Current through Vol. 41, No. 13, March 15, 2024
(a)
Health care services allowed under
general supervision. A radiologist assistant may perform the following
health care services under general supervision at the direction of the
supervising radiologist. Such services are limited to the following, except as
provided in (c) and (d) of this subsection:
(1) Review the patient's medical record to
verify the appropriateness of a specific exam or procedure.
(2) Interview patient to obtain, verify, or
update medical history.
(3) Explain
procedure to patient, significant others, and/or other health care providers
including a description of risks, benefits, alternatives, and
follow-up.
(4) Determine patient
compliance, if needed, with pre-examination/procedure preparations (diet,
medications).
(5) Assess risk
factors that may effect the examination/procedure (medications, pregnancy,
pre-existing diseases, etc).
(6)
Obtain and evaluate vital signs.
(7) Perform history and physical examination
with assessment of related laboratory results.
(8) Evaluate electrocardiograms for the
purpose of recognizing abnormalities that might impact the
procedure/examination.
(9)
Performing urinary catheterization.
(10) Perform venipuncture for phlebotomy or
IV access.
(11) Monitor IV for flow
rate and complications.
(12)
Position and physically prepare patient for a procedure.
(13) Observe and assess patients during
conscious sedation.
(14) Recognize
and respond to medical emergencies (e.g., drug reactions, cardiac arrest,
hypoglycemia), activate emergency response systems, and notify appropriate
personnel.
(15) Administer oxygen
as required.
(16) Operate a
fluoroscopic unit and document fluoroscopy time.
(17) Administer contrast media, radioactive
materials, or other medication as directed by the supervising radiologist and
monitor for any adverse effects.
(18) Evaluate images for diagnostic quality
and report clinical observations to the radiologist.
(19) Communicate the radiologist's report to
the referring physician consistent with American College of Radiology
guidelines.
(20) Provide physician
prescribed post-examination/procedure instruction to the patient.
(21) Perform follow-up patient evaluation and
communicate findings to the radiologist
(22) Document the appropriate records for
review and co-signature by the supervising radiologist.
(23) Assist with data collection and review
for clinical trials or other research.
(b)
Health care services allowed under
direct supervision. A radiologist assistant may perform the following
health care services under direct supervision at the direction of the
supervising radiologist. Such services are limited to the following, except as
provided in (c) and (d) of this subsection:
(1) Upper GI, esophagram, small bowel
follow-through
(2) Small bowel
enteroclysis
(3) Barium
enema
(4) Cystogram, nephrostogram
via existing catheter, loopogram, and retrograde cystourethrogram
(5) Fistulogram/sinogram
(6) Swallowing study
(7) Cholangiogram through existing
catheter
(8) Lumbar puncture under
fluoroscopic guidance
(9) Cervical,
thoracic and/or lumbar myelogram via lumbar puncture
(10) Imaging for
hysterosalpingography
(11)
Arthrogram and joint aspiration
(12) Paracentesis and thoracentesis with
appropriate image guidance
(13)
Vascular access
(A) Central line
placement
(B) Tunneled central line
placement and removal
(C) Dialysis
access catheter management
(D) Port
access and injection
(E) Lower and
upper extremity venography
(F) PICC
placement
(14)
Nasoenteric and oroenteric feeding tube placement/manipulation
(c)
Other health care
services allowed.
(1) A radiologist
assistant may perform the following procedures under direct supervision after
documentation of ten cases with satisfactory outcomes and demonstrated
competency performed under the personal supervision of the supervising
radiologist who must have a full and unrestricted license in the state of
Oklahoma:
(A) Implantation of infusion
ports
(B) Explantation of infusion
ports
(C) Ultrasound guided random
liver biopsy
(2) Other
procedures not listed in this subsection may be approved to be performed by the
Radiologist Assistant under the direct supervision of the supervising
radiologist after review by the Committee for demonstrated competency and
approval by the Board.
(d)
Review of health care services
performed. The Committee will, at least on an annual basis, review the
structure and content of the list of health care services contained in this
subsection and make recommendations for approval of revisions to the Board of
Medical Licensure and Supervision.
Added at 26 Ok Reg 681,
eff 2-19-09 (emergency); Added at 26 Ok Reg 2578, eff
7-11-09
