Nebraska: radiation safety rules for fluoroscopy teams

Yes. Nebraska is an NRC Agreement State.

Title 180 NAC Chapter 6, "Diagnostic X-Rays in the Healing Arts" (amended effective 11/4/2020; fluoroscopy at § 6-005), plus 180 NAC 4, "Standards for Protection Against Radiation" (amended 6/7/2021). Chapters 1, 2, 4, 5, 6, 8, 10, 15, 16, 18 and 20 apply to X-ray registrants. Chapter 6 was read on Cornell LII because the official site did not load, so currency is uncertain.

Yes. Licensees and registrants, including X-ray/fluoroscopy registrants, must keep occupational and public doses ALARA. A radiation protection program and an annual program review are also required.

Where ALARA lives in Nebraska: Only in a rule shared with radioactive materials. ALARA appears in 180 NAC 4, which covers both radioactive-materials licensees and X-ray registrants. Chapter 6 has X-ray-specific "minimize personnel exposure" language (§ 6-003.13) but does not use the ALARA term in the sections read; §§ 6-001 and 6-002 were not read. (180 NAC 4-001.02 and 4-004.02; 180 NAC 6-003.13)

50 mSv (5 rem) total effective dose equivalent per year.

150 mSv (15 rem) per year. Nebraska has not adopted a lower limit such as the International Commission on Radiological Protection (ICRP)'s 20 mSv.

500 mSv (50 rem) per year to the skin of the whole body or any extremity.

5 mSv (0.5 rem) to the embryo/fetus of a declared pregnant woman over the whole pregnancy.

Dosimeters are required for adults likely to exceed 10% of a limit (5 mSv whole body, 15 mSv lens, 50 mSv skin or extremity); minors above 1 mSv deep, 1.5 mSv lens or 5 mSv skin; declared pregnant women likely to exceed 1 mSv; and anyone entering high or very high radiation areas. "Individuals working with medical fluoroscopic equipment" are a separate category, which may require monitoring regardless of the 10% threshold; how the regulator applies this is unclear.

A single badge goes at the collar outside the apron. An optional second badge goes at the waist under the apron and is mandatory for declared pregnant women. The lens badge goes at the collar or nearer the eye. Effective dose is the deep dose from one collar badge; or that dose × 0.3 if the badge reads above 25% of the limit; or 1.5 × the waist reading + 0.04 × the collar reading with two badges. An NRC-approved method is also allowed.

Staff and others needed for the procedure must be protected from scatter by aprons or whole body protective barriers of at least 0.25 mm lead equivalent; anyone in the useful beam needs at least 0.5 mm. Registrants must keep enough leaded aprons and gloves for all unshielded personnel. No thyroid shield or eyewear requirement was found.

not found

Engineered radiation protection systems are not specifically addressed. However, § 6-003.08(B) allows aprons or whole body protective barriers of at least 0.25 mm lead equivalent, so on its face a whole-body barrier can stand in for an apron; whether a given engineered system qualifies is undefined. No Nebraska bill or rule on this was found.

Fluoroscopy must be directed by a licensed practitioner, and only a licensed practitioner may perform interpretative procedures. Medical radiographers may use fluoroscopy but not perform interpretative procedures, and may work with CRNAs and (since about July 2026) nurse practitioners. Limited radiographers may not use fluoroscopy. CRNAs may use fluoroscopy with a licensed medical radiographer. NPs may perform fluoroscopy after approved training under LB 912. Physician assistants: not found.

Medical radiographers must complete a board-approved program and exam; American Registry of Radiologic Technologists (ARRT) registration counts as proof. All operators must be competent in the unit's standard operating procedures and know the written safety procedures. CRNA training is set by 180 NAC 23 (text not retrieved). NPs need jointly approved training; a proposed 180 NAC 25 (4 hours of classroom training, 5 supervised procedures, 1 hour of continuing education (CE) per renewal) has not been shown to be adopted. No physician fluoroscopy training requirement was found.