Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 42 - Permit to Operate Ionizing Radiation Producing Machines or Administer Radioactive Materials › Rule 641-42.9 - Permit to Practice as a Limited Radiologic Technologist With Categories of Chest, Spine, Extremities, Shoulder, Pediatric

Current through Register Vol. 47, No. 3, July 24, 2024
An individual with a limited radiologic technologist permit
				shall perform radiography only within the scope of the category(ies) in which
				the permit is issued.
(1) The scope of
			 each category is defined as follows:
a.
			 "Chest" allows the permit holder to perform radiography of the lung fields
			 including the cardiac shadow, as taught in the limited radiography formal
			 education standards. Chest radiograph techniques shall not be manipulated for
			 the evaluation of the shoulder, clavicle, scapula, ribs, thoracic spine and
			 sternum. Limited radiologic technologists who have completed the appropriate
			 formal education after January 1, 2009, may perform lateral decubitus chest
			 views.
b. "Extremities" allows the
			 permit holder to perform radiography for body parts from:
(1) The distal phalanges of the foot to the
			 head of the femur, including its articulation with the pelvic girdle. True hip
			 radiographs are prohibited.
(2) The
			 distal phalanges of the hand to the head of the humerus. These projections may
			 include the acromioclavicular or glenoid-humeral areas. The radiograph shall
			 not include any of the views in the shoulder category unless the individual
			 holds a limited radiologic technologist permit that includes the shoulder
			 category.
c. "Spine"
			 allows the permit holder to perform radiography of the spine in the approved
			 areas only. Approved areas and limitations are described as:
(1) Cervical vertebrae.
(2) Thoracic (dorsal) vertebrae.
(3) Lumbar vertebrae to include the
			 articulations with the sacrum and coccyx and the sacral articulation with the
			 pelvic girdle. True pelvis radiographs or other projections performed with the
			 image receptor positioned perpendicular to the long axis of the torso are
			 prohibited under this category.
(4)
			 All projections shall be performed as taught in the limited radiologic
			 technologist formal education standards.
d. "Shoulder" allows the permit holder to
			 perform radiography of the shoulder in the approved projections only. Approved
			 projections and limitations are described as:
(1) AP internal and external
			 rotation.
(2) AP neutral.
(3) Transthoracic lateral views.
(4) Scapular "Y" lateral.
(5) The image may not include the proximal
			 end of the clavicle on any AP projection. All other shoulder views are
			 prohibited. The permit holder must hold a limited radiologic technologist
			 permit with a category of either chest or extremity in order to be granted the
			 shoulder category.
e.
			 "Pediatric" allows the permit holder to perform radiography of either chest or
			 extremities or both as defined in paragraphs 42.9(1)
"a"
and
"b"
above for patients aged 36 months and under. The permit
			 holder must hold a limited radiologic technologist permit with the minimum
			 categories of chest or extremities or both in order to qualify for pediatric
			 radiography. This designation allows permit holders to perform pediatric
			 radiography within the permit classifications listed on their permit only. All
			 other projections on pediatric patients by limited radiologic technologists are
			 prohibited.