201 KAR 46:040. Medical imaging technologist, advanced imaging professional, radiographer, nuclear medicine technologst, and radiation therapist licenses

Link to law: http://www.lrc.ky.gov/kar/201/046/040reg.htm
Published: 2015

GENERAL GOVERNMENT

CABINET

Board of Medical Imaging and Radiation Therapy

(As Amended at ARRS, October 13, 2015)

 

      201 KAR 46:040. Medical imaging

technologist, advanced imaging professional, radiographer, nuclear medicine

technologist, and radiation therapist licenses[General radiation

operator requirements].

 

      RELATES

TO: KRS 311B.020, 311B.050, 311B.080, 311B.100(2),

311B.110, 311B.120, 311B.180, 311B.190[211.890, 211.993]

      STATUTORY

AUTHORITY: KRS[311B.010,] 311B.050, 311B.080,

311B.100(2), 311B.110[311B.120, 311B.180,

311B.190][194.050, 211.090, 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 an advanced imaging

professional, a medical imaging technologist, a radiographer, a radiation

therapist, and a nuclear medicine technologist. KRS 311B.080 requires the board

to recognize and enforce national practice standards and scopes of practice[The

Board of Medical Imaging and Radiation Therapy is authorized by KRS 311B][211.870

and 211.890][to regulate individuals][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 medical imaging technologists, advanced

imaging professionals and radiation therapists; approval of accredited

educational programs of medical imaging or radiation therapy and the monitoring

of compliance with the educational standards established by the individual

disciplines, as recognized by the board][operators;

examinations; standards of training and experience; curricula standards for

institutions teaching persons to operate sources of radiation][;

issuance, renewal, suspension, 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 perform

medical imaging and radiation therapy[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

perform medical imaging or radiation therapy[operate sources of

radiation] for[human] diagnostic medical imaging[radiologic]

or therapeutic purposes while under the direct or indirect

supervision of a[medical, osteopathic, or chiropractic] licensed

practitioner of the healing arts as specified by practice

standards, by scope of practice, and in the ACR-AAPM Technical Standard

For The Management Of The Use Of Radiation In Fluoroscopic Procedures as

listed in Section 11 of this administrative regulation[, revised 2013

(Resolution 44) and incorporated by reference].

 

      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 an Advanced Imaging Professional, a Medical

Imaging Technologist, a Radiographer, a Radiation Therapist, and a Nuclear

Medicine Technologist[a Medical Imaging Technologist, Radiation

Therapist or Advanced Imaging Professional][General] License.

No person shall be eligible for a[general] license pursuant to this

administrative regulation[as an operator of a source of radiation] for[human]

diagnostic imaging[radiologic] or therapeutic purposes unless the

person has:

      (1)

Satisfactorily passed the national examination administered by the American

Registry of Radiologic Technologists or[and/or]

the Nuclear Medicine Technology[Technologist]

Certification Board examination[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 completed a program in radiography, nuclear medicine

technology, radiation therapy, or advanced imaging practice that has achieved

and maintained programmatic accreditation recognized by the board as described

in 201 KAR 46:030[Satisfactorily passed an examination approved by the

cabinet as prescribed in 201 KAR 46:020, Section 3].

 

      Section

3. Application for Initial License. (1) An

applicant shall submit:

      (a)

A[(1)] completed and signed application

KBMIRT Form 1;

      (b)

A[(2)] non-refundable initial application and

license fee as established by 201 KAR 46:020, Section 1;

      (c)

The[(3)] 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;

      (d)

A[(4)] copy of a government-issued

photo ID;

      (e)[(5)]

Documentation of active registration or certification with the ARRT or NMTCB;

and

      (f)[(6)]

Verification of graduation from a program accredited by the Joint Review

Committee on Education in Radiologic Technology or the Joint Review Committee

on Educational Programs in Nuclear Medicine Technology.

      (2) Notwithstanding subsection (1)(f) of this

section, if a student enters a program not under probation, and the majority of

the education program is completed under the accreditation required under 201

KAR 46:030, then the board may waive the accreditation standard as long as the

graduate passes the American Registry of Radiologic Technologists (ARRT)

examination on the first attempt.

 

      Section

4. The issued license shall identify the licensee as an advanced

imaging professional, a medical imaging technologist, a

radiographer, a radiation therapist, or a nuclear medicine

technologist[advanced imaging professional].

The medical imaging technologist license shall also identify any ARRT or NMTCB

disciplines awarded to the licensee.

 

      Section

5. The license shall expire annually on the last day of the licensee’s birth

month.

 

      Section

6. Renewal of License. To renew a license, the licensee shall submit:

      (1)

KBMIRT Form 2;

      (2)

Verification of current active status with the[of]

ARRT or NMTCB; and

      (3)

The renewal license fee as established by

201 KAR 46:020, Section 2.

 

      Section

7. Reinstatement of Lapsed License. (1) A licensee who has allowed the license

to lapse for more[greater] than one

(1) month but less than twelve (12) months is eligible to be reinstated upon submission

of KBMIRT Form 2[the renewal application],

documentation of twenty-four (24) hours of approved continuing education

biennially, and the payment of reinstatement and

renewal fees as established by 201 KAR 46:020, Sections 2 and 7.

      (2)

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

      (a)

Verification of current active status with the[of]

ARRT or NMTCB;

      (b)

KBMIRT Form 1;

      (c)

Continuing education KBMIRT Form 8, as incorporated by reference in 201

KAR 46:060, that documents twenty-four (24) hours of approved

continuing education;

      (d)

The non-refundable initial application and license fee

as established by 201 KAR 46:020, Section 1;

      (e)

The 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

      (f)

A copy of a government-issued photo ID.

 

      Section

8.[4.] Temporary License. The board may, upon completion

of Form KBMIRT 3, as incorporated by reference in 201 KAR 46:045,[proper

application] and payment of the[appropriate]

fee established in 201 KAR 46:020, Section 3, issue a temporary

license to an applicant who has successfully completed an approved course of

study in radiography, nuclear medicine technology,[or] radiation therapy,

or an advanced imaging profession and meets the other requirements of 201

KAR 46:045[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

9. 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 selected for audit shall provide the board with a copy of his

or her[their] certificate or records of completion.

      (5)

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

revocation of license.

 

      Section

10. Contrast Procedures. Only individuals holding a license pursuant to this

administrative regulation shall perform diagnostic imaging or radiation therapy

procedures regulated by KRS Chapter 311B at

facilities where contrast studies are performed.

 

      Section

11.[5.] Practice Standards[for General Licensee]. Individuals

licensed pursuant to this administrative regulation[General licensees]

shall perform according to practice standards of the discipline for which

they hold credentials, as established by the American Society of Radiologic

Technologists (ASRT), the American College of Radiology (ACR), the

American Association of Physicists in Medicine (AAPM), and the Society of Nuclear

Medicine and Molecular Imaging (SNMMI) and incorporated by reference. These

standards include the:

      (1) Radiography Practice Standards;

      (2) Nuclear Medicine Technologist Scope of

Practice and Performance Standards;

      (3) Positron Emission Tomography (PET)

Technologist Scope of Practice and Performance Standards;

      (4) Scope of Practice for the Nuclear Medicine

Advanced Associate;

      (5) Radiation Therapy Practice Standards;

      (6) Bone Densitometry Practice Standards;

      (7) Cardiovascular Interventional Technology

Practice Standards;

      (8) Computed Tomography Practice Standards;

      (9) Limited X-ray Machine Operator Practice

Standards;

      (10) Mammography Practice Standards;

      (11) Radiologist Assistant Practice Standards;

      (12) ACR ASRT Joint-Policy

Statement-Radiologist Assistant: Roles and Responsibilities; and

      (13) ACR-AAPM Technical Standard For Management Of

The Use Of Radiation In Fluoroscopic Procedures.

 

      Section

12. CT Training for Nuclear Medicine Technologists and Radiation Therapists.

Individuals who are licensed in the primary discipline of nuclear medicine or

radiation therapy, are certified by the ARRT or NMTCB, and are seeking

post-primary certification in computed tomography (CT) may work under the

direct supervision of a licensed and certified CT technologist to gain clinical

competency. An individual who wishes to complete clinical training in CT shall

submit a Provisional License Application, as incorporated by

reference in 201 KAR 46:050,[an application for a provisional license]

which shall expire twenty-four (24) months from the date of issuance.

 

      Section

13. PET Training for Radiographers and Radiation Therapists. Individuals who

are licensed in the primary discipline of radiography or radiation therapy, are

certified by the ARRT, and are seeking post-primary certification in positron

emission tomography (PET) may work under the direct supervision of a licensed

and certified PET technologist with the permission of an authorized user to

gain clinical competency. An individual who wishes to complete clinical

training in PET shall submit a Provisional License Application, as

incorporated by reference in 201 KAR 46:050,[an application for a

provisional license] which shall expire twenty-four (24)

months from the date of issuance.

 

      Section

14. Applications for licensure shall be filed with the Board of

Medical Imaging and Radiation Therapy, 42 Fountain Place, Frankfort, Kentucky

40601.

 

      Section 15. Incorporation by

Reference. (1) The following material is incorporated by reference:

      (a)

"Radiography Practice Standards", revised

June 16, 2013;

      (b)

"Nuclear Medicine Technologist Scope of Practice and Performance Standards",

revised June 7, 2013;

      (c)

"Positron Emission Tomography (PET) Technologist Scope of Practice and

Performance Standards", revised January 26, 2013;

      (d)

"Scope of Practice for the Nuclear Medicine Advanced Associate",

created 2009;[and]

      (e)

"Radiation Therapy Practice Standards ",

revised June 19, 2011;[and]

      (f) "Bone

Densitometry Practice Standards", revised June 19, 2011;

      (g) "Cardiovascular Interventional Technology

Practice Standards", revised June 16, 2013;

      (h) "Computed Tomography Practice Standards",

revised June 16, 2013;

      (i) "Limited X-ray Machine Operator Practice

Standards", revised June 16, 2013;

      (j) "Mammography Practice Standards",

revised July 1, 2012;

      (k) "Radiologist

Assistant Practice Standards", revised July 29, 2014;

      (l) "ACR ASRT Joint Policy

Statement-Radiologist Assistant: Roles and Responsibilities", May 2003;

      (m) "ACR-AAPM Technical

Standard For Management Of The Use Of Radiation In Fluoroscopic Procedures", revised 2013 (Resolution

44);

      (n) KBMIRT Form 1, "License

Application-Medical Imaging or Radiation Therapy", March 2015; and

      (o) KBMIRT Form 2, "License Renewal

Application-Medical Imaging or Radiation Therapy", March 2015.

      (2)

This material may be inspected, copied, or obtained, subject to applicable

copyright law, at:

      (a)

American Society of Radiologic Technologists, 15000 Central Ave. SE Albuquerque,

NM 87123-3909, http://www.asrt.org/main/standards-regulations/practice-standards; [or]

      (b)

Society for Nuclear Medicine and Molecular Imaging, 1850 Samuel Morse Drive

Reston, Virginia 20190, http://www.snmmi.org; or

      (c) The Board of Medical Imaging and Radiation

Therapy, 42 Fountain Place, Frankfort, Kentucky 40601, Monday through Friday,

8:00 a.m. to 4:30 p.m.[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

master’s 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

15.][9.][Applications for licensure][in

nuclear medicine technology and radiation therapy][shall be filed

with the Board of Medical Imaging and Radiation Therapy, 42 Fountain Place,

Frankfort, Kentucky 40601][275 East Main Street, Mailstop HS

1C-A, Frankfort, Kentucky 40621][.]

 

SHERYL

L. ABERCROMBIE, Chair

      APPROVED

BY AGENCY: July 13, 2015

      FILED

WITH LRC: July 15, 2015 at 9 a.m.

      CONTACT PERSON: Vanessa

Breeding, Executive Director, Board of Medical Imaging and Radiation Therapy,

42 Fountain Place, Frankfort, Kentucky 40601, phone (859) 782-5687, fax (859)

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