<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s3fda0834-08b9-4ecb-938e-b0946760eb2eP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s3fda0834-08b9-4ecb-938e-b0946760eb2eC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3fda0834-08b9-4ecb-938e-b0946760eb2e000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:03:01:10.05"><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000000">44:03:01:10.05</span></a><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000001">.  Quality assurance program requirements.</span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0"> The licensee shall have a written, ongoing quality assurance program specific to the equipment and procedures that are performed in the facility to ensure consistent high-quality images with minimum patient exposure. The tests performed for quality control purposes </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">must</span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0"> be included in a log containing acceptability limits, results of tests, date, initials of </span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">the </span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">operator or testing individual, and corrective action taken, if needed. Tests for film processing </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">must</span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0"> include temperature, chemical replacement, processor operating parameters, and darkroom fog, and be performed on a routine basis. Any quality control test done on diagnostic tubes </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">must</span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0"> be done annually and include </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">source-image receptor distance (</span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">SID</span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">)</span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0"> accuracy, X ray and light field alignment, X ray and bucky alignment, and collimator dial accuracy. All dental intraoral, panoramic, tomography, and machines that have fixed SID and collimator are excluded from SID accuracy, X ray and light field alignment, X ray and bucky alignment, and collimator dial accuracy.</span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2e000002"> </span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">    </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">A qualified expert shall measure the reference air kerma rate on medical fluoroscopic equipment for typical and maximum values. The measurements must be made annually and after any maintenance of the system that might affect the radiation exposure rate. The results must be posted where any operator may have ready access to them while using the fluoroscopic equipment, unless the equipment has a real-time display of air k</span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">e</span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">rma. Results of the measurements must include</span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">:</span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2e000002"> </span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">    (1)  </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">The roentgen per minute or milliGray per minute</span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">;</span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">    (2)  </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">The technique factors used to determine the results</span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">;</span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">    (3)  </span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">The name of </span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">the </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">qualified expert performing the measurements; and</span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">    (4)  </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">The date the measurements were performed</span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">.</span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2e000002"> </span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">    </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000001">Source:</span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0"> 26 SDR 96, effective January 23, 2000</span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">; 50 SDR 41, effective October 11, 2023</span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">.</span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">    </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000001">General Authority:</span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-21-4.1"><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000003">34-21-4.1</span></a><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-21-15"><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000003">34-21-15</span></a><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">.</span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">    </span><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000001">Law Implemented:</span><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-21-4.1"><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0-000003">34-21-4.1</span></a><span class="s3fda0834-08b9-4ecb-938e-b0946760eb2eC0">.</span></p><p dir="ltr" class="s3fda0834-08b9-4ecb-938e-b0946760eb2eP0"><span xml:space="preserve" class="s3fda0834-08b9-4ecb-938e-b0946760eb2e000002"> </span></p></div></body></html>