201 KAR 46:010. Definitions for 201 KAR Chapter 46.
RELATES TO: KRS 211.890, 211.993
STATUTORY AUTHORITY: KRS 194A.050, 211.090, 211.870
NECESSITY, FUNCTION, AND CONFORMITY: The Board of Medical Imaging and Radiation Therapy is authorized by KRS 311B.010 to 311B.190 to regulate an operator of a source of radiation other than a licensed practitioner of the healing arts, including but not limited to: the classification and licensure of operators; examinations; standards of training and experience; curricula standards for institutions teaching persons to operate sources of radiation; issuance, renewal, and revocation of licenses; the fixing of a reasonable schedule of fees and charges to be paid by applicants for examinations, licenses and renewal licenses; and to set other standards as may be appropriate for the protection of health and safety. This administrative regulation defines terms used in 201 KAR Chapter 46.
Section 1. Definitions. (1) "Alternate course of study" means an independent course of study that qualifies an individual to take an examination approved by the board.
(2) "Authorized user" means a physician, dentist, or podiatrist identified on a radioactive materials license issued by the board, by the U.S. Nuclear Regulatory Commission, or by another U.S. Nuclear Regulatory Commission agreement state, that authorizes the medical use of radioactive materials.
(3) "Board" is defined by KRS 311B.020(5).
(4) "Clinical education" means the component of the educational program that provides for supervised, competency-based, clinical education and experience.
(5) "Continuing education" means a learning activity that is planned, organized, and administered to enhance the professional knowledge and skills that a licensee uses to provide services for patients, the public, or the medical profession. In order to qualify as continuing education an approval request form or proof of approval by a Recognized Continuing Education Evaluation Mechanism (RCEEM) shall be submitted to the board along with form Kentucky CEU-001, Continuing Education Approval Request Radiation Operator Certification Program.
(6) "Contrast procedure" means a diagnostic or therapeutic radiation procedure performed while administering radiopaque media into the human body to visualize anatomy not otherwise demonstrated on an image receptor.
(7) "Course of study" means a basic curriculum in radiologic technology, nuclear medicine technology, or radiation therapy approved by the board.
(8) "Didactic education" means the component of the educational program that provides formal instruction with specific objectives and methods for assessing the student's cognitive progress for entry-level competency.
(9) "General license" means a license issued by the board authorizing an individual to perform diagnostic radiographic, nuclear medicine, or radiation therapy procedures.
(10) "General radiation licensee" means a radiographer, a nuclear medicine technologist, a radiation therapist, or a radiologist assistant who has completed an accredited educational program and administers ionizing radiation.
(a) Only an individual license as a general radiation licensee shall be employed as an operator of a source of radiation at a facility where contrast studies, fluoroscopic, nuclear medicine, or radiation therapy procedures are performed.
(b) Categories for a general radiation licensee practice shall include:
1. Radiographer who shall be authorized to:
a. Perform a comprehensive scope of diagnostic-radiologic procedures using external ionizing radiation equipment;
b. Exercise responsibility for the operation of radiation-generating equipment, shielding the patient and staff from unnecessary radiation and the appropriate exposure of radiographs or other procedures which contribute to the site or dosage of ionizing radiation to which a patient is exposed; and
c. Provide patient care resulting in radiographic or digital images.
2. Nuclear medicine technologist who compounds, calibrates, dispenses, and administers radiopharmaceuticals, pharmaceuticals, and radionuclides under the direction of an authorized user for benefit of performing a comprehensive scope of nuclear medicine procedures for diagnostic and therapeutic purposes.
3. Radiation therapist who shall be authorized to utilize ionizing radiation-generating equipment and sources of radiation for the planning and delivery of therapeutic procedures on human beings.
4. Radiologist assistant is an individual certified by the American Registry of Radiologic Technologists (ARRT) as a Registered Radiologist Assistant (R.R.A.) who works under the supervision of a radiologist, in accordance with supervision guidelines jointly established by the American College of Radiology (ACR), the American Society of Radiologic Technologists (ASRT), and the ARRT to enhance patient care by assisting the radiologist in the medical imaging environment.
(11) "Licensee" means an individual who shall be licensed pursuant to the provisions of this administrative regulation to perform the duties of a radiographer, nuclear medicine technologist, or radiation therapist.
(12) "Licensed practitioner" or "licensed practitioner of the healing arts" means a physician licensed in Kentucky to practice medicine, osteopathy, dentistry, chiropractic, podiatry, or veterinary medicine.
(13) "Licensure" means the process by which a license is issued by the board pursuant to 201 KAR Chapter 46 and in accordance with KRS 335B.020.
(14) "Limited license" means a license issued by the board authorizing an individual to perform limited radiographic procedures in his specific field of practice or operation.
(15) "Limited x-ray machine operator" means an individual who:
(a) Has completed an educational program approved by the board;
(b) Is certified by the board as a:
1. Limited x-ray machine operator;
2. Limited podiatry x-ray machine operator; or
3. Limited bone densitometry x-ray machine operator; and
(c) Performs limited radiographic procedures.
(16) "Limited radiographic procedures" means the following procedures:
(a) Routine chest and thorax;
(e) Vertebral column radiography; and
(f) Bone densitometry procedures.
(17) "National organization" means:
(a) The American Society of Radiologic Technologists;
(b) The American Registry of Radiologic Technologists;
(c) the Joint Review Committee on Education in Radiologic Technology; or
(d) The American College of Radiology.
(18) "Nuclear medicine technology" means technology applied under the supervision of an authorized user in compliance with 201 KAR Chapter 46 which pertains to the:
(a) Utilization of radiopharmaceuticals or radioactive materials in the diagnosis and treatment of disease in humans;
(b) Preparation of radiopharmaceutical agents;
(c) Administration of diagnostic or therapeutic radiopharmaceuticals to patients or human research subjects; and
(d) Calibration and use of radiation detecting equipment to obtain clinical information.
(19) "Operator" or "operator of sources of radiation" means an individual, other than a licensed practitioner of the healing arts, who is licensed by the board to:
(a) Technically manipulate or administer a source of radiation; and
(b) Accurately position the patient to receive the radiation or manipulate the patient within the imaging or active radiation field.
(20) "Professional educational guidelines" means curriculum and educational standards established by national organizations and approved by the board.
(21) "Program director" means an individual designated by a sponsoring institution to assure that the training program for operators of sources of radiation shall be properly conducted.
(22) "Provisional nuclear medicine technology license" means a license issued by the board to an individual participating in the alternate nuclear medicine course of study approved by the board.
(23) "Radiation safety officer" means an individual in the field of radiation protection or a licensed practitioner of the healing arts who has the knowledge and responsibility to apply appropriate radiation safety practices.
(24) "Radiation therapy" means the therapeutic administration of ionizing
radiation to destroy lesions while sparing normal surrounding tissue.
(25) "Radioactive materials" means a solid, liquid, or gas that emits ionizing radiation spontaneously.
(26) "Radionuclide" means a radioactive element or a radioactive isotope.
(27) "Radiopharmaceuticals" means radioactive drugs used for the diagnosis and
treatment of disease.
(28) "Radiography" means the utilization and administration of external ionizing radiation to produce medically relevant images for the diagnosis of injury or disease and shall include a comprehensive scope of diagnostic-radiologic procedures.
(29) "Radiologist assistant" means an individual certified by the American Registry of Radiologic Technologists (ARRT) as a Registered Radiologist Assistant (R.R.A.) who works under the supervision of a radiologist, in accordance with supervision guidelines jointly established by the American College of Radiology (ACR), the American Society of Radiologic Technologists (ASRT), and the ARRT.
(30) "Scope of practice" means the standards established by the American Society of Radiologic Technologists that delineate what the profession does and confines the breadth of functions persons within a profession may perform.
(31) "Source of radiation" means a radioactive material, device, or equipment emitting or capable of producing ionizing radiation.
(32) "Sponsoring institution" means an institution approved by the board to provide a post-secondary educational program in the radiological sciences.
(33) "Student" means an individual enrolled in an approved course of study for operators of sources of radiation.
(34) "Supervision of students" means supervised by a licensed practitioner of the healing arts or a licensee who directs the activity of students.
(a) "Direct supervision" means supervised by, and in the physical presence of, a licensed practitioner of the healing arts or a licensee.
(b) "Indirect supervision" means supervised by a licensed practitioner of the healing arts or licensee who is immediately available in the individual's place of employment or sponsoring institution.
(35) "Temporary license" means a written authorization issued by the cabinet permitting an individual who has completed an appropriate course of study to perform diagnostic or therapeutic radiation procedures while awaiting the results of his examination.
Section 2. Incorporation by Reference (1) Form "KY CEU-001, Continuing Education Approval Request Radiation Operator Certification Program", edition 3/07, is incorporated by reference.
(2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Board of Medical Imaging and Radiation Therapy Cabinet for Health and Family Services, 275 East Main Street, Frankfort, Kentucky 40621, Monday through Friday, 8 a.m. to 4:30p.m. (1 Ky.R. 1158; Am. 2 Ky.R. 217; 3 Ky.R. 635; eff. 3-2-77; 4 Ky.R. 289; eff. 3-3-78; 12 Ky.R. 1424; eff. 3-4-86; 18 Ky.R. 1586; eff. 1-10-92; 34 Ky.R. 133; 607; 763; eff. 10-17-2007; Recodified from 902 KAR 105:010; 11-20-2013.)