N.D. Admin. Code tit. 33.1, art. 33.1-10, ch. 33.1-10-06, app J
An individual must perform at least three examinations prior to requesting a final competency evaluation for each of the limited scope examinations listed in appendix I. The three pre-evaluation examinations should be on actual patients but may be simulated if there is an insufficient number of patients requiring the procedure during the students clinical competency training period. The evaluations shall be documented on forms provided by the department. The final competency evaluation must be on an actual patient. To pass a final competency evaluation, the individual must receive an acceptable rating in each of the criteria listed below.
1. At a minimum, the following criteria must be evaluated during a procedure and image competency evaluation involving an actual patient. Simulated procedures need to evaluate only subdivisions a through k below:
a. Select appropriate film size.
b. Select appropriate technique.
c. Use correct source-to-image distance.
d. Establish proper direction of central ray.
e. Execute proper patient position.
f. Collimate if appropriate.
g. Provide gonadal shielding if appropriate.
h. Use correct film markers.
i. Give proper patient instruction.
j. Place patient information correctly on the film.
k. Complete examination in an acceptable time limit.
l. All anatomical parts included on the film.
m. Correct positioning of anatomical parts.
n. Appropriate contrast.
o. Adequate density.
p. Correct use of right and left markers.
q. Proper accessory markers as needed.
r. No visible motion.
s. Patient information correct and clearly visible.
2. If the individual is unable to demonstrate clinical competence while completing the requirements for clinical supervision in either subdivision a or b of subsection 2 of appendix H due to a lack of opportunities to conduct certain procedures, the student shall complete the three prerequisite examinations using simulation for subdivisions a through k of subsection 1. Final demonstration of competence in subdivisions a through s of subsection 1 should be completed as soon as there is a patient requiring the procedure. No individual may perform an unsupervised procedure for which they have not successfully completed the final demonstration of competence.
N.D. Admin Code tit. 33.1, art. 33.1-10, ch. 33.1-10-06, app J