Current through all regulations passed and filed through September 16, 2024
(A) Any person may apply to the director for
approval to conduct an educational program for general x-ray machine operators,
radiographers, radiation therapists, or nuclear medicine technologists. Any
person desiring to conduct an accredited educational program for a specific
course of study shall complete an application prescribed by the director and
submit the completed application to the director with the non-refundable
application fee at least sixty days prior to initiating the program. The
application fee shall be paid by check or money order, payable to "Treasurer,
State of Ohio" in the amount of five hundred dollars. The director shall return
an incomplete application to the applicant for completion. An approval to
conduct an educational program does not expire but may be suspended or revoked
in accordance with paragraph (L) of this rule. An application for approval as an
accredited educational program shall contain the following:
(1) Name, address, and telephone number of
applicant;
(2) Title of program,
length of program, target audience, specific program objectives, and the
instructional techniques or strategies that will be used to obtain the intended
learning outcomes;
(3) Name,
address, telephone number, and curriculum vitae of all instructors;
and
(4) A statement certifying that
the program complies and will remain in compliance with the requirements of
this rule.
(B)
Any national certifying organization that certifies
nuclear medicine technologists or radiation therapists for computed tomography
may apply to the director for approval to accept the national organization's
certification in computed tomography. An approval does not expire but may be
suspended or revoked in accordance with paragraph (L) of this rule. The
application shall contain the following:
(1)
Name, address,
and telephone number of the organization;
(2)
The certification
requirements;
(3)
Verification of accreditation by the "National
Commission for Certifying Agencies"; and
(4)
A statement
certifying that the national certifying organization complies and will remain
in compliance with the requirements of this rule.
(C)
The director may
approve a national certifying organization that certifies nuclear medicine
technologists or radiation therapists for computed tomography if the national
certifying organization is accredited by the "National Commission for
Certifying Agencies" and the computed tomography certification requires, at a
minimum, the following:
(1)
Sixteen credit hours of didactic education, with at
least one credit hour in each of the following categories, and the remaining
twelve credit hours distributed across the following categories:
(a)
Patient
care
(b)
Radiation safety
(c)
Image production;
and
(d)
Computed tomography procedures;
(2)
Clinical experience of at least:
(a)
Ten different
types of computed tomography procedures; and
(b)
Fifty repetitions
distributed across the different types of computed tomography
procedures.
(D) The director shall
not approve an application for a radiographer educational program unless the
program meets the following requirements:
(1)
Appendix A of 42 CFR 75 (as published in the October 1, 2005, Code of Federal
Regulations); or
(2) The program is
accredited by the "Joint Review Committee on Education in Radiologic
Technology;" or
(3) The program is
housed in a college accredited by the "North Central Association of Colleges
and Schools" or other United States department of education approved regional
accrediting agencies.
(E) The director shall
not approve an application for a nuclear medicine technologist educational
program unless the program meets the following requirements:
(1) Appendix D of 42 CFR 75 (as published in
the October 1, 2005, Code of Federal Regulations); or
(2) The program is accredited by the "Joint
Review Committee on Educational Programs in Nuclear Medicine Technology"; or
(3)
The program is housed in a college accredited by the "North Central Association
of Colleges and Schools" or other United States department of education
approved regional accrediting agencies.
(F) The director shall
not approve an application for a radiation therapist educational program unless
the program meets the following requirements:
(1) Appendix E in 42 CFR 75 (as published in
the October 1, 2005, Code of Federal Regulations); or
(2) The program is accredited by the "Joint
Review Committee on Education in Radiologic Technology"; or
(3) The program is housed in a college
accredited by the "North Central Association of Colleges and Schools" or other
United States department of education approved regional accrediting
agencies.
(G) The director shall
not approve an application for a general x-ray machine operator educational
program unless:
(1) The program is accredited
by the "Joint Review Committee on Education in Radiologic Technology";
or
(2) The program is housed in a
college accredited by the "North Central Association of Colleges and Schools";
or
(3) The program is accredited by
an organization recognized by the United States department of education;
or
(4) The program:
(a)
Is a professional
association of, and recognized by, licensed practitioners, and
(b)
Has a curriculum with a didactic training section
that includes the following:
(i) Radiographic
equipment and often-used terms/terminology;
(ii) The nature of
x-rays, their relative energy spectrum, and their fundamental properties when
traveling in space and interacting with matter;
(iii) The components of
the x-ray tube and their basic functions;
(iv) How x-rays are
produced by the x-ray machine;
(v) The essential
factors controlling the quality and quantity of x-ray beam intensity,
specifically what kilovoltage peak (kVp) and milliamperes (mA) do to the x-ray
beam;
(vi) The functions of
the x-ray tube, control panel, table, and grid devices;
(vii)
The three potential interactions of x-rays with matter, how these combine to
produce a useful image, along with their potential negative effects on both the
image clarity and radiation safety. However, the student is not required to
conceptualize how these interactions occur using atomic models or their
relative probabilities of interaction;
(viii) X-ray image
formation and the different processing techniques for both film/screen and
digital image receptors;
(ix) Major factors that
control and affect image quality forming the basis of technique chart
development;
(x) The applicable
units of measurement used in dosimetry, the methods to monitor occupational
exposure, and when dosimetry is required;
(xi) The acute biologic
effects of radiation, with an emphasis on their limited relevance in diagnostic
radiology;
(xii) The long term
biologic effects of x-rays as a foundation to understanding the principles of
safe practice;
(xiii) The cardinal
rules of safety, along with standard safe practices in protecting both patients
and operators from ionizing radiation;
(xiv) The initial
clinical approach to identifying the patient and explaining the
procedure;
(xv) Proper patient
assessment and patient care skills when performing radiographic
procedures;
(xvi) Methods of
patient safety;
(xvii) Methods of
operator safety; and
(xviii) Patient
assessment and patient care - "Prelude to Clinical Training";
or
(5)
The program:
(a)
Has one or more of the clinical training
modules specified in the appendix to this rule, and the competency based
clinical assessment is conducted in a laboratory setting to include digital
image receptors, or DXA scanners for bone densitometry, and include the
following minimum requirements:
(i)
Evaluating and assessing the patient with respect
to:
(a) Verification of the correct patient;
(b)
Categorizing key factors, such as patient age and body habitus, for purposes of
determining technique;
(c) Basic patient
history and underlying medical issues (such as age, osteoporosis, spinal
osteoarthritis) pertinent to radiography;
(d) Patient concerns
regarding radiation exposure or the procedure;
(e) Communication
problems;
(f) Prior
studies;
(g) Pregnancy status,
last menstrual cycle;
(h) Mobility and
ambulatory status of patient (e.g., post op, post trauma, wearing a
cast);
(ii) Explaining the
radiologic procedure to the patient;
(iii) Measuring part
thickness (excluding podiatric and extremities) with calipers;
(iv)
Comparing the technique chart with the patient characteristics and setting the
exposure factors on the unit;
(v) Properly placing or
employing the image receptor identification labels;
(vi) Competently
positioning patients for all routine procedures associated with the category of
interest identified in the appendix to this rule, to include:
(a) Appropriate
immobilization and use of positioning aids;
(b) Visualization of
pertinent anatomy;
(c) Correct
object-image distance (OID), source-to-image distance (SID), image receptor
size, grid use, and compensating filters, as applicable;
(d)
Proper collimation of the radiation beam; and
(e) Appropriate
breathing instructions to patient;
(vii) Operating
equipment safely by keeping radiation exposures "as low as reasonably
achievable" (ALARA) to the patient by using optimal
technique factors. This also entails
routinely employing the cardinal safety principles of time, distance and
shielding for both patient and operator;
(viii)
Processing the image; and
(ix) Assessing the
image for basic quality control; and
(b) Is conducted by an
instructor with a minimum of two years of professional experience and
proficiency in instructing, and is qualified through academic preparation
evidenced by a degree in radiological science, or completion of core course
work in the radiological sciences, or demonstrates equivalent standards of
experience and education.
(H) Any person may
apply to the director for approval to conduct a continuing education course for
general x-ray machine operators, radiographers, radiation therapists, or
nuclear medicine technologists. Any person desiring to apply for approval to
conduct a specific course of study shall complete one application per subject
prescribed by the director and submit the completed application to the director
with the application fee at least sixty days prior to initiating the program.
The non-refundable application fee shall be paid by check or money order,
payable to "Treasurer, State of Ohio" in the amount of seventy-five dollars per
subject. The director shall return an incomplete application to the applicant
for completion. An approval to conduct a continuing education course does not
expire but may be suspended or revoked in accordance with paragraph
(L) of
this rule. An application for approval of a continuing education course shall
contain the following:
(1) Name, address, and
telephone number of applicant;
(2)
Title of course, number of CE credits, target audience, specific program
objectives, and the instructional techniques or strategies that will be used to
obtain the intended learning outcomes;
(3) Name, address, telephone number, and
curriculum vitae of all instructors;
(4)
A statement certifying that the course complies and will remain in compliance
with the requirements of this rule; and
(5)
A sample copy of the certificate that will be given to each participant that
successfully completes the continuing education course which includes the
following information:
(a) The title of the
program and the department approval number;
(b) Date of the course;
(c) Number of approved CE credits;
(d) Name of the approved sponsor;
(e) Signature space for the instructor or
authorized representative of the sponsor; and
(f) Name of the participant.
(I) The director shall
not approve an application for approval of a continuing education course unless
the course meets the following requirements:
(1) The course is conducted
by an instructor who has a minimum of two years of professional experience and
proficiency in instructing, and is qualified through academic preparation
evidenced by a degree in radiological science, or completion of core course
work in the radiological sciences, or demonstrates equivalent standards of
experience and education; and
(2)
Includes one of the following subjects:
(a) Quality control, quality assurance, or
quality management practices;
(b)
Principles of radiographic imaging;
(c) Radiographic, radiation therapy, nuclear
medicine or bone densitometry equipment, instrumentation, positioning, or
procedures; or
(d) Radiation safety
and protection.
(J) Except in the case
of a course approved pursuant to paragraph (L) of rule
3701-72-02 of the Administrative
Code, an approved continuing education provider shall notify the department of
any changes in curricula or instructors at least fourteen days prior to
commencing the program or course. The department may audit any educational
program or continuing education course accredited or approved under this
rule.
(K) Except in the case
of a course approved pursuant to paragraph (L) of rule
3701-72-02 of the Administrative
Code, an accredited education program or approved continuing education provider
shall maintain records of individuals enrolled in the program for a period of
at least three years from the date of providing the course.
(L)
The department, in accordance with Chapter 119. of the Revised Code, may deny,
suspend, or revoke accreditation of an educational program, or may deny,
suspend, or revoke approval of a continuing education course if the program or
course fails at any time to meet the requirements of Chapter 4773. of the
Revised Code or Chapter 3701-72 of the Administrative Code.
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