California Department of Public Health Services, Radiologic Health Branch
is the agency that regulates radiographic equipment used in healthcare. This is the agency where you have been sending your hard earned money every two years for the registration of your Xray equipment.
In case some of you are thinking “what registration?” You might want to contact the agency and register your equipment, it is not automatically done at the time the equipment is purchased or installed.
Here is the contact information,
California Department of Public Health Services
Radiologic Health Branch, MS 7610
P.O. Box 997414, Sacramento, CA 95899-7414
(916) 327-5106, Website: www.cdph.ca.gov/rhb
The agency conducts field inspections of healthcare facilities, but has been dormant for a while which I won’t go into. This agency is one of two that will notify your office prior to an inspection. A office inspection is routine, so don’t panic when your office is contacted.
The following will help prepare for your inspection. I do not recommend hitting this list a day before the inspection, proactive goes a long way, trust me.
1. Inspection and repair documentation is maintained in a binder.
2. All employees are familiar with Radiation Safety Policies & Procedures.
3. A yearly review of the Radiation Safety Policies & Procedures is conducted. (Keep training records)
4. Radiation Safety Policies & Procedures are enforced at all times.
5. Radiation Safety Instructions are posted for employees review.
6. The“Notice to Employees” notice is posted for employees review.
7. A copy of Radiation Safety, title 17 is posted.
8. Copies of Employees’s Radiation Safety Certificates are available.
9. A “Caution Radiation” label must be applied to all radiation equipment, this includes heads and control panels. Labels with the proper wording, size, and color are available from your current supplier refer to their catalog.
10. Radiation Dosimeters (Radiation Badges) have been worn for a minimum of one year as a “Testing” period. (Result records are maintained)
11. Radiation Dosimeters (Radiation Badges) are worn at all times (Highly recommended, not required by regulations)
12. A current copy of the CDA Radiation Safety in a Dental Practice Guide is posted. (2014 Edition) (Refer to the CDA Membership site)
13. X-ray aprons equipped with a Thyroid Collar attached or X-ray aprons with a separate Thyroid Collar are always used. (Apron used with Panoramic is exempted from Thyroid Collar)
14. X-rays are never taken without the patient wearing an apron with collar except when taking a Panoramic, since the apron is not equipped with a collar.
15. A “Caution Radiation/Pregnancy” notice is posted in patient’s clear view.
16. Employees do not hold film or sensors in patients mouth while the X-ray is being taken.
17. Employees reduce risk and exposure to radiation by being 6 feet or greater from source, standing perpendicular to the path of the beam and behind a partition (wall) while taking X-rays.
The CDA membership site and the CDA Labor Poster Set is a source for the required postings. Labels can be purchased from any dental supply.
Dental Cone Beam CT
Your office was up and running years before you purchased a Cone Beam CT. This may or may not be an issue, let me explain. When your CT was installed, if safety factors were properly addressed and precautions are in place, no problem. However some offices were not built with space for a CT in mind, so assuming safety factors were not properly addressed and precautions are not in place, the Inspector will demand modifications be made.
Hopefully the installers did their homework, installed your CT correctly, safety factors were properly addressed and precautions are in place, everything is cool.