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Ohio Laws and Rules
As used in this chapter:
(A) “Chiropractor” means an individual licensed under Chapter 4734. of the Revised Code to practice chiropractic.
(B) “Cardiac catheterization” means all anatomic or physiological studies of intervention, both diagnostic and therapeutic, in which the heart or coronary arteries are entered via a systemic vein or artery using a catheter that is manipulated under fluoroscopic visualization.
(C) “Classroom hour” means fifty minutes of lecture and attendance.
(D) “Comprehensive scope of diagnostic radiologic procedures” means utilizing radiation-generating equipment to perform standard, diagnostic radiologic procedures, and any other type of radiologic procedure including mobile or portable imaging, mammography, computed tomography, tomography, fluoroscopy, cinefluorography, or contrast media studies and does not include nuclear medicine or radiation therapy.
(E) “Department” means the Ohio department of health.
(F) “Direct supervision” means guidance and instruction provided to a general x-ray machine operator by a licensed practitioner who is present at the location, and in such immediate proximity so that the licensed practitioner can provide timely consultation and direction when the operator is performing radiologic procedures.
(G) “Director” means the director of health or the director’s authorized representative or designee.
(H) “Fluoroscopy” means the use of a fluoroscopic type of radiation-generating equipment for visualizing and imaging internal structures for medical diagnosis.
(I) “General supervision” means guidance and instruction provided by a licensed practitioner to a nuclear medicine technologist, radiographer, radiation therapy technologist or a general x-ray machine operator, who is licensed under Chapter 4723. of the Revised Code, to practice as a registered nurse and is providing occupational health nursing services in an industrial workplace. The licensed practitioner must be readily available for purposes of consulting with and directing the individual while performing the procedures.
(J) “General x-ray machine operator” means an individual, other than a licensed practitioner or radiographer, who performs standard, diagnostic radiologic procedures; whose performance of radiologic procedures is limited to specific body sites; and who does not, to any significant degree, determine the site or dosage of radiation to which a patient is exposed.
(K) “In-vitro” means in an artificial environment outside the living organism.
(L) “In-vivo” means within a living organism.
(M) “Ionizing radiation” means any electromagnetic or particulate radiation that interacts with atoms to produce ionization in matter. Ionizing radiation includes: X-rays, gamma rays, alpha and beta particles, high speed electrons, neutrons, and other nuclear particles.
(N) “Licensed practitioner” means a physician, chiropractor, podiatrist, or mechanotherapist.
(O) “Mobile imaging” means radiography performed with radiation-generating equipment on wheels, or installed in a van, trailer, or mobile vehicle.
(P) “Mechanotherapist” means an individual who holds a certificate issued under section 4731.151 of the Revised Code that authorizes the practice of mechanotherapy.
(Q) “Nuclear medicine technologist” means an individual, other than a licensed practitioner, who prepares and administers radio-pharmaceuticals to a patient and conducts in vivo or in vitro detection and measurement of radioactivity for medical purposes.
(R) “Patient” means any human being that receives radiation for diagnostic, therapeutic or medical purposes. “Patient” does not include the application of radiation to a human body in the course of an autopsy.
(S) “Physician” means an individual who holds a certificate issued under Chapter 4731. of the Revised Code that authorizes the practice of medicine and surgery or osteopathic medicine and surgery.
(T) “Podiatrist” means an individual who holds a certificate issued under Chapter 4731. of the Revised Code that authorizes the practice of podiatry.
(U) “Portable imaging” means radiography performed with radiation-generating equipment designed to be hand carried.
(V) “Radiation safety courses” means continuing education courses designed to enhance the professional’s knowledge and skills in reducing unnecessary radiation exposure to the public, patients, or occupational personnel.
(W) “Radiation therapy technologist,” or “radiation therapist,” means an individual, other than a licensed practitioner, who utilizes ionizing radiation-generating equipment including therapy simulator radiation-generating equipment for therapeutic purposes on any patient.
(X) “Radiographer” means an individual, other than a licensed practitioner, who performs a comprehensive scope of diagnostic radiologic procedures employing equipment that emits ionizing radiation, exposes radiographs, administers contrast media, or performs other procedures that contribute significantly to determining the site or dosage of ionizing radiation to which a patient is exposed.
(Y) “Radiologic license” means a license issued by the director as one of the following:
(1) General x-ray machine operator;
(2) Radiographer;
(3) Nuclear medicine technologist; or
(4) Radiation therapist.
(Z) “Registered nurse” means an individual who holds a current, valid Ohio license issued under Chapter 4723. of the Revised Code that authorizes the practice of nursing as a registered nurse as defined by section 4723.02 of the Revised Code.
(AA) “Registered cardiovascular invasive specialist” means an individual who holds a valid certification as a registered cardiovascular invasive specialist with a specialty in invasive technology from “Cardiovascular Credentialing International.”
(BB) “Standard, diagnostic, radiologic procedures” means utilizing radiation-generating equipment to for one or more of the following procedures limited to the licensed practitioner’s scope of practice: chest and abdomen; extremity; skull and sinus; spine; podiatric radiography; or bone densitometry to include positioning the patient and setting the exposure parameters according to established technique charts. Standard, diagnostic radiologic procedures do not include, unless otherwise specified in Chapter 3701-72 of the Administrative Code, the following procedures: mobile or portable; mammography; computed tomography; tomography; fluoroscopy; cinefluoroscopy; the use of contrast material; or interventional procedures.
Effective: 08/01/2007
R.C. 119.032 review dates: 03/29/2007 and 08/01/2012
Promulgated Under: 119.03
Statutory Authority: 4773.08
Rule Amplifies: 4773.02, 4773.03, 4773.04, 4773.05, 4773.06, 4773.07, 4773.08
Prior Effective Dates: 4/9/1995, 10/16/95, 9/1/97, 9/4/2000, 3/23/04
(A) Effective October 21, 1995, and except as provided in division (B) of section 4773.02 of the Revised Code, no person shall practice or hold himself or herself out as a general x-ray machine operator, radiographer, radiation therapist, or nuclear medicine technologist without a valid license.
(B) An individual seeking a radiologic license shall apply to the department on forms prescribed by the director. Except as provided in paragraph (C) of this rule, a separate application and fee is required for each license category. The application for each license shall include at least the following:
(1) Name and address of applicant;
(2) License category for which application is being made;
(3) A non-refundable, non-transferrable check or money order in the amount of sixty-five dollars made payable to “Treasurer, State of Ohio;”
(4) A statement affirming that all the information submitted by the applicant is accurate and true;
(5) Evidence that the applicant successfully completed an educational program for the applicable license category accredited by the department under rule 3701-72-03 of the Administrative Code;
(6) In the case of an application for a general x-ray machine operator license, the applicant also shall submit evidence, on a form prescribed by the director, of completing at least four hours of clinical practice assignments supervised by an Ohio licensed radiographer, program director or clinical coordinator from an accredited radiography program in accordance with rule 3701-72-03 of the Administrative Code, or a licensed practitioner before a license will be issued. The clinical practice assignments shall include instrumentation and orientation to the radiation-generating equipment; correct patient positioning techniques as applicable to the licensed practitioner’s area of practice; and orientation to the darkroom and film processing. One year after the effective date of this rule, applicants for a general x-ray machine operator license shall submit evidence of satisfactory completion of one or more of the competency-based clinical training modules identified in paragraph (F) of rule 3701-72-04 of the Administrative Code;
(7) Applicants for a general x-ray machine operator license who are currently enrolled and in the last year of a two-year accredited radiography educational program or who have graduated from a two-year accredited radiography educational program and are within twelve months of their date of graduation, may submit a signed affidavit from the director of the educational program to meet one or more of the competency-based training modules identified in paragraph (F) of rule 3701-72-04 of the Administrative Code; and
(8) Evidence of having passed the Ohio examination for his or her license category by correctly answering at least the percentage of questions on the examination specified by the director, unless the examination is not required because one of the following applies:
(a) The individual is applying for a license as a general x-ray machine operator and holds certification as a radiographer from the “American Registry of Radiologic Technologists” or the “American Chiropractic Registry of Radiologic Technologists;”
(b) The applicant holds a license issued under Chapter 4773. of the Revised Code for his or her area of practice and has completed the relevant continuing education requirements specified in paragraph (L) of this rule;
(c) The individual is applying for a license as a radiographer and holds certification as a radiographer from the “American Registry of Radiologic Technologists;”
(d) The individual is applying for a license as a radiation therapist and holds certification as a radiation therapist from the “American Registry of Radiologic Technologists;”
(e) The individual is applying for a license as a nuclear medicine technologist and holds certification as a nuclear medicine technologist from the “American Registry of Radiologic Technologists” or the “Nuclear Medicine Technology Certification Board;” or
(f) The applicant holds a valid license, certificate or other credential issued by another state that the department determines uses standards for radiologic professions that are at least equal to those standards established in Chapter 4773. of the Revised Code and Chapter 3701-72 of the Administrative Code.
(C) Notwithstanding paragraph (B) of this rule, if a current general x-ray machine operator licensee is applying for a radiographer license, the application fee shall be fifteen dollars. A radiographer license issued in accordance with this paragraph shall expire on the original expiration date of the current general x-ray machine operator license.
(D) An applicant for a license shall be at least eighteen years of age or older and shall be of good moral character. In the event an applicant has ever been convicted of a felony, a certified copy of the conviction and indictment must be submitted with the license application for department review.
(E) An applicant shall be considered to have completed an educational program accredited by the department if the applicant provides proof that the course was taken prior to April 9, 1995, and was accredited by the “Joint Review Committee on Educational Programs in Nuclear Medicine Technology” or accredited by the “Joint Review Committee on Education in Radiologic Technology” or if the program is housed in a college accredited by the “North Central Association of Colleges and Schools” or other United States department of education approved regional accrediting agencies.
(F) The department shall provide a separate examination for each license category. An applicant shall not be admitted to an examination without written notification from the department granting that he or she is eligible to take the examination. One year after the effective date of this rule:
(1) A radiographer, nuclear medicine technologist, or radiation therapist applicant shall not be admitted to an examination without written notification from the department granting that he or she is eligible to take the Ohio examination; and
(2) A general x-ray machine operator applicant shall not be admitted to an examination without written notification from an Ohio accredited educational program on a form prescribed by the director granting that he or she is eligible to take the Ohio examination.
(G) . An applicant may take the state exam any number of times except that the applicant may only take the examination twice per application. The director may deny an application if the applicant does not pass the state examination within one year of the application. One year after the effective date of this rule, an individual may take the state examination up to three times within one year of successful completion of a didactic educational program. If an individual does not pass the state examination within the one year period, the individual must retake the didactic education prior to retesting.
(H) The department may return an incomplete application for a license. The applicant or licensee shall respond to the department’s notice for additional information within twenty business days of mailing the notice. Subject to Chapter 119. of the Revised Code, the director may also refuse to issue, or may suspend or revoke any license if the applicant or licensee does not meet the requirements of Chapter 4773. of the Revised Code, or Chapter 3701-72 of the Administrative Code.
(I) A license issued under Chapter 4773. of the Revised Code and this rule expires biennially on the licensee’s birthday except for an initial license which expires on the licensee’s birthday following two years after it is issued. On or before thirty days prior to the expiration of a license, the department shall mail a notice and application for renewal to the licensee. The licensee shall complete the application and return it to the treasurer of state with a non-refundable, nontransferable check or money order payable to “Treasurer, State of Ohio”, in the amount of forty-five dollars. The application for renewal shall be postmarked on or before the expiration date of the licensee’s license.
(J) All application fees received shall be deposited in the general operations fund specified in section 3701.83 of the Revised Code to be used for the administration and enforcement of Chapter 4773. of the Revised Code.
(K) Any person applying to renew a license shall complete six classroom hours of continuing education. The six classroom hours must be approved per rule 3701-72-03 of the Administrative Code and specific to the license category held. Applicants with multiple licenses may use the same six hours of continuing education for the renewal of each license. One year after the effective date of this rule, any person applying to renew a license shall complete twelve classroom hours of continuing education. The twelve classroom hours must be approved per rule 3701-72-03 of the Administrative Code and specific to the license category held. Applicants with multiple licenses may use the same twelve hours of continuing education for the renewal of each license.
(L) A radiographer, nuclear medicine technologist, or radiation therapist renewing a license who is currently certified and in good standings with the continuing education requirements of the “American Registry of Radiologic Technologists” may submit evidence of this certification as proof of meeting the continuing education requirement set forth in paragraph (K) of this rule. A nuclear medicine technologist renewing a license who is currently certified and in good standings with the continuing education requirements of the “Nuclear Medicine Technology Certification Board,” may submit evidence of this certification, as proof of meeting the continuing education requirement set forth in paragraph (K) of this rule.
(M) The department may approve directed readings which have been approved by the “American Society of Radiologic Technologists” or “Society of Nuclear Medicine” for radiation safety courses provided the licensee holds current registration with the “American Registry of Radiologic Technologists” or is certified by the “Nuclear Medicine Technology Certification Board.”
(N) A licensee who does not apply to renew his or her license by the expiration date shall be considered to have allowed the license to lapse. A licensee with a lapsed license may continue to work during the period his or her license has lapsed, provided that the licensee re-activates the license in accordance with the requirements of this paragraph. The department will review an application for renewal of a lapsed license in accordance with the following:
(1) A complete license renewal application received by the department with a postmark date up to thirty calendar days after the expiration of the license, that is accompanied by the renewal application fee and evidence of completing the continuing education requirements provided in paragraph (K) of this rule will be renewed; or
(2) If a license renewal application is received by the department with a postmark date thirty-one to sixty calendar days after the expiration of the license, the application will be denied. The applicant will need to apply for a new license. The application for a new license shall include the required application fee and evidence of completing the required continuing education requirements provided in paragraph (K) of this rule;.
(O) If an individual applies for an Ohio radiologic license within sixty calendar days following the expiration of his or her Ohio radiologic license, the applicant must submit the required application fee, and the required continuing education in accordance with paragraph (K) of this rule.
(P) If an individual applies for an Ohio radiologic license after sixty days following the expiration of his or her Ohio radiologic license within the same category, the applicant must submit the following:
(1) Application fee;
(2) Evidence of continuing education as required in paragraph (K) of this rule;
(3) Evidence of completing the educational requirements as required by paragraphs (B)(5) and (B)(6) of this rule as applicable; and
(4) Evidence of passing the state examination. The examination provision of this rule will not apply to individuals who hold a current registration with the “American Registry of Radiologic Technologists,” specific to the appropriate license category, or to individuals who hold a current certification with the “Nuclear Medicine Technology Certification Board” for nuclear medicine technologists.
Effective: 08/01/2007
R.C. 119.032 review dates: 03/29/2007 and 08/01/2012
Promulgated Under: 119.03
Statutory Authority: 4773.08
Rule Amplifies: 4773.03, 4773.04, 4773.05, 4773.06, 4773.08, 4773.99
Prior Effective Dates: 4/9/1995, 10/16/95, 9/1/97, 9/6/98, 9/4/00, 3/23/04
(A) Any person may apply to the director for approval to conduct an educational program for general x-ray machine operators, radiographers, radiation therapists, or nuclear medicine technologists. Any person desiring to conduct an accredited educational program for a specific course of study shall complete an application prescribed by the director and submit the completed application to the director with the non-refundable application fee at least sixty days prior to initiating the program. The application fee shall be paid by check or money order, payable to “Treasurer, State of Ohio” in the amount of five hundred dollars. The director shall return an incomplete application to the applicant for completion. An approval to conduct an educational program does not expire but may be suspended or revoked in accordance with paragraph (K) of this rule. An application for approval as an accredited educational program shall contain the following:
(1) Name, address, and telephone number of applicant;
(2) Title of program, length of program, target audience, specific program objectives, and the instructional techniques or strategies that will be used to obtain the intended learning outcomes;
(3) Name, address, telephone number, and curriculum vitae of all instructors; and
(4) A statement certifying that the program complies and will remain in compliance with the requirements of this rule.
(B) The director shall not approve an application for a radiographer educational program unless the program meets the following requirements:
(1) Appendix A of 42 CFR 75 (as published in the October 1, 2005, Code of Federal Regulations); or
(2) The program is accredited by the “Joint Review Committee on Education in Radiologic Technology;” or
(3) The program is housed in a college accredited by the “North Central Association of Colleges and Schools” or other United States department of education approved regional accrediting agencies.
(C) The director shall not approve an application for a nuclear medicine technologist educational program unless the program meets the following requirements:
(1) Appendix D of 42 CFR 75 (as published in the October 1, 2005, Code of Federal Regulations); or
(2) The program is accredited by the “Joint Review Committee on Educational Programs in Nuclear Medicine Technology” or
(3) The program is housed in a college accredited by the “North Central Association of Colleges and Schools” or other United States department of education approved regional accrediting agencies.
(D) The director shall not approve an application for a radiation therapist educational program unless the program meets the following requirements:
(1) Appendix E in 42 CFR 75 (as published in the October 1, 2005, Code of Federal Regulations); or
(2) The program is accredited by the “Joint Review Committee on Education in Radiologic Technology” or
(3) The program is housed in a college accredited by the “North Central Association of Colleges and Schools” or other United States department of education approved regional accrediting agencies.
(E) The director shall not approve an application for a general x-ray machine operator educational program unless:
(1) The program is accredited by the “Joint Review Committee on Education in Radiologic Technology;” or
(2) The program is housed in a college accredited by the “North Central Association of Colleges and Schools,” or
(3) The program is accredited by an organization recognized by the United States department of education; or
(4) The program is a professional association of and recognized by licensed practitioners; and
(5) Has a curriculum that includes a didactic training section which, as a minimum, includes the following:
(a) Radiographic equipment and often-used terms/terminology;
(b) The nature of x-rays, their relative energy spectrum, and their fundamental properties when traveling in space and interacting with matter;
(c) The components of the x-ray tube and their basic functions;
(d) How x-rays are produced by the x-ray machine;
(e) The essential factors controlling the quality and quantity of x-ray beam intensity, specifically what kilovoltage peak (kVp) and milliamperes (mA) do to the x-ray beam;
(f) The functions of the x-ray tube, control panel, table, and grid devices;
(g) The three potential interactions of x-rays with matter, how these combine to produce a useful image, along with their potential negative effects on both the image clarity and radiation safety. However, the student is not required to conceptualize how these interactions occur using atomic models or their relative probabilities of interaction;
(h) X-ray image formation and the different processing techniques for both film/screen and digital image receptors;
(i) Major factors that control and affect image quality forming the basis of technique chart development;
(j) The applicable units of measurement used in dosimetry, the methods to monitor occupational exposure, and when dosimetry is required;
(k) The acute biologic effects of radiation, with an emphasis on their limited relevance in diagnostic radiology;
(l) The long term biologic effects of x-rays as a foundation to understanding the principles of safe practice;
(m) The cardinal rules of safety, along with standard safe practices in protecting both patients and operators from ionizing radiation;
(n) The initial clinical approach to identifying the patient and explaining the procedure;
(o) Proper patient assessment and patient care skills when performing radiographic procedures;
(p) Methods of patient safety;
(q) Methods of operator safety; and
(r) Patient assessment and patient care – “Prelude to Clinical Training;” or
(6) Has one or more of the clinical training modules specified in appendices A to F to this rule, and the competency based clinical assessment shall include the following minimum requirements:
(a) Evaluating and assessing the patient with respect to:
(i) Verification of the correct patient;
(ii) Categorizing key factors, such as patient age and body habitus, for purposes of determining technique;
(iii) Basic patient history and underlying medical issues (such as age, osteoporosis, spinal osteoarthritis) pertinent to radiography;
(iv) Patient concerns regarding radiation exposure or the procedure;
(v) Communication problems;
(vi) Prior studies;
(vii) Pregnancy status, last menstrual cycle;
(viii) Mobility and ambulatory status of patient (e.g., post op, post trauma, wearing a cast);
(b) Explaining the radiologic procedure to the patient;
(c) Measuring part thickness (excluding podiatric and extremities) with calipers;
(d) Comparing the technique chart with the patient characteristics and setting the exposure factors on the unit;
(e) Properly placing or employing the image receptor identification labels;
(f) Competently positioning patients for all routine procedures associated with the category of interest identified in appendixes A to F to this rule, to include:
(i) Appropriate immobilization and use of positioning aids;
(ii) Visualization of pertinent anatomy;
(iii) Correct object-image distance (OID), source-to-image distance (SID), image receptor size, grid use, and compensating filters, as applicable;
(iv) Proper collimation of the radiation beam; and
(v) Appropriate breathing instructions to patient;
(g) Operating equipment safely by keeping radiation exposures “as low as reasonably achievable” (ALARA). This entails routinely employing the cardinal safety principles of time, distance and shielding for both patient and operator;
(h) Processing the image; and
(i) Assessing the image for basic quality control; and
(7) Is conducted by an instructor with a minimum of two years of professional experience and proficiency in instructing, and is qualified through academic preparation evidenced by a degree in radiological science, or completion of core course work in the radiological sciences, or demonstrates equivalent standards of experience and education.
(F) Any person may apply to the director for approval to conduct a continuing education course for general x-ray machine operators, radiographers, radiation therapists, or nuclear medicine technologists. Any person desiring to apply for approval to conduct a specific course of study shall complete one application per subject prescribed by the director and submit the completed application to the director with the application fee at least sixty days prior to initiating the program. The non-refundable application fee shall be paid by check or money order, payable to “Treasurer, State of Ohio” in the amount of seventy-five dollars per subject. The director shall return an incomplete application to the applicant for completion. An approval to conduct a continuing education course does not expire but may be suspended or revoked in accordance with paragraph (K) of this rule. An application for approval of a continuing education course shall contain the following:
(1) Name, address, and telephone number of applicant;
(2) Title of course, number of classroom hours, target audience, specific program objectives, and the instructional techniques or strategies that will be used to obtain the intended learning outcomes;
(3) Name, address, telephone number, and curriculum vitae of all instructors; and
(4) A statement certifying that the course complies and will remain in compliance with the requirements of this rule.
(5) A sample copy of the certificate that will be given to each participant that successfully completes the continuing education course which includes the following information:
(a) The title of the program and the department approval number;
(b) Date of the course;
(c) Number of approved classroom hours;
(d) Name of the approved sponsor;
(e) Signature space for the instructor or authorized representative of the sponsor; and
(f) Name of the participant.
(G) The department shall approve continuing education approved by “The American Society of Radiologic Technologists,” “Society of Nuclear Medicine,” or “International Society for Clinical Densitometry” for the subjects and number of classroom hours related to radiation safety courses as meeting the continuing education requirements for Ohio licensees that do not hold current certification with the “American Registry of Radiologic Technologists” or the “Nuclear Medicine Technology Certification Board.”
(H) The director shall not approve an application for approval of a continuing education course unless the course meets the following requirements:
(1) The course shall be conducted by an instructor who has a minimum of two years of professional experience and proficiency in instructing, and is qualified through academic preparation evidenced by a degree in radiological science, or completion of core course work in the radiological sciences, or demonstrates equivalent standards of experience and education.
(2) The course content shall include one of the following subjects:
(a) Quality control, quality assurance, or quality management practices;
(b) Principles of radiographic imaging;
(c) Radiographic, radiation therapy, nuclear medicine or bone densitometry equipment, instrumentation, positioning, or procedures; or
(d) Radiation safety and protection.
(I) Except in the case of a course approved pursuant to paragraph (G) of this rule, an approved continuing education provider shall notify the department of the time, date and location at least fourteen days prior to commencing a program or course. The provider shall further notify the department of any changes in curricula or instructors at least fourteen days prior to commencing the program or course. The department may audit any educational program or continuing education course accredited or approved under this rule.
(J) Except in the case of a course approved pursuant to paragraph (G) of this rule, an accredited education program or approved continuing education provider shall maintain records of individuals enrolled in the program for a period of at least three years from the date of providing the course.
(K) The department, in accordance with Chapter 119. of the Revised Code, may deny, suspend, or revoke accreditation of an educational program, or may deny, suspend, or revoke approval of a continuing education course if the program or course fails at any time to meet the requirements of Chapter 4773. of the Revised Code or Chapter 3701-72 of the Administrative Code.
APPENDIX A
See Appendix at http://www.registerofohio.state.oh.us/pdfs/3701/0/72/3701-72-03_PH_FF_A_APP1_20070629_1225.pdf
APPENDIX B
See Appendix at http://www.registerofohio.state.oh.us/pdfs/3701/0/72/3701-72-03_PH_FF_A_APP2_20070629_1225.pdf
APPENDIX C
See Appendix at http://www.registerofohio.state.oh.us/pdfs/3701/0/72/3701-72-03_PH_FF_A_APP3_20070629_1225.pdf
APPENDIX D
See Appendix at http://www.registerofohio.state.oh.us/pdfs/3701/0/72/3701-72-03_PH_FF_A_APP4_20070629_1225.pdf
APPENDIX E
See Appendix at http://www.registerofohio.state.oh.us/pdfs/3701/0/72/3701-72-03_PH_FF_A_APP5_20070629_1225.pdf
APPENDIX F
See Appendix at http://www.registerofohio.state.oh.us/pdfs/3701/0/72/3701-72-03_PH_FF_A_APP6_20070629_1225.pdf
Effective: 08/01/2007
R.C. 119.032 review dates: 03/29/2007 and 08/01/2012
Promulgated Under: 119.03
Statutory Authority: 4773.08
Rule Amplifies: 4773.03
Prior Effective Dates: 10/16/1995, 9/1/97, 9/4/00, 3/23/04
(A) Each radiologic licensee shall operate ionizing radiation-generating equipment or use radiopharmaceuticals in accordance with the safe operating procedures and instruction of workers required under the rules adopted pursuant to Chapter 3748. of the Revised Code. The director may at any time during business hours evaluate operator competency in regard to the safe operation of ionizing radiation-generating equipment or use of radioactive sources to determine compliance with Chapter 4773. of the Revised Code or any rules adopted pursuant to Chapter 3748. of the Revised Code.
(B) Radiographers, nuclear medicine technologists, radiation therapists, and general x-ray machine operators who are registered nurses providing occupational health nursing services in an industrial workplace shall work under general supervision.
(C) General x-ray machine operators, other than those registered nurses who provide occupational health nursing services in an industrial workplace, shall work under the direct supervision of a licensed practitioner.
(D) Provided that all radiation safety training required by rules adopted pursuant to Chapter 3748. of the Revised Code have been completed, registered nurses, registered cardiovascular invasive specialists, and general x-ray machine operators licensed prior to September 30, 1995, who have been continuously licensed in accordance with this chapter to practice in the area of fluoroscopy pursuant to the conditional license requirements of section 4773.05 of the Revised Code, may perform, under the direct supervision of a licensed practitioner present in the room, the following tasks of a cardiac catheterization fluoroscopic procedure:
(1) Move or position the patient during exposure;
(2) Move or position the fluoroscopic unit;
(3) Reset the timer after the audible signal; and
(4) Develop the radiographic image.
(E) The following fluoroscopy tasks shall be performed only by a licensed practitioner or an Ohio licensed radiographer:
(1) Adjust or set technique factors for the x-ray procedure;
(2) Activate the switch to expose the patient; or
(3) Assure adequate radiation protection to the patient and individuals in the procedure room from unnecessary radiation.
(F) General x-ray machine operators licensed after one year after the effective date of this rule shall complete one or as many of the following competency-based clinical training modules from an accredited competency-based clinical training program needed to meet the requirements to work within the scope of practice of their supervising practitioner:
(1) Chest and abdomen,
(2) Extremities,
(3) Skull and sinus,
(4) Spine,
(5) Podiatric radiography, or
(6) Bone densitometry.
(G) A general x-ray machine operator changing his or her employment to a different licensed practitioner within a new area of clinical practice shall complete four hours of supervised clinical practice assignments in accordance with paragraph (B)(6) of rule 3701-72-02 of the Administrative code. One year after the effective date of this rule, general x-ray machine operators changing employment to a different licensed practitioner within a new area of clinical practice, shall, prior to practicing in the new area, complete the appropriate competency-based clinical training module as required by paragraph (F) of this rule and submit evidence of completion of the clinical training to the department.
(H) General x-ray machine operators initially licensed prior to one year after the effective date of this rule who want to perform standard, diagnostic radiologic procedures using digital equipment, shall complete the corresponding competency-based clinical training module as listed in paragraph (F) of this rule and submit evidence of completion of the clinical training to the department.
(I) A licensee shall post his or her license or a facsimile thereof at a conspicuous location in his or her work area at each place of employment, or make his or her license available immediately upon the request of any person.
(J) Each licensee shall notify the department in writing within thirty days if:
(1) There is a change in the licensee’s name or address; or
(2) In the case of the general x-ray machine operator, there is a change of employment or a change in the licensed practitioner providing direct supervision.
(K) Positron emission tomography-computed tomography and single photon emission computed tomography-computed tomography fusion procedures shall be performed by a licensed nuclear medicine technologist or a licensed radiographer who has obtained training and demonstrated competency with the equipment and procedures satisfactory to the director. Radiopharmaceuticals shall be injected only by a licensed nuclear medicine technologist or other competent licensed individuals acting within their scope of practice as authorized by the Revised Code. If the computed tomography scanner is operated for any other diagnostic radiographic procedures, the computed tomography scanner shall be operated by a licensed radiographer.
Replaces: 3701-72-04
Effective: 08/01/2007
R.C. 119.032 review dates: 08/01/2012
Promulgated Under: 119.03
Statutory Authority: 4773.08
Rule Amplifies: 4773.03, 4773.06, 4773.08, 4773.99
Prior Effective Dates: 10/19/1995, 10/13/97, 9/4/00, 5/17/04