10.32.10.09

.09 Scope of Practice — Radiography.

A. The scope of practice of radiography includes the following:

(1) Analysis and correlation of procedure requests and clinical information provided by a physician or patient, or both, for preprocedure determination of the appropriate exam, its extent, and its scope;

(2) Evaluation of the physical and emotional status of the patient with respect to the ability to undergo the procedure requested;

(3) Selection, preparation, and operation of radiography equipment and accessories to perform procedures;

(4) Positioning patient to best demonstrate anatomy of interest, while respecting patient's physical limitations and comfort;

(5) Determination of radiographic exposure factors, setting of factors on control panel, and application of x-ray exposures;

(6) Application of radiation protection principles to minimize radiation exposure to patient, self, and others;

(7) Evaluation of images for technical quality;

(8) Performance of noninterpretive fluoroscopic procedures according to institutional policy;

(9) Oversight of image processing standards and the appropriate labeling of images;

(10) Administering contrast media after consultation with, and under the supervision of, a physician who is immediately and physically available; and

(11) Performing any other duties that the Board determines may be performed by a radiographer.

B. The scope of practice of radiography includes the administration of intravenous medications and other patient care procedures as directed by the physician if the:

(1) Radiographer is:

(a) Registered by the ARRT in advanced qualifications in cardiac-interventional radiography, vascular-interventional radiography, or cardiovascular-interven- tional radiography;

(b) Working in a cardiac catheterization laboratory or interventional radiographic laboratory while cardiac catheterization or interventional procedures are ongoing; and

(c) Administering the medication or performing a patient care procedure at the direction of a physician while the physician is present in the room directing the administration and dosage of medication or performance of the patient care procedure;

(2) Supervising physician in the cardiac catheterization or interventional laboratory is responsible for the acts of the radiographer when delegating the administration of intravenous medications or performance of a patient care procedure; and

(3) Facility where the procedure is performed:

(a) Has protocols available for review by the Board;

(b) Documents the training provided to the radiographer; and

(c) Evaluates the radiographer on a regular basis for competency, documents the results of these tests, and makes the results available for inspection by the Board.