††††† 201 KAR 46:030. Education and training.

 

††††† 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 211.870 and 211.890 to regulate operators of sources of radiation other than licensed practitioners 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 establishes uniform curricula standards for institutions teaching persons to operate sources of radiation.

 

††††† Section 1. Applicability. (1) This administrative regulation shall apply to institutions offering a postsecondary course of study for operators of sources of radiation.

††††† (2) An institution that offers a program of study for operators of sources of radiation shall ensure:

††††† (a) Its program meets the standards established by the American Society of Radiologic Technologists (ASRT); and

††††† (b) Its program is accredited by the Joint Review Committee on Education in Radiologic Technology.

††††† (3) Educational programs may be established in:

††††† (a) Community and junior colleges;

††††† (b) Senior colleges and universities;

††††† (c) Hospitals;

††††† (d) Medical schools;

††††† (e) Postsecondary vocational/technical schools and institutions;

††††† (f) Military/governmental facilities;

††††† (g) Proprietary schools; and

††††† (h) Consortia.

††††† (4) Consortia shall be structured to recognize and perform the responsibilities and functions of a sponsoring institution.

 

††††† Section 2. Curricula Standards. Sponsoring institutions offering a course of study for operators of sources of radiation shall:

††††† (1) Apply to the Joint Review Committee on Education in Radiologic Technology;

††††† (2) Supply data requested for a complete evaluation of its administration, organization, faculty, physical facilities, student policies, and curriculum;

††††† (3) Provide a structured curriculum with clearly written course descriptions, lesson plans, and objectives;

††††† (4) Provide an adequate faculty, which shall be qualified through academic preparation or experience to teach the subjects assigned;

††††† (5) Have a program director appropriate for the certification offered as follows:

††††† (a) General licensure- a general licensee who shall meet the requirement of the professional educational guidelines and standards in the appropriate field of practice; or

††††† (b) Limited licensure- a general licensee who shall have a minimum of three (3) years of clinical or teaching experience or a combination of clinical and teaching experience in the appropriate field of practice;

††††† (6) Provide a licensee-to-student ratio consistent with professional educational guidelines in the appropriate field of practice;

††††† (7) Provide appropriate facilities, sufficient volume, and a variety of diagnostic or therapeutic procedures to properly conduct the course of study;

††††† (8) Prohibit students from applying radiation to human beings for diagnostic or therapeutic purposes until they have obtained practical experience and have had their performance evaluated as satisfactory by the program faculty;

††††† (9) Provide supervision by a licensed practitioner of the healing arts or a licensee in the appropriate field of practice;

††††† (10) Prohibit students from being placed in a situation where they would be required to apply radiation or radiopharmaceuticals to a human being while not under supervision consistent with professional educational guidelines in the appropriate field of practice;

††††† (11) Maintain records of each student's attendance, grades, clinical competency, and subjects completed;

††††† (12) Designate a radiation safety officer;

††††† (13) Maintain accreditation by the Joint Review Committee on Education in Radiologic Technology (JRCERT) an approved programmatic accrediting body for educational programs leading to general licensure and permit site inspections by the board's representative; and

††††† (14) Permit site inspections by the cabinetís representative for educational programs leading to limited licensure.

 

††††† Section 3. Student Employment Outside the Academic Clinical Setting. (1) Educational programs shall develop a policy governing employment of students to perform diagnostic radiologic procedures outside the academic setting.

††††† (2) Educational programs that elect to permit student employment shall develop criteria and guidelines for students employed to perform diagnostic radiologic procedures outside the academic setting.

††††† (3) At a minimum, students must have completed fifty (50) percent of their course of study and have had their didactic and clinical performance evaluated and recorded as satisfactory by the program director.

††††† (4) Students shall be under the indirect supervision of a licensed practitioner of the healing arts or a licensee.

††††† (5) The program director shall submit documentation to the employer and to the board verifying the student has permission to work as a student radiographer.

 

††††† Section 4. An Institutionís Curriculum and Requirements. (1) Radiography course of study. The radiography curriculum offered by an approved institution shall consist of a minimum of two (2) academic years of full-time study or its equivalent that includes the following subjects:

††††† (a) Human structure and function;

††††† (b) Principles of radiation protection;

††††† (c) Radiation biology;

††††† (d) Pathology;

††††† (e) Medical terminology;

††††† (f) Medical ethics and law;

††††† (g) Equipment operation and maintenance;

††††† (h) Image production and evaluation;

††††† (i) Radiographic procedures;

††††† (j) Computers in radiologic sciences;

††††† (k) Radiologic physics;

††††† (l) Pharmacology and drug administration;

††††† (m) Patient positioning;

††††† (n) Patient assessment, management, and education; and

††††† (o) Clinical education.

††††† (2) Nuclear medicine course of study. The nuclear medicine technology curriculum offered by an approved institution shall consist of a minimum of twelve (12) months of full-time study for graduates of an accredited radiography program or a minimum of two (2) academic years of full-time study or its equivalent for other individuals, which includes the following subjects:

††††† (a) Human structure and function;

††††† (b) Radionuclide chemistry;

††††† (c) Radiopharmacology;

††††† (d) Nuclear instrumentation;

††††† (e) Diagnostic and therapeutic procedures;

††††† (f) Radiation biology;

††††† (g) Nuclear medicine in vivo and in vitro procedures;

††††† (h) Nuclear medicine physics;

††††† (i) Applied math and statistics;

††††† (j) Radiation safety and protection;

††††† (k) Patient positioning;

††††† (l) Patient assessment, management, and education;

††††† (m) Computer applications for nuclear medicine;

††††† (n) Records and administrative procedures;

††††† (o) Medical ethics and law; and

††††† (p) Clinical correlation of nuclear medicine procedures.

††††† (3) Alternate course of study in nuclear medicine. The approved alternate course of study in nuclear medicine shall consist of:

††††† (a) Completion of a minimum of fifteen (15) hours of course work

approved by the board in each of the following areas:

††††† 1. Radiopharmacy;

††††† 2. Nuclear medicine instrumentation; and

††††† 3. Radiation safety.

††††† (b) A minimum of four (4) years or 8,000 hours of clinical education in nuclear medicine technology under the supervision of an authorized user as named on a radioactive materials license issued by the cabinet, by another U.S. Nuclear Regulatory Commission agreement state, or by the U.S. Nuclear Regulatory Commission.

††††† 1. The employer shall be responsible for providing or arranging for the required clinical education and providing appropriate supervision of the student by an authorized user.

††††† 2. Clinical education shall be documented annually by the authorized user with the renewal of the provisional nuclear medicine technology license.

††††† (c) A maximum of six (6) years shall be permitted to complete the alternate course of study.

††††† (4) Radiation therapy course of study. The radiation therapy curriculum offered by an approved institution shall consist of a minimum of twelve (12) months of full-time study for graduates of an accredited radiography program or a minimum of two (2) academic years of full-time study or its equivalent for other individuals that includes the following subjects:

††††† (a) Human structure and function;

††††† (b) Oncologic pathology;

††††† (c) Radiation protection and quality assurance;

††††† (d) Equipment operation;

††††† (e) Clinical and technical oncology;

††††† (f) Medical terminology;

††††† (g) Radiation biology;

††††† (h) Mathematics;

††††† (i) Radiation therapy physics;

††††† (j) Radiation protection;

††††† (k) Patient assessment, management, and education;

††††† (l) Medical imaging and processing;

††††† (m) Clinical dosimetry;

††††† (n) Medical ethics and law; and

††††† (o) Clinical education.

††††† (5) Radiologist assistant course of study.

††††† (a) The educational program for the radiologist assistant shall culminate in the award of a baccalaureate degree, masterís degree, or postbaccalaureate certificate from an institution that:

††††† 1. Is recognized by the American Registry of Radiologic Technologists;

††††† 2. Incorporates a radiologist-directed clinical preceptorship; and

††††† 3. Meets the eligibility requirements for certification by the American Registry of Radiologic Technologists.

††††† (b) The radiologist assistant curriculum offered by an approved institution shall include the following subjects:

††††† 1. Patient assessment, education, and management;

††††† 2. Medical terminology;

††††† 3. Anesthetics;

††††† 4. General medications;

††††† 5. Contrast media;

††††† 6. Anatomy, physiology, and pathophysiology;

††††† 7. Radiologic procedures;

††††† 8. Radiation safety;

††††† 9. Radiation biology;

††††† 10. Fluoroscopic operation;

††††† 11. Medical-legal, professional, and governmental standards; and

††††† 12. A radiologist-directed clinical preceptorship.

††††† (6) Limited x-ray machine operator course of study. The limited x-ray machine operator curriculum offered by an approved institution shall consist of:

††††† (a) A minimum of 240 hours of classroom work in the following subjects:

††††† 1. Human structure and function;

††††† 2. Medical terminology;

††††† 3. Radiation protection;

††††† 4. Radiation biology;

††††† 5. Medical ethics and law;

††††† 6. Equipment operation and maintenance;

††††† 7. Image production and evaluation;

††††† 8. Radiographic processing technique;

††††† 9. Radiographic procedures;

††††† 10. Patient positioning; and

††††† 11. Patient care; and

††††† (b) A minimum of 360 hours of clinical education consisting of:

††††† 1. Demonstrations;

††††† 2. Discussions; and

††††† 3. Supervised practice.

††††† (7) Limited x-ray machine operator independent course of study. The limited x-ray machine operator independent course of study shall:

††††† (a) Be completed within twelve (12) months;

††††† (b) Include the following subjects:

††††† 1. Human structure and function;

††††† 2. Medical terminology;

††††† 3. Radiation protection;

††††† 4. Radiation biology;

††††† 5. Medical ethics and law;

††††† 6. Equipment operation and maintenance;

††††† 7. Image production and evaluation;

††††† 8. Radiographic processing technique;

††††† 9. Radiographic procedures;

††††† 10. Patient positioning; and

††††† 11. Patient care; and

††††† (c) Include clinical education consisting of a minimum of fifty (50) radiographic procedures in each of the following areas:

††††† 1. Chest;

††††† 2. Extremities; and

††††† 3. Musculoskeletal.

††††† (8) The limited podiatry x-ray machine operator independent course of study shall:

††††† (a) Be completed within twelve (12) months;

††††† (b) Include the following subjects:

††††† 1. Human structure and function;

††††† 2. Medical terminology;

††††† 3. Radiation safety and protection;

††††† 4. Radiation biology;

††††† 5. Medical ethics and law;

††††† 6. Equipment operation and maintenance;

††††† 7. Image production and evaluation;

††††† 8. Radiographic processing technique;

††††† 9. Radiographic procedures;

††††† 10. Patient positioning; and

††††† 11. Patient care; and

††††† (c) Include clinical education consisting of a minimum of fifty (50) radiographic procedures of the feet and ankles.

††††† (9) The limited bone densitometry x-ray machine operator independent course of study shall:

††††† (a) Be completed within twelve (12) months;

††††† (b) Include the following subjects;

††††† 1. Human structure and function;

††††† 2. Medical terminology;

††††† 3. Radiation safety and protection;

††††† 4. Radiation biology;

††††† 5. Medical ethics and law;

††††† 6. Equipment operation and maintenance;

††††† 7. Image production and evaluation;

††††† 8. Radiographic processing technique;

††††† 9. Radiographic procedures;

††††† 10. Patient positioning;

††††† 11. Patient care; and

††††† 12. Manufacturer's training in accordance with 201 KAR 46:081; and

††††† (c) Include clinical education consisting of a minimum of fifty (50) bone densitometry procedures. (1 Ky.R. 1159; Am. 2 Ky.R. 218; 3 Ky.R. 637; eff. 3-2-77; 5 Ky.R. 630; 1068; eff. 6-6-79; 12 Ky.R. 1427; eff. 3-4-86; 18 Ky.R. 1590; eff. 1-10-92; 34 Ky.R. 136; 765; eff. 10-17-2007; Recodified from 902 KAR 105:030; 11-20-2013.)