337-010-0037 Fluoroscopy Supervision Permits for Advanced Practice Registered Nurses (1) An Advanced Practice Registered Nurse(APRN), as defined in ORS 678.025, may apply for a Limited Permit to Supervise Fluoroscopy provided all of the following are completed in the order listed and time frames indicated in this section. An APRN must: (a) Successfully complete and obtain certification of a passing score on the post-test of the didactic component of the board-approved version of the Fluoroscopy Educational Framework (Fluoroscopy Framework) dated December 2009 for the Physician Assistant; a program that was developed through collaboration of the American Academy of Physician Assistants and the American Society of Radiologic Technologists. The Board shall waive some or all didactic requirements based upon submission by the applicant of documentation confirming that the applicant has completed the equivalent of the didactic requirements outlined in the Fluoroscopy Framework; and (b) Complete and submit to the OBMI a Board-approved APRN device orientation checklist for each manufacturer and model intended to be used in the course of fluoroscopy supervision; and (c) Document and submit to the OBMI all required clinical experience as outlined in the Fluoroscopy Framework and by adhering to all of the following; (A) A Temporary Permit is not required to complete Clinical requirements; however, the advanced practice registered nurse must have the supervisor-evaluator in the room to personally supervise and evaluate all clinical training. (B) Personal Supervision and evaluation must be provided by either a physician licensed under ORS Chapter 677 or an advanced practice registered nurse with an active license from the Oregon State Board of Nursing and who holds an active fluoroscopy permit issued in accordance with this rule. (C) The Board shall waive some or all of the clinical experience requirements specified in this section based upon submission by the applicant documentation confirming that the applicant has already completed the equivalent of the clinical experience requirements; and (d) Submit verification of active advanced practice licensure with the Oregon State Board of Nursing; and (e) Apply for, take and pass the American Registry of Radiologic Technologists (ARRT) Fluoroscopy Examination. (A) Applicants desiring to sit for the Fluoroscopy Exam are designated as “applicants” and must be Advanced Practice Registered Nurses who properly submit to the Board applications for examinations and fees in accordance with this rule. Applicants are the only persons authorized to submit ARRT examination applications to the Board and to sit for the ARRT Fluoroscopy exam. Applicant status expires upon whichever of the following occurs first: (i) One year from the date of successful completion of the didactic component of the fluoroscopy framework or Board approved waiver, as reflected on the certificate indicating a passing score on the post-test or on the date the Board approves the waiver, or (ii) Immediately upon failure of the third attempt to pass the ARRT fluoroscopy examination within the one-year time-frame, or (iii) Immediately upon passing the ARRT fluoroscopy examination. (B) The examination application must be accompanied by a non-refundable processing fee of $20 plus the examination fee set by the ARRT for each examination application submitted. (C) Upon submission of the complete application, which includes completed requirements as specified in this section or a Board waiver in accordance with this rule, the OBMI will register the applicant for the ARRT Fluoroscopy Examination with the ARRT. (D) A passing score is 75%. The applicant may attempt to pass the examination up to three times. An applicant who fails to pass the ARRT Fluoroscopy Examination after the third attempt is required to retake and complete all of the didactic and clinical components before applying to sit for the examination again. A new exam application and associated non-refundable fees must be submitted to the OBMI for each time an applicant wishes to sit for the exam. (E) The examination will be administered at computer-based testing sites identified by the ARRT. The applicant is subject to the rules regarding test administration at the testing site. (F) The application fee for the examination is non-refundable. (G) The Limited Permit to Supervise Fluoroscopy is not an authorization to operate fluoroscopy equipment. (2) To obtain a 2-year Permanent Initial Limited Permit to supervise fluoroscopy, an APRN must submit to the Board and adhere to all of the following: (a) Possess a current unexpired license in advanced practice registered nursing from the Oregon State Board of Nursing; and (b) Comply with the Board’s requirements to sit for the ARRT fluoroscopy examination and have passed the ARRT fluoroscopy examination; and (c) Complete and submit a Permanent Initial Limited Permit to supervise fluoroscopy application to the Board of Medical Imaging, in the form and manner specified by the Board; and (d) Pay the non-refundable permit fee established by the Board of Medical Imaging; and (e) Submit to a criminal background check as specified by the Board of Medical Imaging. (3) Permanent Limited Permit to Supervise Fluoroscopy Renewal. Permit holders must renew a Limited Permit and pay all renewal application fees every 2 years in accordance with established Oregon Board of Medical Imaging Birth month renewal OAR 337-020-0015 and including all of the following: (a) Possess a current unexpired license in advanced practice registered nursing from the Oregon State Board of Nursing; and (b) Complete and submit a permit application to the Board of Medical Imaging, in the form and manner specified by the Board of Medical Imaging; and (c) Pay the nonrefundable permit fee established by the Board of Medical Imaging; and (d) Complete required Continuing Education(CE) as follows: 4 hours of CE per year or 8 hours for a 2-year renewal. Two of the yearly required 4 hours must be related to radiation use and safety, and two hours must be related to the clinical use of fluoroscopy; and (e) Submit to a criminal background check as specified by the Board of Medical Imaging. (4) For a Permanent Limited Permit to Supervise Fluoroscopy applicant whose permit has been expired for 24 continuous months, the applicant must follow all the steps as outlined in section (3) of this rule and provide documentation of having passed the ARRT Fluoroscopy Examination within the previous 12 months. Statutory/Other Authority: ORS 688.555 Statutes/Other Implemented: SB 128 (2019), ORS 688.620 & ORS 688.505 History: BMI 1-2024, amend filed 02/02/2024, effective 02/02/2024 BMI 7-2020, amend filed 07/28/2020, effective 07/28/2020 BMI 2-2019, adopt filed 10/18/2019, effective 01/01/2020