Cal. Code Regs. Tit. 17, § 30441 - CRT Scope of Practice

(a) Subject to subsection (c), the scope of practice of a certified radiologic technologist (CRT) includes, but is not limited to:

(1) Providing optimal patient care.

(2) Receiving, relaying, and documenting verbal, written, and electronic orders in the patient's medical record.

(3) Corroborating patient's clinical history with procedure, ensuring information is documented and available for use by a licentiate of the healing arts.

(4) Verifying informed consent for applicable procedures.

(5) Assuming responsibility for patient needs during radiologic procedures.

(6) Preparing patients for radiologic procedures.

(7) Applying principles of ALARA, as defined in title 10, Code of Federal Regulations, section 20.1003 as incorporated by reference in section 30253, to minimize radiation exposure to patient, self, and others.

(8) Performing venipuncture in compliance with Health and Safety Code section 106985.

(9) Identifying, preparing, or administering contrast media and saline-based solutions as prescribed by a licentiate of the healing arts in accordance with the facility's policies and procedures via an existing access line or port such as an intravenous (IV) line, or peripherally inserted central catheter (PICC), provided a licensed physician is physically present in the facility and available to provide immediate medical intervention to prevent or mitigate injury to the patient in the event of adverse reaction. For purposes of this provision, "contrast media" means a radiopaque substance used in radiological procedures to permit visualization of internal body structures. This provision shall not be construed to authorize a CRT to establish an IV line, PICC, central line or other vascular access site, or to authorize the identification, preparation or administration of radioactive material including radiopharmaceuticals, or to perform nuclear medicine technology as defined in Health and Safety Code section 107150.

(10) Evaluating images for technical quality and ensuring proper identification is recorded.

(11) Identifying and managing emergency situations in accordance with the facility's policies and procedures.

(12) Providing education to patients regarding the procedure.

(13) Educating and monitoring students and others about procedures, roles and responsibilities of individuals in the profession along with the biological effects of radiation and protection.

(14) Performing ongoing quality assurance activities, as applicable, such as quality control testing of equipment, monitoring image production, and evaluating quality assurance results.

(15) Performing diagnostic or therapeutic radiologic procedures as prescribed by a licentiate of the healing arts provided the individual holds a current and valid certificate or permit issued pursuant to, as applicable, sections 30440, 30451, or 30455.1.

(16) Determining technical exposure factors.

(17) Assisting with fluoroscopic and specialized radiologic procedures.

(18) Applying the principles of patient safety during all aspects of radiologic procedures.

(b) Subject to subsection (c), the scope of practice of a certified therapeutic radiologic technologist includes, but is not limited to:

(1) Delivering radiation therapy treatments as prescribed by a licentiate of the healing arts.

(2) Performing simulation, treatment planning procedures and dosimetric calculations as prescribed by a licentiate of the healing arts.

(3) Using imaging technologies such as fluoroscopy X-ray and computerized tomography equipment for the explicit purpose of simulation, treatment planning and treatment delivery as prescribed by a licentiate of the healing arts.

(4) Detecting and reporting significant changes in patients' conditions and determining when to withhold treatment until an appropriate certified supervisor and operator is consulted.

(5) Monitoring doses to normal tissues within the irradiated volume to ensure tolerance levels are not exceeded.

(6) Constructing or preparing immobilization, beam directional, and beam modification devices.

(7) Participating in brachytherapy procedures in accordance with a specific license authorizing medical use of radioactive material pursuant to section 30195(a).

(c) A CRT may only use X-ray equipment under supervision of a certified supervisor and operator (S&O). A CRT holding:

(1) Either a certificate in diagnostic or mammographic radiologic technology shall be under supervision of a certified S&O who holds a radiology S&O certificate or radiography S&O permit.

(2) A certificate in therapeutic radiologic technology shall be under supervision of a certified S&O who holds either a radiology S&O certificate, or, for the purposes of treatment of diseases and tumors of the skin, a dermatology S&O permit.

(3) A radiologic technologist fluoroscopy permit, when using fluoroscopy X-ray equipment, shall be under supervision of a certified S&O who holds either a radiology S&O certificate or fluoroscopy S&O permit.

Notes

Cal. Code Regs. Tit. 17, § 30441

1. New section filed 8-18-2020; operative 10-1-2020 (Register 2020, No. 34). For prior history, see Register 2013, No. 41.

Note: Authority cited: Sections 114870(a) and 131200, Health and Safety Code. Reference: Sections 106965, 106980, 106985, 114870, 131050, 131051 and 131052, Health and Safety Code.

1. New section filed 8-18-2020; operative 10/1/2020 (Register 2020, No. 34). For prior history, see Register 2013, No. 41.