180 NAC 7-020. PROCEDURES FOR ADMINISTRATIONS REQUIRING A WRITTEN DIRECTIVE

020. PROCEDURES FOR ADMINISTRATIONS REQUIRING A WRITTEN DIRECTIVE. 020.01 WRITTEN PROCEDURES. For any administration requiring a written directive, the licensee must develop, implement, and maintain written procedures to provide high confidence that: (A) The patient’s or human research subject’s identity is verified before each administration; and(B) Each administration is according to the written directive. 020.02 VERIFICATION. The procedures required by 180 NAC 7-020.01 must, at a minimum, address the following items that are applicable to the licensee’s use of radioactive material: (A) Verifying the identity of the patient or human research subject;(B) Verifying that the specific details of the administration is according to the treatment plan, if applicable, and the written directive;(C) Checking both manual and computer-generated dose calculations;(D) Verifying that any computer-generated dose calculations are correctly transferred into the consoles of therapeutic medical units authorized by 180 NAC 7-067 or 7-085;(E) Determining if a misadministration, as defined in 180 NAC 7-115, has occurred; and(F) Determining, for permanent implant brachytherapy, within sixty calendar days from the date the implant was performed, the total source strength administered outside of the treatment site compared to the total source strength documented in the post-implantation portion of the written directive, unless a written justification of patient unavailability is documented.