Iowa Administrative Code
Agency 641 - Public Health Department
Chapter 42 - Permit to Operate Ionizing Radiation Producing Machines or Administer Radioactive Materials
Rule 641-42.9 - Permit to Practice as a Limited Radiologic Technologist With Categories of Chest, Spine, Extremities, Shoulder, Pediatric
Universal Citation: IA Admin Code 641-42.9
Current through Register Vol. 47, No. 6, September 18, 2024
An individual with a limited radiologic technologist permit shall perform radiography only within the scope of the category(ies) in which the permit is issued.
(1) The scope of each category is defined as follows:
a.
"Chest" allows the permit holder to perform radiography of the lung fields
including the cardiac shadow, as taught in the limited radiography formal
education standards. Chest radiograph techniques shall not be manipulated for
the evaluation of the shoulder, clavicle, scapula, ribs, thoracic spine and
sternum. Limited radiologic technologists who have completed the appropriate
formal education after January 1, 2009, may perform lateral decubitus chest
views.
b. "Extremities" allows the
permit holder to perform radiography for body parts from:
(1) The distal phalanges of the foot to the
head of the femur, including its articulation with the pelvic girdle. True hip
radiographs are prohibited.
(2) The
distal phalanges of the hand to the head of the humerus. These projections may
include the acromioclavicular or glenoid-humeral areas. The radiograph shall
not include any of the views in the shoulder category unless the individual
holds a limited radiologic technologist permit that includes the shoulder
category.
c. "Spine"
allows the permit holder to perform radiography of the spine in the approved
areas only. Approved areas and limitations are described as:
(1) Cervical vertebrae.
(2) Thoracic (dorsal) vertebrae.
(3) Lumbar vertebrae to include the
articulations with the sacrum and coccyx and the sacral articulation with the
pelvic girdle. True pelvis radiographs or other projections performed with the
image receptor positioned perpendicular to the long axis of the torso are
prohibited under this category.
(4)
All projections shall be performed as taught in the limited radiologic
technologist formal education standards.
d. "Shoulder" allows the permit holder to
perform radiography of the shoulder in the approved projections only. Approved
projections and limitations are described as:
(1) AP internal and external
rotation.
(2) AP neutral.
(3) Transthoracic lateral views.
(4) Scapular "Y" lateral.
(5) The image may not include the proximal
end of the clavicle on any AP projection. All other shoulder views are
prohibited. The permit holder must hold a limited radiologic technologist
permit with a category of either chest or extremity in order to be granted the
shoulder category.
e.
"Pediatric" allows the permit holder to perform radiography of either chest or
extremities or both as defined in paragraphs 42.9(1)"a" and
"b" above for patients aged 36 months and under. The permit
holder must hold a limited radiologic technologist permit with the minimum
categories of chest or extremities or both in order to qualify for pediatric
radiography. This designation allows permit holders to perform pediatric
radiography within the permit classifications listed on their permit only. All
other projections on pediatric patients by limited radiologic technologists are
prohibited.
(2) An individual applying for an initial permit shall:
a. Be at least 18 years of age.
b. Submit the appropriate completed
application.
c. Submit a
nonrefundable $100 application fee.
d. Submit proof of completion of formal
education in all limited diagnostic radiography categories for which the
individual is applying. In order to apply for the shoulder category, the
individual must also apply for the chest or extremity category. In order to
apply for the pediatric category, the individual must also apply for the chest
or extremity category. Each individual making application to attend a formal
education course provided by the department to fulfill the requirements of
42.9(2)"d" must submit an application and nonrefundable fee of
$200 to the department each time the individual attends a course.
e. Submit proof of completion of testing as
applicable for each permit category for which the individual is applying on the
limited radiologic technologist permit. No examination is required for the
categories of shoulder or pediatric.
(1) The
following are passing scores:
1. A score ofat
least 70 percent on the ARRT limited scope of practice in radiography
examination core section and at least 70 percent on each category; or
2. A score of at least 70 percent on the
American Chiropractic Registry of Radiologic Technologists Limited Radiography
examination; or
3. A score of at
least 70 percent on a department-approved examination.
(2) Three failed attempts on the examination
in 42.9(2)"e"(1) "1" or "3" will require the individual to
repeat the formal education or complete a department-approved review program.
(3) Each individual making
application to take an examination as a limited radiologic technologist in
42.9(2)"e"(1) "1" or "3" must submit an application to the
department each time the individual takes the examination. The individual must
also submit the examination fee directly to the ARRT each time the individual
takes the examination.
f. Submit proof of completion of formal
education and examination in the category to be added and a nonrefundable $40
amendment fee to add chest, extremity or spine category to an existing limited
radiologic technologist permit. A score of at least 70 percent on each category
is required.
g. Submit proof of
completion of formal education and a nonrefundable $40 amendment fee to add
shoulder or pediatric category to an existing limited radiologic technologist
permit. No examination is required.
(3) An individual renewing a current permit shall:
a. Renew annually by submitting a
renewal application and a nonrefundable $75 renewal fee.
b. Report 12.0 hours of continuing education
obtained within the biennium indicated on the individual's permit.
(4) An individual reinstating an expired permit shall submit the following:
a.
Application to reinstate and nonrefundable $150 application fee. If the permit
is expired six months or more, all previous exemptions from this chapter are no
longer valid and the individual is subject to all requirements of rule 641-42.9
(136C).
b. Any continuing education
hours due at time of renewal. If the permit is expired more than one year past
the expiration date, 12.0 hours of continuing education obtained within the
previous 24 months must be submitted.
c. Proof that all stipulations of any
order(s) of disciplinary or enforcement action have been satisfied.
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