION - WORKBOOKS
** "Title Highlight" Colors = MPC Binder Tabs

Area Survey Procedures

Breastfeeding Recommendations

Byproduct Material Use

Dose Calibrator

Dose to Embryo - Nursing Child

Dose Limits - General Public

Hazmat - DOT

Hazmat - Sample Package Labeling

Hazmat - Security

Maintaining Doses ALARA

MDEQ Notice to Employees

Medical Event / Accidental Administration

Mobile Truck Driver

NRC Form - 3

Occupational Exposure Limits

Package Opening

Package Ordering

Patient Release

Personnel Monitoring

Pregnant Worker Recommendations

Radiation Risks

Radioactive Spills

Radioactive Waste

Regulatory Agencies

Rules for Safe Use

Sealed Sources

Written Directive Program

Wipe Tests

	PREGNANCY
** "Title Highlight" Colors = MPC Binder Tabs

Declared Pregnancy

Pregnancy Policy - MPC Template

Pregnancy / Breast Feeding Notification (English)

Pregnancy / Breast Feeding Notification (Arabic)

Pregnancy / Breast Feeding Notification (Spanish)

Regulatory Guide 8.13 Instructions Concerning Prenatal Exposure (1999)

Regulatory Guide 8.29 Risks of Occupational Exposure (1996)

	BREAST-FEEDING
** "Title Highlight" Colors = MPC Binder Tabs

NRC Recommended Interruption Schedule - Table U.3. NUREG - 1556 vol. 9, Ver 2.

MPC Breast-Feeding Interruption Recommendations

Instructions to Patients

Instructions to Patients - Spanish

	TRANSFER /RECEIPT OF RADIOACTIVE MATERIAL
** "Title Highlight" Colors = MPC Binder Tabs

FedEx Excepted Package - Checklist

Radioactive Package Receipt Record

Radioactive Material Transfer - Shipment Form

Shipper Bill of Lading

Emergency Response Information

Ordering & Receiving Radioactive Material - NUREG - 1556 Appendix O

Safely Opening Packages Containing RAM NUREG - 1556 Appendix P

Summary of DOT Requirements - NUREG - 1556 Appendix Z

	SURVEY / WIPE TESTS
** "Title Highlight" Colors = MPC Binder Tabs

Area Surveys - NUREG - 1556 Appendix R

CDC Video - How to Use a Hand-held Survey Instrument

Daily Area Survey Record

Trigger Levels - Ambient Dose Rate - NUREG - 1556 Figure R-1

Trigger Levels - Wipe Tests of Restricted Areas - NUREG - 1556 Figure R-2

Trigger Levels - Wipe tests of Unrestricted Areas - NUREG - 1556 Figure R-3

Weekly Wipe Testing - 10 Locations

Weekly Wipe Testing - 12 Locations

Weekly Wipe Testing - 15 Locations

	WASTE DISPOSAL
** "Title Highlight" Colors = MPC Binder Tabs

In-House Storage & Disposal Record

Decay-In-Storage, Return to Supplier, Generator Return - NUREG - 1556 Appendix W

	DAC COMPLIANCE / XENON-133
** "Title Highlight" Colors = MPC Binder Tabs

Aerosol Room Air / Environmental Compliance - Example

Iodine-131 Room Air / Environmental Compliance

Xenon Room Air / Environmental Compliance - Example

	RADIOACTIVE SPILLS
** "Title Highlight" Colors = MPC Binder Tabs

Radioactive Spill Report

Emergency Procedures - NUREG - 1556 Appendix N

	PRESCRIBED DOSAGES
** "Title Highlight" Colors = MPC Binder Tabs

Suggested Prescribed Dosage List

Cardiolite Dosage Chart - BMS

	PATIENT DOSAGE RECORDS
** "Title Highlight" Colors = MPC Binder Tabs

Patient Administered Dosage Record

Multidose Vial Dispensing Record

	DOSE CALIBRATOR
** "Title Highlight" Colors = MPC Binder Tabs

Decay Linearity Test

Dose Calibrator Accuracy Sheet

Dose Calibrator Linearity Sheet - CaliCheck

Dose Calibrator Geometry Sheet

	SCINTILLATION CAMERA
** "Title Highlight" Colors = MPC Binder Tabs

ACR / MPC Camera QC Recommendations

Camera QC Data Sheet - Dual Head - Daily

Camera QC Data Sheet - Dual Head - Weekly

Camera QC Data Sheet - Dual Head - Monthly

	MISCELLANEOUS
** "Title Highlight" Colors = MPC Binder Tabs

IODINE -131 THERPAY PROGRAM - TEMPLATE

Title Page

Preamble

Hyperthyroid Therapy

Procedure I-131 Tx for Hyperthyroidism

Informed Consent - Hyperthyroidism

Written Directive REQUIRED POSSESSION

Iodine-131 Record of Patient Release REQUIRED POSSESSION

Patient Specific Calculations - Hyperthyroid / Thyroid Ablation REQUIRED POSSESSION

Patient Instructions - Less than 7 mCi Sodium Iodide-131

Patient Instructions - Less than 7 - 15 mCi

Patient Instructions Less than 16 - 33 mCi

Patient Instructions Less than 34 - 55 mCi

Thyroid Carcinoma Therapy

Iodine-131 Tx for Thyroid Carcinoma - In-Patient Procedure

Iodine-131 Therapy - Out Patient Procedure

Informed Consent - Thyroid Carcinoma

Written Directive REQUIRED POSSESSION

Iodine - 131 Record of Patient Release REQUIRED POSSESSION

Patient Specific Calculations - Thyroid Carcinoma REQUIRED POSSESSION

Patient Instructions - Less than 33 mCi Sodium Iodide-131

Patient Instructions - Less than 33 - 100 mCi

Patient Instructions - Less than 101 - 150 mCi

Patient Instructions - Less than 151 - 200 mCi

Iodine - 131 Carcinoma Therapy Supply Checklist - In-Patient

Iodine - 131 Therapy Nursing In service - Sign-In Sheet

Nursing Instruction Checklist

Iodine - 131 Therapy In-Patient Record

Final In-Patient Room Survey / Wipe Test Record

Estimated Residual Activity Chart

Iodine Therapy Policies

Policy - Assurance Written Directive Followed REQUIRED POSSESSION

Policy Verification of Patient Identity REQUIRED POSSESSION

Related Issues - Iodine-131 Therapy

Feeding Tube Administration Procedure (Fox Chase Ca Cntr)

I-131 Therapy - Dialysis Patient Research Article

I-131 Therapy - Dialysis Powerpoint - Bohan

Risks of a Second Primary Carcinoma - After I-131 Thyroid Therapy

	MISCELLANEOUS
** "Title Highlight" Colors = MPC Binder Tabs

Mo-99 / Tc-99m GENERATOR

Moly Assay Recording Form

Generator Return - NUREG - 1556 Appendix W

	MISCELLANEOUS
** "Title Highlight" Colors = MPC Binder Tabs

Sentinel Lymph Node Biopsy Data - EJNM

Sentinel Lymph Node Biopsy Data - EJNM

	MISCELLANEOUS
** "Title Highlight" Colors = MPC Binder Tabs

Sm-153 Precautions - In-Patient

Radiation Safety Precautions - Sm-153 EDTMP (Qudramet) In-Patient

	MISCELLANEOUS
** "Title Highlight" Colors = MPC Binder Tabs

DECAY CALCULATOR - CHART

Decay Calculator

Decay Chart - Generator

	MISCELLANEOUS
** "Title Highlight" Colors = MPC Binder Tabs

SI ACTIVITY UNIT CONVERTER

Activity Unit Converter

	MISCELLANEOUS
** "Title Highlight" Colors = MPC Binder Tabs

RADIONUCLIDE SAFETY DATA SHEETS

Radionuclide Safety Data Sheets

	MISCELLANEOUS
** "Title Highlight" Colors = MPC Binder Tabs

RADIATION ACCIDENT PLAN - RESPONSE

Radiation Accident Plan - MPC Template

ACR Disaster Preparedness Primer - 2006

CDC - Radiation Accident Treatment Chart

CDC - Population Monitoring in Radiation Emergencies

CDC - Use of Radiation Detection, Measuring & Imaging Instruments to Assess Internal Contamination from Inhaled Radionuclides

CDC - Instructions for Using Gamma Cameras to Assess Internal Contamination from Inhaled Radioisotopes

Cytogenetic Biodosimetry Lab - ORAU - REACTS

General Topics for Safe Use of Radioisotopes and Model Emergency Procedures NUREG - 1556 Appendix R

IAEA - Generic Procedures for Assessment and Response During a Radiological Emergency

Power Point Presentation - How to use the Radiation Event Medical Management web site

Radiation Event Medical Management (REMM) Guidance on Diagnosis & Treatment for Healthcare Providers

Radiation Incident Response Plan - Sample

Radiological Terrorism - Emergency Management Pocket Guide for Clinicians

 

	MISCELLANEOUS
** "Title Highlight" Colors = MPC Binder Tabs

RADIATION SAFETY DATABASE MANAGEMENT SYSTEM

RSDM system

	MISCELLANEOUS
** "Title Highlight" Colors = MPC Binder Tabs

GENERAL RADIATION SAFETY Q&A - HEALTH PHYSICS SOCIETY

General Safety Guideline Questions & Answers from HPS

 

 

	MPC Forms / Resources - Diagnostic Radiology
** "Title Highlight" Colors = MPC Binder Tabs

ACR RADIATION SAFETY

ACR Radiation Safety Resource Page

APRON CHECKS

Lead Apron Checks - Criteria for Rejection

Lead Apron Check - Procedure

Radiation Protective Equipment Inspection Program

BONE DENSITOMETRY

CRCPD Bone Densitometry - "White Paper" 2006

 

CT INFORMATION

ACR Reference Dose Guidelines

ImPACT CT Dosimetry Tool

U. K. CT Information Center - ImPACT

 

DIAGNOSTIC RADIOLOGY CONSENT GENERATOR

Informed Consent Generator - Diagnostic Radiology

FETAL DOSIMETRY / PATIENT DOSIMETRY

Computed Tomography - Data Sheet

Radiographic / Fluoroscopic - Data Sheet

RADAR External Medical Dose Table Rad / CT

 

FLUOROSCOPY EDUCATION FOR NON-RADIOLOGISTS

Fluoro Education - Non-Radiologists

 

IAEA - RADIOLOGICAL PROTECTION OF PATIENTS

Computed Tomography (CT)

Digital Radiography

Fluoroscopy

Interventional Radiology / Cardiology

Nuclear Medicine Diagnostic / Therapeutic

PET / CT

Radiation Protection of Patients - 2009

Radiation Therapy

Radiography

 

IMAGE GENTLY ALLIANCE

My Child's Medical Imaging Record

"Step Lightly" IR Power point Presentation

"Step Lightly" IR Procedure Checklist

"Step Lightly" IR Outline of Important Points

"Step Lightly" IR Patient Brochure

What Parents Should Know About CT Scans - Medical Radiation Safety

MRI SAFETY INFORMATION

ACR - MRI Safety Resource Page

MRI Safety - ACR White paper

MRI Safety Handout & Test

MRI Safety Video - Non-Medical Personnel

 

X-RAY RADIATION RISK CALCULATOR

Radiation Risk Calculator

 

	Other Medical Physics Links
** "Title Highlight" Colors = MPC Binder Tabs

Cardio-Gen-82 Rubidium-82 Generator - Package Insert

Chart of the Nuclides

CRCPD - PET/CT Site Planning & Shielding Design

HPS Resource - Nuclear Science for Kids / Teachers

IAEA - Protection in Diagnostic / Interventional Radiology

IAEA - Protection in Nuclear Medicine

IAEA - Radiopharmaceutical Therapy - General Public Precautions

IAEA - Radiopharmaceutical Therapy - Patient Precautions

IAEA - Radiopharmaceutical Therapy - Autopsy / Embalming, Burial & Cremation Guides

IAEA Radiation Protection of Patients - Cardiology Lecture / Slide Series

IAEA Radiation Protection in PET/CT Lecture Series

MTMI Educational Opportunities

Radiation Answers - Resource for General Public

Radiological Health Handbook (1970)

Residual Radiation Dose Codes - Argonne National Lab

 

 

 

ICANL Accreditation Services
MPC offers a variety of levels of service complexity for the Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories (ICANL) accreditation services. Consultation is available to assist your staff in the form of guidance for your own in-house submission to a complete start-to-finish ICANL application service.

ACR Accreditation Services
MPC's American College of Radiology accreditation service includes elements within both diagnostic radiology and nuclear medicine. We have historically provided this comprehensive accreditation service on a nationwide basis. Our wealth of worldwide experience and recognition in nuclear medicine camera acceptance testing has provided a very solid basis for the ACR accreditation process. Provision of initial as well as annual camera, SPECT and PET testing is offered to fill your needs.