Md. Code Regs. 10.32.10.09

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.32.10.09 - Scope of Practice - Radiography

A. The scope of practice of radiography includes the following:

(1) Analysis and correlation of procedure requests and clinical information provided by a physician or patient, or both, for preprocedure determination of the appropriate exam, its extent, and its scope;

(2) Evaluation of the physical and emotional status of the patient with respect to the ability to undergo the procedure requested;

(3) Selection, preparation, and operation of radiography equipment and accessories to perform procedures;

(4) Positioning patient to best demonstrate anatomy of interest, while respecting patient's physical limitations and comfort;

(5) Determination of radiographic exposure factors, setting of factors on control panel, and application of x-ray exposures;

(6) Application of radiation protection principles to minimize radiation exposure to patient, self, and others;

(7) Evaluation of images for technical quality;

(8) Performance of noninterpretive fluoroscopic procedures according to institutional policy;

(9) Oversight of image processing standards and the appropriate labeling of images;

(10) Administering contrast media after consultation with, and under the supervision of, a physician who is immediately and physically available; and

(11) Performing any other duties that the Board determines may be performed by a radiographer.

B. The scope of practice of radiography includes the administration of intravenous medications and other patient care procedures as directed by the physician if the:

(1) Radiographer is:

(a) Registered by the ARRT in advanced qualifications in cardiac-interventional radiography, vascular-interventional radiography, or cardiovascular-interven- tional radiography;

(b) Working in a cardiac catheterization laboratory or interventional radiographic laboratory while cardiac catheterization or interventional procedures are ongoing; and

(c) Administering the medication or performing a patient care procedure at the direction of a physician while the physician is present in the room directing the administration and dosage of medication or performance of the patient care procedure;

(2) Supervising physician in the cardiac catheterization or interventional laboratory is responsible for the acts of the radiographer when delegating the administration of intravenous medications or performance of a patient care procedure; and

(3) Facility where the procedure is performed:

(a) Has protocols available for review by the Board;

(b) Documents the training provided to the radiographer; and

(c) Evaluates the radiographer on a regular basis for competency, documents the results of these tests, and makes the results available for inspection by the Board.

C. The scope of practice of radiography includes the insertion and removal of peripherally inserted central catheters with or without fluoroscopic guidance if the:

(1) Radiographer is:

(a) Registered by the ARRT in advanced qualifications in cardiac-interventional radiography, vascular-interventional radiography, or cardiovascular-interventional radiography;

(b) Working in a cardiac catheterization laboratory or interventional radiographic laboratory while cardiac catheterization or interventional procedures are ongoing; and

(c) Under the onsite supervision of the supervising physician;

(2) Supervising physician in the cardiac catheterization or interventional laboratory is responsible for the acts of the radiographer with respect to insertion or removal of peripherally inserted central catheters; and

(3) Facility where the procedure is performed:

(a) Has protocols available for review by the Board;

(b) Documents the training provided to the radiographer; and

(c) Evaluates the radiographer on a regular basis for competency, documents the results of these tests, and makes the results available for inspection by the Board.

Md. Code Regs. 10.32.10.09

Regulations .09 adopted as an emergency provision effective February 16, 1990 (17:6 Md. R. 735); emergency status extended at 17:17 Md. R. 2076 and 18:3 Md. R. 301; emergency status expired July 1, 1991
Regulations .09 adopted as an emergency provision effective July 2, 1991 (18:14 Md. R. 1607); emergency status expired January 1, 1992
Regulations .09 adopted effective January 2, 1992 (18:21 Md. R. 2308)
Regulation .09 amended effective September 11, 1995 (22:18 Md. R. 1400); May 19, 1997 (24:10 Md. R. 710)
Regulation .09 amended as an emergency provision effective February 13, 2003 (30:5 Md. R. 363); amended permanently effective March 31, 2003 (30:6 Md. R. 420)
Regulation .09 amended effective 42:4 Md. R. 433, eff.3/2/2015