††††† 201 KAR 46:040. General radiation operator requirements.

 

††††† RELATES TO: KRS 211.890, 211.993

††††† STATUTORY AUTHORITY: KRS 194.050, 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 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 establishes uniform standards for the licensure of individuals who operate sources of radiation for human diagnostic and therapeutic purposes while under the supervision of a medical, osteopathic, or chiropractic licensed practitioner of the healing arts.

 

††††† Section 1. Applicability. This administrative regulation shall apply to individuals who operate sources of radiation for human diagnostic radiologic or therapeutic purposes while under the supervision of a medical, osteopathic, or chiropractic licensed practitioner.

 

††††† Section 2. General License Required to Perform Contrast Procedures. Only individuals holding a general license shall operate sources of radiation at facilities where contrast studies, fluoroscopic, nuclear medicine, or radiation therapy procedures are performed.

 

††††† Section 3. Eligibility for a General License. No person shall be eligible for a general license as an operator of a source of radiation for human diagnostic radiologic or therapeutic purposes unless the person has:

††††† (1) Satisfactorily completed a course of study in radiography, nuclear medicine technology, radiation therapy, or radiologist assistant approved by the board as described in 201 KAR 46:030; and

††††† (2) Satisfactorily passed an examination approved by the cabinet as prescribed in 201 KAR 46:020, Section 3.

 

††††† Section 4. Temporary License. The board may, upon proper application and payment of the appropriate fee issue a temporary license to an applicant who has successfully completed an approved course of study in radiography, nuclear medicine technology, or radiation therapy and meets the other requirements of these administrative regulations other than having taken the required examination. Temporary licenses shall be effective for one (1) year only and are not renewable.

 

††††† Section 5. Practice Standards for General Licensee. General licensees shall perform according to practice standards established by the American Society of Radiologic Technologists (ASRT), including the following:

††††† (1) Radiography standards. The radiographer shall:

††††† (a) Apply knowledge of the principles of radiation protection for the patient, self, and others;

††††† (b) Apply knowledge of anatomy, positioning, and radiographic techniques to accurately demonstrate anatomical structures in medical imaging;

††††† (c) Determine exposure factors to achieve optimum radiographic technique with a minimum of radiation exposures to the patient;

††††† (d) Examine radiographs for the purpose of evaluating technique, positioning, and other pertinent technical qualities;

††††† (e) Exercises discretion and judgment in the performance of medical imaging procedures;

††††† (f) Provide patient care essential to radiologic procedures; and

††††† (g) Recognize emergency patient conditions and initiate lifesaving first aid.

††††† (2) Nuclear medicine technology standards. The nuclear medicine technologist shall:

††††† (a) Apply knowledge of the principles of radiation protection for the patient, self, and others;

††††† (b) Apply knowledge of radio pharmacy, instrumentation, patient examination protocols to produce accurate metabolic and image data;

††††† (c) Provide patient care essential to nuclear medicine procedures;

††††† (d) Maintain patient records;

††††† (e) Participate in the quality assurance program;

††††† (f) Prepare, calculate, identify, administer, and dispose of

radiopharmaceuticals;

††††† (g) Exercise discretion and judgment in the performance of medical imaging and therapeutic procedures; and

††††† (h) Recognize emergency patient conditions and initiate lifesaving first aid.

††††† (3) Radiation therapist standards. The radiation therapist shall:

††††† (a) Apply knowledge of the principles of radiation protection for the patient, self, and others;

††††† (b) Demonstrate knowledge of human structure, function, and pathology;

††††† (c) Maintain the records of treatment administration;

††††† (d) Deliver a planned course of radiation therapy;

††††† (e) Produce and utilize immobilization and beam directional devices;

††††† (f) Prepare commonly used brach therapy sources;

††††† (g) Demonstrate knowledge of methods of calibration of equipment, and quality assurance;

††††† (h) Prepare isodose summations;

††††† (i) Detect malfunctioning equipment;

††††† (j) Apply wedge and compensating filters;

††††† (k) Exercise discretion and judgment in the performance of therapy procedures; and

††††† (l) Recognize emergency patient conditions and initiate lifesaving first aid.

††††† (4) Radiologist assistant standards. The radiologist assistant, if ordered to do so by the supervising radiologist, shall:

††††† (a) Perform selected procedures including static and dynamic fluoroscopic procedures;

††††† (b) Assess and evaluate the physiologic and psychological responsiveness of patients undergoing radiologic procedures;

††††† (c) Participate in patient management including acquisition of additional imaging for completion of the examination and record documentation in medical records;

††††† (d) Evaluate image quality, make initial image observations, and communicate observations to the supervising radiologist;

††††† (e) Administer intravenous contrast media or other prescribed medications; and

††††† (f) Follow the established standards listed in subsections (1)(a) through (g) of this section.

 

††††† Section 6. Requirements for the Nuclear Medicine Technologist. (1) An individual holding a license as a nuclear medicine technologist may:

††††† (a) Conduct in-vivo and in-vitro measurements of radioactivity and administer radiopharmaceuticals to human beings for diagnostic and therapeutic purposes; and

††††† (b) Administer x-radiation from a combination nuclear medicine-computed tomography device if:

††††† 1. The radiation is administered as an integral part of a nuclear medicine procedure that uses an automated computed tomography protocol for the purposes of attenuation correction and anatomical localization; and

††††† 2. The technologist has received device-specific training on the combination device.

 

††††† Section 7. Requirements for the Radiologist Assistant. In addition to the requirements of Section 5(1)(a) through (g) and through (e) of this administrative regulation, an individual holding a license as a radiologist assistant shall comply with the following requirements:

††††† (1) The individual is a general licensed radiographer in this state;

††††† (2) The individual has satisfactorily completed an advanced academic program encompassing a nationally recognized radiologist assistant curriculum culminating in a baccalaureate degree, post baccalaureate certificate, or masterís degree that incorporates a radiologist-directed clinical preceptorship and meets the eligibility requirements for certification by the American Registry of Radiologic Technologists;

††††† (3) The individual is certified in advanced cardiac life support (ACLS);

††††† (4) The radiologist assistant shall not interpret images, make diagnoses, or prescribe medications or therapies; and

††††† (5) The radiologist assistant shall comply with the Standards of Ethics of the American Registry of Radiologic Technologists as well as the standards, policies, and procedures regarding the standard of care of patients, established by the American Society of Radiologic Technologists (ASRT), and the institution employing the radiologist assistant.

 

††††† Section 8. Licensure in Nuclear Medicine Technology or Radiation Therapy. The board may issue a license pursuant to the following conditions:

††††† (1) The applicant shall be currently employed full-time as a nuclear medicine technologist or radiation therapist and have held the position for twenty-four (24) months prior to May 31, 2006; and

††††† (2) The applicant shall satisfactorily demonstrate through employer documentation that he or she has clinical experience in nuclear medicine technology or radiation therapy. The employer and the licensed practitioner shall be responsible for documentation of the required clinical experience and supervision.

 

††††† Section 9. Applications for licensure in nuclear medicine technology and radiation therapy shall be filed with the Board of Medical Imaging and Radiation Therapy, 275 East Main Street, Mailstop HS 1C-A, Frankfort, Kentucky 40621. (1 Ky.R. 1160; Am. 2 Ky.R. 218; rejected 12-10-75; 3 Ky.R. 638; eff. 3-2-77; 4 Ky.R. 290; eff. 3-3-78; 5 Ky.R. 631; eff. 3-7-79; 12 Ky.R. 1428; eff. 3-4-86; 18 Ky.R. 1591; eff. 1-10-92; 33 Ky.R. 1733; 34 Ky.R. 768; eff. 10-17-2007; Recodified from 902 KAR 105:040, 11-20-2013.)