Administrative Rules of Montana
Department 24 - LABOR AND INDUSTRY
Chapter 24.204 - BOARD OF RADIOLOGIC TECHNOLOGISTS
Subchapter 24.204.5 - Licensing and Scope of Practice
Rule 24.204.504 - PERMITS - PRACTICE LIMITATIONS

Universal Citation: MT Admin Rules 24.204.504

Current through Register Vol. 18, September 20, 2024

(1) Upon successful completion of the required formal training and the required examination, the board may issue a limited permit to the applicant which specifies the x-ray procedures the limited permit holder is authorized to perform. The limited permit holder may only take x-rays as follows:

(a) in the chest area, consisting of the thoracic region including the lungs, AP (anterior posterior) or PA (posterior anterior) views, lateral and apical lordotic routine chest exposures, and other views as needed by the ordering physician or interpreting radiologist, but in no case involving mammography procedures;

(b) of the extremities, AP or PA, lateral, and oblique routine exposures;

(c) of the spine, AP, lateral, and oblique routine exposures of the cervical, thoracic, and lumbar areas;

(d) all routine views of the skull and sinuses, with the exception of internal auditory canal series and mastoid series;

(e) of the abdomen, consisting of the region from the diaphragm to the pubis, routine supine and upright AP abdomen projection, and IVP (intravenous pyelogram) scout and follow-up films as specified by the supervising radiologist or physician; and

(f) for GI (gastrointestinal) tract and associated overhead films, the limited permit holder may assist the physician in fluoroscopic examination of the GI tract and may produce films of all associated overhead views as ordered by the physician.

(2) A limited practice permit holder or applicant may perform bone densitometry examinations upon successful completion of the bone densitometry equipment operators examination administered by the American Registry of Radiologic Technologists (ARRT) or the International Society of Clinical Densitometry (ISCD).

(3) Limited permit holders who completed the 104-hour training are not authorized or permitted to perform fluoroscopy procedures due to the difficulty in monitoring, limiting, and controlling the accumulative doses of ionizing radiation.

(4) A student of a radiologic technologist program accredited by a mechanism recognized by the ARRT is allowed to perform procedures with portable fluoroscopy equipment (also known as C-Arm), provided the student has submitted documentation to the board that:

(a) identifies the student as being enrolled in a radiology program accredited by a mechanism recognized by the ARRT;

(b) the student will be performing portable fluoroscopy procedures as a student with routine supervision;

(c) identifies the names of the student's clinical supervisors; and

(d) identifies the facility which will allow the student to receive clinical experience, including the performance of duties outside the scope of a limited permit holder.

(5) If a student of a radiologic technologist program accredited by a mechanism recognized by the American Registry of Radiologic Technologists (ARRT) has completed the first two semesters of the program or its equivalent, as determined by the board, and has become a limited permit holder, that person may perform procedures while operating portable fluoroscopy equipment and may be compensated as long as the student is not performing procedures for course credit and has completed the clinical time requirements.

37-1-131, 37-14-202, MCA; IMP, 37-14-301, 37-14-306, MCA;

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