201 KAR 46:081. Limited X-Ray machine operator

Link to law: http://www.lrc.ky.gov/kar/201/046/081reg.htm
Published: 2015

GENERAL GOVERNMENT

CABINET

Board of Medical Imaging and Radiation Therapy

(As Amended at ARRS, October 13, 2015)

 

      201 KAR 46:081. Limited X-Ray

machine operator.

 

      RELATES TO: KRS 311B.020,

311B.150, 311B.100(2), 311B.110, 311B.120,

311B.180, 311B.190[211.890,

211.993]

      STATUTORY AUTHORITY: KRS

311B.050, 311B.100(2), 311B.110[211.090(3), 211.870]

      NECESSITY,

FUNCTION, AND CONFORMITY: KRS 311B.050 requires the Board of Medical

Imaging and Radiation Therapy to promulgate administrative regulations to

establish the procedures for the issuance and renewal of a license. KRS

311B.100(2) and KRS 311B.110(6) require the board to promulgate administrative

regulations to establish the qualifications for a limited x-ray machine

operator. This administrative regulation establishes the requirements for the

licensure of a limited x-ray machine operator[The Board of Medical

Imaging and Radiation Therapy is authorized by KRS 311B.100(f) 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

limited x-ray machine operators; examinations; standards of training and

experience; curricula standards for institutions teaching persons to perform

limited diagnostic imaging][operate sources of radiation][;

issuance, renewal, and revocation of licenses; and to set other standards as

may be appropriate for the protection of health and safety. The purpose of this

administrative regulation is to establish uniform requirements for the

licensure of limited licensees].

 

      Section

1. Applicability. (1) This administrative regulation shall apply to individuals

who perform limited[human] diagnostic radiography while under the direct

supervision while training and indirect supervision thereafter[supervision]

of a licensed practitioner of the healing arts, a licensed limited

x-ray machine operator, or a licensed radiographer[medical,

osteopathic, or chiropractic licensed practitioner, or a licensed radiation

operator].

      (2)

Limited [human] diagnostic radiography shall include routine chest and

thorax, cranium, extremity, podiatric, vertebral column radiography, and bone

densitometry procedures.

 

      Section

2. Limited

Licensee Employment Prohibition[Prohibitation]. An individual who

holds a limited license shall not be employed as an operator of a source of

radiation at a facility where contrast studies, fluoroscopy, mammography,

computed tomography, magnetic resonance imaging, bedside radiography, nuclear

medicine, positron emission tomography, or radiation therapy procedures

are performed.

 

      Section

3. Pathways

to the Limited X-ray Machine Operator License. An applicant shall complete an

approved postsecondary educational program that meets the American

Society of Radiologic Technologists (ASRT) Limited

X-Ray Machine Operator Curriculum requirements. Individuals shall complete this

requirement by either:

      (1)

A formal education program for limited x-ray machine

operators approved by the board; or

      (2)

An independent study program for limited x-ray machine

operators approved by the board.[An applicant shall meet the

requirements for a temporary limited machine operator license][Eligibility for a

Limited X-ray Machine Operator License. (1) No person shall be eligible for a

limited x-ray machine operator license for human diagnostic radiographic

purposes unless the individual has:

      (a)

Completed a four (4) year course of study in a secondary school or passed a

standard equivalency test;

      (b)

Completed a course of study in limited x-ray machine operations approved by the

board from a postsecondary institution or an approved independent study course;

and

      (c)

Passed an examination conducted or approved by the board.

      (2)

The approved postsecondary course of study shall meet the requirements for the limited

x-ray machine operator course of study in 201 KAR 46:030, Section 4(6).

      (3)

An approved independent study course shall be completed within twelve (12)

months and shall meet the requirements for the limited x-ray machine

operator independent course of study in 201 KAR 46:030, Section 4(7).

      (4)

The clinical education required by 201 KAR 46:030, Section 4(7) shall be

obtained at the student’s place of employment, an alternate facility, or a

combination. The employer shall be responsible for providing or

arranging for the required clinical education and for providing the appropriate

supervision of the student by a licensed practitioner of the healing arts or a

licensed radiation operator. Clinical education shall begin only after the

student has successfully completed the first six (6) chapters in the provided

textbook and has received an authorization letter issued by the board. Course requirements

shall be completed within one (1) year from date of enrollment][.]

 

      Section

4. Application for Temporary Limited X-ray Machine Operator License. Issuance

of a temporary limited license shall be dependent upon the educational pathway

selected by the applicant.

      (1)

An applicant who has completed a formal educational program shall submit:

      (a)

A completed and signed application Form KBMIRT Form 5;

      (b)

A non-refundable, non-transferrable temporary limited

x-ray machine operator application and license fee as mandated in 201 KAR

46:020, Section 5;

      (c)

The satisfactory results of a criminal

background check completed within the past six (6) months in state of residence

and employment and any other state of residence and employment within the past

five (5) years; and

      (d)

A copy of a government-issued photo ID.

      (2)

An applicant selecting the independent study program pathway shall receive a

temporary license upon completion of the required coursework. As part of the

application process for the independent study pathway, an applicant shall

submit:

      (a)

A completed and signed application KBMIRT Form 5;

      (b)

A completed and signed application KBMIRT Form 5A;

      (c)

A non-refundable, non-transferrable temporary limited

x-ray machine operator application and license fee as mandated in 201 KAR

46:020, Section 5;

      (d)

The satisfactory results of a criminal

background check completed within the past six (6) months in state of residence

and employment and any other state of residence and employment within the past

five (5) years;

      (e)

A copy of a government-issued photo ID;[and]

      (f)[Individuals

enrolling in the independent study program shall also submit:

      1.] A copy of the Cabinet

for Health and Family Services radiation producing-machine registration card of

their employer;

      (g)[and

      2.] A copy of his or her

high school diploma or equivalent; and

      (h) A home study course fee for an independent

study course as mandated by 201 KAR 46:020, Section 10.

      (3)

The temporary limited x-ray machine operator license shall expire:

      (a)

Two (2) years from the date of enrollment in the independent study program;

      (b)

One (1) year from date of issuance for graduates of formal educational

programs.

      (4)

Upon completion of the limited x-ray machine operator training program, individuals

shall:

      (a)

Apply for the limited scope radiography exam; and

      (b)

Submit the non-refundable, non-transferrable limited x-ray machine operator

examination fee as mandated in 201 KAR 46:020, Section 9.

      (5)

If a temporary licensee has not successfully passed the American Registry

of Radiologic Technologists (ARRT) administered limited

scope radiography exam prior to the expiration date of the temporary license,

the licensee shall cease to perform radiographic procedures. The licensee

remains eligible to sit for the exam, however, the individual shall not perform

radiographic procedures. Upon successful completion of the exam, the individual

shall submit:

      (a)

A limited x-ray machine operator license application using KBMIRT Form 4; and

      (b)

An initial application and license fee as mandated in 201 KAR 46:020,

Section 1.

      (6)

If a temporary licensee has successfully passed the ARRT administered limited

scope radiography exam prior to the expiration date of the temporary license

for the selected educational pathway, the licensee shall be issued a limited

x-ray machine operator license which shall expire on the last day of the

licensee’s birth month[Eligibility for a Limited Podiatry X-ray Machine

Operator License. (1) No person shall be eligible for a limited podiatry x-ray

machine operator license for human diagnostic radiographic purposes unless the

individual has:

      (a)

Completed a four (4) year course of study in a secondary school or passed a

standard equivalency test;

      (b)

Completed an independent course of study in limited podiatric radiography

approved by the board; and

      (c)

Passed an examination conducted or approved by the board.

      (2)

The approved independent study course shall be completed within twelve (12)

months and shall meet the requirements for the limited podiatry x-ray machine

operator independent course of study in 201 KAR 46:030, Section 4(8).

      (b)

The clinical education required by 201 KAR 46:030, Section 4(8) shall be

obtained at the student’s place of employment. The employer shall be

responsible for providing or arranging for the required clinical education and

for providing the appropriate supervision of the student by a licensed

practitioner of the healing arts or a licensed operator. Clinical education

shall begin only after the student has successfully completed the first

six (6) chapters in the textbook and has received an authorization letter

issued by the board. Course requirements shall be completed within one (1) year

from date of enrollment].

 

      Section

5. The

issued license shall identify the licensee as a limited x-ray machine operator.

The license shall also identify the category as general, bone densitometry, or

podiatry[Eligibility

for a Limited Bone Densitometry X-ray Machine Operator License. (1) No person

shall be eligible for a limited bone densitometry x-ray machine operator

license for human diagnostic radiographic purposes unless the individual has:

      (a)

Completed a four (4) year course of study in a secondary school or passed a

standard equivalency test;

      (b)

Completed an independent course of study in limited bone densitometry approved

by the board; and

      (c)

Passed an examination conducted or approved by the board.

      (2)

The approved independent study course shall be completed within twelve (12)

months and shall meet the requirements for the limited bone densitometry x-ray

machine operator independent course of study in 201 KAR 46:030, Section 4(9).

      (b)

The clinical education required by 201 KAR 46:030, Section 4(9) shall be

obtained at the student’s place of employment. The employer shall be

responsible for providing or arranging for the required clinical education and

for providing the appropriate supervision of the student by a licensed

practitioner of the healing arts or a certified radiation operator. Clinical

education shall begin only after the student has successfully completed the

first six (6) chapters in the textbook and has received an authorization letter

issued by the board. Course requirements shall be completed within one (1) year

from date of enrollment.

      (c)

The approved independent study course shall include manufacturer’s training.

      1.

Manufacturer’s training will be conducted by a representative of the company

who produces the x-ray machine used for bone densitometry.

      2.

Training shall include the proper techniques for operation and safety].

 

      Section

6. Employer Responsibility for Students Enrolled in the Independent Study

Program for Limited X-Ray Machine Operators. Pursuant to Section 8 of this

administrative regulation, clinical education shall be obtained at the

student’s place of employment, an alternate facility, or a combination. The

employer shall be responsible for providing or arranging for the required

clinical education and for providing the direct or indirect[appropriate]

supervision of the student by a licensed practitioner of the healing arts, a

licensed limited x-ray machine operator, or a licensed radiographer as

required by the student's level of competency. Clinical

education shall begin only after the student has successfully completed the

required coursework of the textbook and has received a temporary license issued

by the board[Temporary

License. (1) The board may, upon application and payment of the appropriate

fees, issue a temporary license to an applicant who has completed an approved

course of instruction in limited medical radiography, limited podiatric

radiography, or limited bone densitometry, and who meets the

requirements of this administrative regulation, but has not taken the required

examination.

      (2)

Applications for licensure shall be filed with the Cabinet for Health and

Family Services on Form KR-300, Radiation Operator Certification Diagnostic

X-Ray Application Form.

      (3)

Temporary licenses for all certifications shall expire on the last day of the

month, one (1) year after the date of issuance and shall not be renewable].

 

      Section 7. Curricular

Standards for Formal Educational Program. This administrative regulation

applies to institutions offering a postsecondary program for limited x-ray

machine operators. Programs shall:

      (1)

Meet the curricular standards established by the American Society of Radiologic

Technologists (ASRT);

      (2)

Include a minimum of 240 classroom hours of didactic instruction and 360

clinical hours of education which shall include supervised practice and demonstration

of clinical competency;

      (3)

Supply data requested for a complete evaluation of its administration,

organization, faculty, physical facilities, student policies, and curriculum;

      (4)

Provide a structured curriculum with clearly written course descriptions,

lesson plans, and objectives;

      (5)

Provide an adequate faculty, which shall be qualified through academic

preparation or experience to teach the subjects assigned;

      (6)

Have a program director who is a licensed radiographer with a minimum of three

(3) years of clinical or teaching experience or a combination of clinical and

teaching experience;

      (7)

Provide a licensee-to-student ratio consistent with professional educational

guidelines in the appropriate field of practice;

      (8)

Provide appropriate facilities, sufficient volume, and a variety of diagnostic

exams to properly conduct the educational program;

      (9)

Prohibit students from applying radiation to human beings for diagnostic

purposes until they have obtained practical experience and have had their

performance evaluated as satisfactory by the program faculty;

      (10) Provide direct or indirect

supervision by a licensed practitioner of the healing arts or a licensee

as required by the student's level of competency;

      (11)

Prohibit students from administering radiation to a human being unless under

direct or indirect supervision as required by the student's level of competency[appropriately

supervised];

      (12)

Maintain records of each student's attendance, grades, clinical competency, and

subjects completed;

      (13)

Designate a radiation safety officer; and

      (14)

Permit site inspections by the board’s representative.

 

      Section

8. Curricular Standards for Independent Study Program. (1) The general limited

x-ray machine operator independent study program shall:

      (a)

Be completed within twenty-four (24) 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. Image processing;

      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.

      (2)

The limited podiatry x-ray machine operator independent study program shall:

      (a)

Be completed within twenty-four (24) 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.

Image processing;

      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.

      (3)

The limited bone densitometry x-ray machine operator independent course of

study shall:

      (a)

Be completed within twenty-four (24) 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.

Image processing;

      9.

Radiographic procedures;

      10.

Patient positioning;

      11.

Patient care; and

      12.

Equipment Specific training; and

      (c)

Include clinical education consisting of a minimum of fifty (50) bone

densitometry procedures.

 

      Section

9. Approved Radiographic Procedures for the Limited X-ray Machine Operator.

An individual who holds a limited license is limited to performing the

procedures authorized for his or her license as described in subsections

(1), (2), and (3) of this section.[:]

      (1)

An individual holding a general limited x-ray machine operator license shall

perform only the following[procedures]:

      (a)

Radiography of the thorax, lungs and ribs;

      (b)

Radiography of the skull and facial structures;

      (c)

Radiography of the upper and lower extremities, including the pectoral girdle

and the hips and pelvis; and

      (d)

Radiography of the cervical, thoracic, and lumbar spines.

      (2)

An individual holding a limited podiatry x-ray machine operator license shall

perform radiographic procedures on the foot and ankle only.

      (3)

An individual holding a limited bone densitometry x-ray machine operator

license shall perform bone densitometry radiographic procedures only.

      (4)

A limited x-ray machine operator shall comply with the Limited X-ray Machine

Operator Practice Standards as incorporated by reference in 201 KAR 46:040,

Section 15.

 

      Section

10. Continuing Education Requirements. Licensees shall complete and document

twelve (12) hours of continuing education biennually as required

by 201 KAR 46:060. A minimum of six (6) hours shall be related

to radiation safety or[and/or]

medical imaging.

 

      Section

11. Continuing Education Audit Process. (1) The board shall select a sample of

licensees[licenses] to audit for continuing

education[CE] compliance.

      (2)

The board shall send each licensee selected for audit a notification of audit.

      (3)

Each licensee shall maintain his or her[their]

personal files such as certificates or records of credit from approved

continuing education programs from the current biennium and immediate prior

biennium.

      (4)

A licensee[Licensees] selected for audit shall

complete KBMIRT Form 8, as incorporated by reference in 201 KAR 46:060,

and provide the board with a copy of his or her certificates or

records of completion.

      (5)

Failure to comply with an audit may result in non-renewal, suspension or

revocation of license.

 

      Section

12. Renewal of License. A licensee shall renew annually prior to the expiration

of his or her[their] current license,

which is the last day of the licensee's[their]

birth month, by:

      (1)

Completing KBMIRT Form 6; and

      (2)

Submitting the Renewal License Fee in accordance with 201 KAR 46:020,

Section 2.

 

      Section

13. Reinstatement of Lapsed License. A licensee who has allowed the license to

lapse for more than one (1) month but less than twelve (12) months is eligible

to be reinstated upon submission of KBMIRT Form 6[the

renewal application], documentation of twelve (12) hours of

continuing education, and the payment of reinstatement

and renewal fees pursuant to 201 KAR 46:020, Sections 2 and 7.

A licensee whose license has lapsed for more than twelve (12) months shall:

      (1)

Successfully pass the ARRT limited scope radiography examination;

      (2)

Submit a completed

and signed application KBMIRT Form 4;

      (3)

Submit a non-refundable initial application and license

fee as mandated in 201 KAR 46:020, Section 1;

      (4)

Submit satisfactory results of a criminal

background check completed within the past six (6) months in state of residence

and employment and any other state of residence and employment within the past

five (5) years; and

      (5)

Submit a copy of a government-issued photo ID.

 

      Section

14.[8.] Incorporation by Reference. (1) The following material is

incorporated by reference:

      (a)

KBMIRT Form 4, “Limited X-ray Machine Operator License Application”, April

2015;

      (b)

KBMIRT Form 5, “Limited X-ray Machine Operator

Temporary License Application”, April 2015;

      (c)

KBMIRT Form 5A, “Limited X-ray Machine Operator

Independent Study Course Application”, April 2015; and

      (d)

KBMIRT Form 6, “Limited X-ray Machine Operator Renewal[License]

Application”, March 2015[(1) Form "KR-300, Radiation Operator Certification

Diagnostic X-Ray Application Form", edition 7/97, 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, 42

Fountain Place[275

East Main Street],

Frankfort,

Kentucky 40601[40621], Monday through Friday, 8 a.m. to 4:30 p.m.

 

SHERYL

L. ABERCROMBIE, Chair

      APPROVED

BY AGENCY: April 13, 2015

      FILED

WITH LRC: April 15, 2015 at 11 a.m.

      CONTACT

PERSON: Vanessa Breeding, Executive Director, Board of Medical Imaging and

Radiation Therapy, 42 Fountain Place, Frankfort, Kentucky 40601, phone (502) 782-5687, fax

(502) 782-6495.
Read Entire Law on www.lrc.ky.gov