Get Appendix I - Medical University Of South Carolina

This guide provides a comprehensive overview of how to correctly complete Appendix I, the application for therapeutic use of ionizing or non-ionizing radiation at the Medical University of South Carolina. Follow these detailed instructions to ensure your application is filled out accurately and efficiently.

Follow the steps to fill out the form effectively.

1. Click ‘Get Form’ button to obtain the document and access it in your editor.
2. Indicate the type of use by selecting one of the options: 'Human', 'Animal to be extended to human', 'Animal only', or specify 'Other'.
3. Fill in the principal investigator's name and extension along with their social security number, department or division, building, and lab number.
4. List any other persons who will be involved in the procedure and ensure the CV of the technical staff is properly attached or on file.
5. Specify the type of source to be used: external or internal, along with details for radiation dose, radionuclide(s), high voltage generator, and non-ionizing equipment.
6. If utilizing internal radionuclides, complete the required fields regarding possession limit, critical organ, biological half-life, and other relevant parameters.
7. Ensure you attach a protocol detailing experience, literature references, monitoring equipment, floor plan, waste disposal plans, case estimates, contamination hazards, and control measures.
8. Indicate if an FDA IDE has been issued and attach a copy if applicable.
9. Complete the date and sign where indicated at the bottom of the form.
10. Provide information regarding the principal investigator’s experience and relevant training, confirming whether they have completed a residency program and other training areas.
11. Describe the radiation protection measures that will be implemented, including details about the survey meter.
12. Outline the quality assurance procedures that will be utilized.
13. Attach the CVs of other persons named on the first page of the form.
14. After completing the form, remember to save changes or download, print, or share the document as necessary.

Take the next step in your application process by completing the document online.