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Hi Nima, It is in the Title 25 Texas Administrative Code Chapter 133, Hospital Licensing rules. Attached. Thanks, On Mon, Sep 8, 2025 at 1: 38 PM Nima Kasraie via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list@ lists. osu. edu> wrote: </div>
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<div dir="ltr"><div>Hi Nima,</div><div><br></div><div>It is in the Title 25 Texas Administrative Code Chapter 133, Hospital Licensing rules. Attached.</div><div><br></div><div>Thanks,</div></div><br><div class="gmail_quote gmail_quote_container"><div dir="ltr" class="gmail_attr">On Mon, Sep 8, 2025 at 1:38 PM Nima Kasraie 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="msg4356693375519815235">
<div style="display:none;font-size:1px;color:rgb(255,255,255);line-height:1px;height:0px;max-height:0px;opacity:0;overflow:hidden">
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</div>
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<p class="MsoNormal"><span style="font-size:11pt;font-family:"Aptos",sans-serif">Hi all,<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">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>?<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">TJC says yes.
<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">But what about the states?<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">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.<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">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?<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">I find it hard to accept that the state wouldn’t have any specific language on this issue.<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"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"Aptos",sans-serif">Nima<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt"><u></u> <u></u></span></p>
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<p style="text-align:right;margin-top:5px"><span style="font-size:10pt;font-family:"Helvetica","sans-serif";color:rgb(99,100,102)">The future of medicine, today.</span></p>
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</div></blockquote></div><div><br clear="all"></div><br><span class="gmail_signature_prefix">-- </span><br><div dir="ltr" class="gmail_signature">Mike Nimmo</div>