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Nima - Texas inspectors are issuing violations through 289. 231 for "public dose surveys". They are wanting to see a public dose measurement or statement for all equipment. This can be satisfied for your fluoro/ct rooms by structural</div>
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<div dir="ltr">Nima - Texas inspectors are issuing violations through 289.231 for "public dose surveys". They are wanting to see a public dose measurement or statement for all equipment. This can be satisfied for your fluoro/ct rooms by structural shielding designs and integrity surveys after construction. (If you replace it with a similar machine you can re-do the shielding design for the new machine, and then do an integrity survey after installation to make sure no punctures were made). (Area monitors will show your yearly exposure, but they are wanting you to prove that a member of the public will not be exposed to 2mR in any one hour)</div><br><div class="gmail_quote gmail_quote_container"><div dir="ltr" class="gmail_attr">On Mon, Sep 8, 2025 at 2:38 PM Ryan Fisher via Intl_dxmedphys_wd_osu_list <<a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu">intl_dxmedphys_wd_osu_list@lists.osu.edu</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex"><div class="msg-1852647028429660328">
<div style="font-size:1px;color:rgb(255,255,255);line-height:1px;height:0px;max-height:0px;opacity:0;overflow:hidden;display:none">
Does TJC require that for fluoro? The original language was specific to just CT / PET / NM services, though I’m having trouble tracking down the replacement mentioned in this table. I can’t help on TX regs, but Ohio has the following, with the</div>
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<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">Does TJC require that for fluoro? The original language was specific to just CT / PET / NM services, though I’m having trouble tracking down the replacement mentioned in this
table. <u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"><img width="662" height="389" style="width: 6.8958in; height: 4.052in;" id="m_-1852647028429660328_x0000_i1028" src="cid:ii_1992ad835b34cff311"></span><span style="font-size:11pt;font-family:Aptos,sans-serif"><u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">I can’t help on TX regs, but
<a href="https://urldefense.com/v3/__https://codes.ohio.gov/ohio-administrative-code/rule-3701:1-66-02__;!!KGKeukY!1DTfNQ9aFrMNX2qqHFnZN8HMkxT2vuiHMvzBZX0G1K-mPje7a-8AoUoAy091zr2pYY84VjuDdvZc697Ba9kCstureKt3fuGtf5EE4YXwa93e$" target="_blank">Ohio</a> has the following, with the highlighted bit giving us the flexibility to not redo surveys if nothing changed.<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"><img border="0" width="910" height="309" style="width: 9.4791in; height: 3.2187in;" id="m_-1852647028429660328Picture_x0020_1" src="cid:ii_1992ad835b35b16b22"></span><span style="font-size:11pt;font-family:Aptos,sans-serif"><u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">Ohio regs are basically just CRTL+V the CRCP SSRs, so presumably a decent number of states have similar carveouts.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">Ryan
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"><u></u> <u></u></span></p>
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<p class="MsoNormal"><b><span style="font-size:11pt">From:</span></b><span style="font-size:11pt"> Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+rfisher1=<a href="mailto:metrohealth.org@lists.osu.edu" target="_blank">metrohealth.org@lists.osu.edu</a>>
<b>On Behalf Of </b>Nima Kasraie via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b> Monday, September 8, 2025 2:38 PM<br>
<b>To:</b> <a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu" target="_blank">intl_dxmedphys_wd_osu_list@lists.osu.edu</a><br>
<b>Subject:</b> [Intl_DxMedPhys] Are shielding surveys for replacements required?<u></u><u></u></span></p>
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<p class="MsoNormal"><span style="font-size:1pt;color:white">Hi all, If you replace a fluoro room with a similar model and vendor with no changes to room shielding and walls, do you still need to do a shielding survey, legally
speaking? TJC says yes. But what about the states? For example, in Texas, I</span><span style="font-size:1pt;font-family:Aptos,sans-serif;color:white"><u></u><u></u></span></p>
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<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">Hi all,</span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"> </span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">If you replace a fluoro room with a similar model and vendor
<b>with no changes to room shielding and walls</b>, do you still need to do a shielding survey,
<b>legally speaking</b>?</span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"> </span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">TJC says yes.
</span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"> </span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">But what about the states?</span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"> </span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">For example, in
<b><span style="color:rgb(238,0,0)">Texas</span></b>, I find no mention of the state regs where they<b>
</b>compel a shielding survey for diagnostic X-ray/fluoroscopy rooms. It’s not in TAC 289.227, nor any of the adopted rules I could find.</span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"> </span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">But if the state doesn’t ask for it, can they expect a post-installation shielding confirmation—especially for high-dose fluoro rooms—even if that expectation isn't explicitly
stated in 227?</span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"> </span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"> </span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">I find it hard to accept that the state wouldn’t have any specific language on this issue.</span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"> </span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"> </span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif"> </span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:Aptos,sans-serif">Nima</span><u></u><u></u></p>
<p class="MsoNormal"><span style="font-size:11pt"> </span><u></u><u></u></p>
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