Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 32 - BOARD OF PHYSICIANS
Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists
Section 10.32.10.08 - Scope of Practice - Radiation Therapy

Universal Citation: MD Code Reg 10.32.10.08

Current through Register Vol. 51, No. 19, September 20, 2024

The practice of radiation therapy includes the following:

A. Scope of practice for simulation procedures and for operation of external beam treatment devices, CT simulator, and fluoroscopic simulator for patient therapy which includes:

(1) Preparation of machine for patient procedure;

(2) Positioning patient for treatment or localization, or both;

(3) Adjustment of machine components and systems;

(4) Application of machine adjustments while patient is on the table;

(5) Attachment or removal of any machine device or machine accessory for patient service, or both;

(6) Manipulation of machine controls for patient exposure for localization or treatment, or both;

(7) Production of radiation for tumor or field localization on, or treatment of, a patient, or both;

(8) Documentation of technical set up used on a patient;

(9) Monitoring of patient and equipment during the simulation or treatment procedures for application of corrective actions;

(10) Oversight and application of image development standards and appropriate labeling of images regarding patient identification, date, and documentation of technical parameters;

(11) Performance of patient or image measurements, or both;

(12) Application of technical procedures in accordance with accepted radiation safety standards and regulations;

(13) Performance of dosimetric and geometric calculations related to patient treatment; and

(14) Manipulation, data entry, or other use of computer-accelerator interfaced hardware or software for patient treatment;

B. Scope of practice for preparation of patient treatment devices which includes:

(1) Oversight of in-facility manufacture of devices or device accessories for use in patient treatment; and

(2) Approval of devices for use in patient simulation and treatment;

C. Scope of practice for brachytherapy and radiopharmaceutical procedures which includes:

(1) Removal, return, or handling of radiation sources or medical applicators, or both, containing radioactive material;

(2) Transportation of radioactive materials;

(3) Documentation for the accountability and use of the radiation sources;

(4) Insertion and removal of sources from medical applicators;

(5) Preparation of radiopharmaceuticals for therapeutic administration to patients under physician supervision;

(6) Assisting the licensed physician in the preparation and administration of therapeutic radiopharmaceuticals;

(7) Documentation of the therapeutic application of radiopharmaceuticals;

(8) Oversight of radiation safety practices related to the handling and administration of radiopharmaceuticals for therapy of patients;

(9) Management of transportation and handling of therapeutic radiopharmaceuticals, immediate management and appropriate notifications for any spills or other accidents involving radiopharmaceuticals; and

(10) Calibration of therapeutic radiopharmaceuticals for dose accuracy; and

D. Performance of any other duties that the Board determines may be performed by a radiation therapist.

Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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