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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:11.0pt;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. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"><img width="662" height="389" style="width:6.8958in;height:4.052in" id="_x0000_i1028" src="cid:image001.png@01DC20D3.1DF27710"></span><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;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$">Ohio</a> has the following, with the highlighted bit giving us the flexibility to not redo surveys if nothing changed.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"><img border="0" width="910" height="309" style="width:9.4791in;height:3.2187in" id="Picture_x0020_1" src="cid:image002.png@01DC20D6.1DC8A090"></span><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;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.
<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif">Ryan
<o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:11.0pt">From:</span></b><span style="font-size:11.0pt"> Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org@lists.osu.edu>
<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> intl_dxmedphys_wd_osu_list@lists.osu.edu<br>
<b>Subject:</b> [Intl_DxMedPhys] Are shielding surveys for replacements required?<o:p></o:p></span></p>
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<p class="MsoNormal" style="mso-line-height-alt:.75pt"><span style="font-size:1.0pt;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:1.0pt;font-family:"Aptos",sans-serif;color:white"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif">Hi all,</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;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><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif">TJC says yes.
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif">But what about the states?</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif">For example, in
<b><span style="color:#EE0000">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><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;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><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Aptos",sans-serif">I find it hard to accept that the state wouldn’t have any specific language on this issue.</span><o:p></o:p></p>
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