Section 120.541 - Provision of Mobile Medical ServiceThe Agency may license mobile medical services and/or clients of such services. The mobile medical service shall be licensed if the service receives, uses or possesses radioactive material. The client of the mobile medical service shall be licensed if the client receives or possesses radioactive material to be used by a mobile medical service.
(A) A licensee providing mobile medical service shall:(1) Obtain a letter signed by the management of each location where services are rendered that authorizes use of radioactive material at the client's address of use and clearly delineates the authority and responsibility of the licensee and the client. If the client is licensed, the letter shall document procedures for notification, receipt, storage and documentation of transfer of radioactive material delivered to the client's location for use by the mobile medical service;(2) Check instruments used to measure the activity of unsealed radioactive material for proper function before medical use at each client's address or on each day of use, whichever is more frequent. At a minimum, the check for proper function required by 105 CMR 120.541(A)(2) must include a constancy check;(3) Check survey instruments for proper operation with a dedicated check source before use at each client's address; and(4) Before leaving a client's address, survey all areas of use to ensure compliance with the requirements in 105 CMR 120.200.(B) A mobile medical service shall not have radioactive material delivered directly from the manufacturer or the distributor to the client, unless the client has a license. Radioactive material delivered to the client shall be received and handled in conformance with the client's license.(C) A mobile medical service shall inform the client's management who is on-site at each client's address of use at the time that radioactive material is being administered.(D) A mobile medical service licensee shall maintain all records required by 105 CMR 120.200 and 120.500 at a location within the Agency's jurisdiction that is: (1) A single address: (a) identified as the records retention location; and(b) staffed at all reasonable hours by individual(s) authorized to provide the Agency with access for purposes of inspection; or(2) When no address is identified on the license for records retention, the mobile unit: (a) identified in the license; and(b) whose current client's address schedule and location schedule is reported to the Agency.(E) A licensee providing mobile medical services shall:(1) Retain the letter required in 105 CMR 120.541(A)(1) in accordance with 105 CMR 120.590(L); and(2) Retain a record of each survey required by 105 CMR 120.541(A)(4) in accordance with 105 CMR 120.590(L).(F) Use radioactive gases only in areas of use and under conditions which have been evaluated and approved by the Agency for compliance with airborne release standards.Amended by Mass Register Issue 1480, eff. 10/14/2022.