Code of Colorado Regulations
1000 - Department of Public Health and Environment
1007 - Hazardous Materials and Waste Management Division
6 CCR 1007-1 - RULES AND REGULATIONS PERTAINING TO THE ADMINISTRATION AND ENFORCEMENT OF THE PESTICIDE APPLICATORS' ACT
Part 02 - RADIATION CONTROL - REGISTRATION OF RADIATION MACHINES, FACILITIES AND SERVICES
Appendix 6 CCR 1007-1-2-D - X-RAY SYSTEM OPERATOR ADEQUATE RADIATION SAFETY TRAINING AND EXPERIENCE, INCLUDING LIMITED SCOPE X RAY MACHINE OPERATOR (LSO)

Current through Register Vol. 48, No. 6, March 25, 2025

Each operator of a radiation machine used for healing arts purposes on living humans other than in dentistry, chiropractic or podiatry, shall meet the following education and experience requirements:

2D.1 Is certified or registered by:

2D.1.1 The American Registry of Radiologic Technologists as a Radiologic Technologist; or

2D.1.2 A specialty board determined by the department to have substantially equivalent requirements for certification as the American Registry of Radiologic Technologists,

Or

2D.2 Is certified by the Department as a State of Colorado-registered limited scope operator, to conduct only those radiographic examinations specified in Section 2.6.1.4 and having satisfactorily completed:

2D.2.1 At least 80 hours of didactic training providing the minimum hours of instruction in the specific subjects listed in 2D.2.1.1 through 2D.2.1.6:

2D.2.1.1 Basic X-Ray Physics-20 hours

(1) Structure of matter and the atom

(2) General description of production of x-rays

(3) X-ray emission, quantity and quality

(4) Function of filtration and effects it has on x-ray beam collimation

(5) Types of function of beam limiting devices

(6) Design, features and functions of x-ray tubes

(7) Circuitry of the x-ray machine

2D.2.1.2 Radiobiology-3 hours

(1) Effects of ionizing radiation on the human body

(2) Molecular and cellular radiobiology

(3) Factors that cause somatic and genetic damage

2D.2.1.3 Radiation Protection-6 hours

(1) ALARA

(2) Shielding materials

(3) Radiation quantity and units of measurement

(4) Basic interactions of x-rays with matter

(5) Primary and secondary scatter

(6) Importance of time, distance, shielding

(7) Maximum permissible doses: occupational and public

(8) Patient protection

2D.2.1.4. Principles of Exposure-15 hours

(1) Factors that control and influence radiographic quality

(2) Properties of x-rays

(3) Size distortion

(4) Shape distortion

(5) kVp, mAs, time

(6) AEC and manual

(7) Grids

(8) Collimation

(9) Intensifying screens

(10) X-ray films and holders

(11) Artifacts

(12) Inverse square law

2D.2.1.5 Procedures and Processing-4 hours

(1) Film storage and handling

(2) Manual, automatic processing film processing and troubleshooting

(3) Computed Radiography (CR)

(4) Digital Radiography (DR)

(5) PACs

(6) Quality assurance / quality control

2D.2.1.6 Anatomy and Positioning-32 hours

(1) Chest-4 hours

(2) Extremity-12 hours

(3) Spine-8 hours

(4) Skull-8 hours;

and

2D.2.2 At least 480 hours of clinical training during which time the individual may perform x-ray examinations under direct supervision of a qualified trainer, including:

2D.2.2.1 At least 320 hours experiential training at a clinic; and

2D.2.2.2 No more than 160 hours of laboratory training (exclusive of the didactic hours required by 2D.2.1.1 through 2D.2.1.6);

and

2D.2.3 Performance of the following imaging procedures (at least 84 examinations in total, with record of each examination kept on file):

2D.2.3.1 Ribs-4 examinations;

2D.2.3.2 Hand-4 examinations;

2D.2.3.3 Wrist-4 examinations;

2D.2.3.4 Forearm-4 examinations;

2D.2.3.5 Elbow-4 examinations;

2D.2.3.6 Humerus-4 examinations;

2D.2.3.7 Shoulder-4 examinations;

2D.2.3.8 Clavicle-4 examinations;

2D.2.3.9 Femur-4 examinations;

2D.2.3.10 Tibia - Fibula-4 examinations;

2D.2.3.11 Ankle-4 examinations;

2D.2.3.12 Foot-4 examinations;

2D.2.3.13 Sinuses-4 examinations;

2D.2.3.14 Skull-4 examinations;

2D.2.3.15 Facial Bones-4 examinations;

2D.2.3.16 C-Spine-4 examinations;

2D.2.3.17 Thoracic Spine-4 examinations;

2D.2.3.18 Lumbar Spine-4 examinations;

2D.2.3.19 Chest-4 examinations;

2D.2.3.20 Hip / Pelvis-4 examinations;

2D.2.3.21 Abdomen-4 examinations.

and

2D.2.4 A passing score on the American Registry of Radiologic Technologists (ARRT) examination for the Limited Scope of Practice in Radiography. A passing score is:

2D.2.4.1 A score of at least 75% correct on the Core Module, and

2D.2.4.2 An average score of at least 75% correct on the Radiographic Procedures Modules for Chest, Extremities, Skull/Sinuses, and Spine.

2D.2.5 And, has maintained a minimum of twenty-four (24) hours of continuing education every two years in the areas of radiology, radiation safety, radiography and similar fields. This education shall:

2D.2.5.1 Conform to guidelines equivalent to the most current revision of the ARRT Continuing Education Requirements for Renewal of Registration;