42 CFR §486.104

1. (a)Standard: Qualifications of technologists. All operators of the portable X-ray equipment meet the requirements of paragraph (a)(1) or (2) of this section.
   1. (1)Successful completion of a program of formal training in X-ray technology at which the operator received appropriate training and demonstrated competence in the use of equipment and administration of portable x-ray procedures; or
   2. (2)Successful completion of 24 full months of training and experience under the direct supervision of a physician who is certified in radiology or who possesses qualifications which are equivalent to those required for such certification.
2. (b)Standard—personnel orientation. The supplier of portable X-ray services has an orientation program for personnel, based on a procedural manual which is: Available to all members of the staff, incorporates relevant portions of professionally recognized documents, and includes instruction in all of the following:
   1. (1)Precautions to be followed to protect the patient from unnecessary exposure to radiation;
   2. (2)Precautions to be followed to protect an individual supporting the patient during X-ray procedures from unnecessary exposure to radiation;
   3. (3)Precautions to be followed to protect other individuals in the surrounding environment from exposure to radiation;
   4. (4)Precautions to be followed to protect the operator of portable X-ray equipment from unnecessary exposure to radiation;
   5. (5)Considerations in determining the area which will receive the primary beam;
   6. (6)Determination of the time interval at which to check personnel radiation monitors;
   7. (7)Use of the personnel radiation monitor in providing an additional check on safety of equipment;
   8. (8)Proper use and maintenance of equipment;
   9. (9)Proper maintenance of records;
   10. (10)Technical problems which may arise and methods of solution;
   11. (11)Protection against electrical hazards;
   12. (12)Hazards of excessive exposure to radiation.
3. (c)Standard: Employee records. Records are maintained and include evidence that—
   1. (1)Each employee is qualified for his or her position by means of training and experience; and
   2. (2)Employees receive adequate health supervision.