Form Cms-1882 - Portable Xray Survey Report Page 9
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10name of facility
not
standards
code
met
n/a
eXplanatory statement
met
H50
(h) protective gloves and aprons
protective gloves and aprons are provided so that when the
patient must be held by an individual, that individual is pro-
tected with these shielding devices.
H51
(i)
restriction of the useful beam
diaphragms, cones, or adjustable collimators are used to
restrict the useful beam to the area of clinical interest.
H52
(j)
personnel monitoring
A device which can be worn to monitor radiation exposure
(e.g., a film badge) is provided to each individual who operates
portable X-ray equipment. the device is evaluated for
radiation exposure to the operator at least monthly and
appropriate records are maintained by the supplier of portable
X-ray services of radiation exposure measured by such a
device for each individual.
H53
(k) personnel and public protection
No individual occupationally exposed to radiation is permitted
to hold patients during exposures except during emergencies,
nor is any other individual regularly used for this service. care
is taken to assure that pregnant women do not assist in
portable X-ray examinations.
§486.110 inspection of equipment
h54
inspections of all X-ray equipment and shielding are made by
qualified individuals at intervals not greater than every 24
months.
H55
(a) qualified inspectors
inspections are made at least every 24 months by a radiation
health specialist who is on the staff of or approved by an
appropriate state or local government agency.
H56
(b) records of inspection and scope of inspection
the supplier maintains records of current inspections which
include the extent to which equipment and shielding are in
compliance with the safety standards outlined in 486.108.
9
form cms-1882 (02/09)
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