Tenn. Comp. R. & Regs. 0880-09-.08 - RADIOLOGIST ASSISTANT SCOPE OF PRACTICE AND ROLE DELINEATION
(1) Before being authorized to perform any
x-ray procedure or operate any x-ray equipment in a physician's office, the
supervising staff radiologist shall place a copy of the person's renewal
certificate in the person's personnel file to prove the person being authorized
has the appropriate certification required for either or both the procedure
being performed and/or the equipment being used and that such certification is
current.
(2) The radiologist
assistant shall evaluate the day's schedule of procedures with the supervising
staff radiologist and determine where the radiologist assistant's skills will
be best utilized.
(3) After
demonstrating competency the radiologist assistant when ordered to do so by the
supervising radiologist may:
(a) perform
selected procedures under the direct supervision of a radiologist including
static and dynamic fluoroscopic procedures;
(b) assess and evaluate the physiologic and
psychological responsiveness of patients undergoing radiologic
procedures;
(c) participate in
patient management including acquisition of additional imaging for completion
of the examination and record documentation in medical records;
(d) evaluate image quality, make initial
image observations and communicate observations to the supervising radiologist;
and
(e) administer intravenous
contrast media or other prescribed medications.
(4) The use of conscious sedation/moderate
sedation requires the physical presence in the room, with the patient, of the
supervision radiologist.
(5) The
radiologist assistant may not interpret images, make diagnoses, or prescribe
medications or therapies.
(6) The
radiologist assistant shall adhere to the code of ethics of the American
Registry of Radiologic Technologists and to national, institutional and/or
departmental standards, policies and procedures regarding the standards of care
for patients.
(7) For the purposes
of this rule, "direct supervision" means the radiologist must be present in the
office suite and immediately available to furnish assistance and direction
throughout the performance of all procedures. "Direct supervision" does not
mean that the supervising radiologist must be present in the room when the
procedure is performed.
(8) A
certificate holder may be disciplined in the same manner, for the same causes
and pursuant to the same procedures as any physician pursuant to T.C.A. §
63-6-214.
Notes
Authority: T.C.A. §§ 4-5-202, 4-5-204, 63-6-101, 63-6-224, and 63-6-237.
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