Each operator of a radiation machine used for healing arts purposes on living humans other than in dentistry, chiropractic or podiatry, shall meet the following education and experience requirements:
2D.1 Is certified or registered by:
2D.1.1 The American Registry of Radiologic Technologists as a Radiologic Technologist; or
2D.1.2 A specialty board determined by the department to have substantially equivalent requirements for certification as the American Registry of Radiologic Technologists,
Or
2D.2 Is certified by the Department as a State of Colorado-registered limited scope operator, to conduct only those radiographic examinations specified in Section 2.6.1.4 and having satisfactorily completed:
2D.2.1 At least 80 hours of didactic training providing the minimum hours of instruction in the specific subjects listed in 2D.2.1.1 through 2D.2.1.6:
2D.2.1.1 Basic X-Ray Physics-20 hours
(1) Structure of matter and the atom
(2) General description of production of x-rays
(3) X-ray emission, quantity and quality
(4) Function of filtration and effects it has on x-ray beam collimation
(5) Types of function of beam limiting devices
(6) Design, features and functions of x-ray tubes
(7) Circuitry of the x-ray machine
2D.2.1.2 Radiobiology-3 hours
(1) Effects of ionizing radiation on the human body
(2) Molecular and cellular radiobiology
(3) Factors that cause somatic and genetic damage
2D.2.1.3 Radiation Protection-6 hours
(1) ALARA
(2) Shielding materials
(3) Radiation quantity and units of measurement
(4) Basic interactions of x-rays with matter
(5) Primary and secondary scatter
(6) Importance of time, distance, shielding
(7) Maximum permissible doses: occupational and public
(8) Patient protection
2D.2.1.4. Principles of Exposure-15 hours
(1) Factors that control and influence radiographic quality
(2) Properties of x-rays
(3) Size distortion
(4) Shape distortion
(5) kVp, mAs, time
(6) AEC and manual
(7) Grids
(8) Collimation
(9) Intensifying screens
(10) X-ray films and holders
(11) Artifacts
(12) Inverse square law
2D.2.1.5 Procedures and Processing-4 hours
(1) Film storage and handling
(2) Manual, automatic processing film processing and troubleshooting
(3) Computed Radiography (CR)
(4) Digital Radiography (DR)
(5) PACs
(6) Quality assurance / quality control
2D.2.1.6 Anatomy and Positioning-32 hours
(1) Chest-4 hours
(2) Extremity-12 hours
(3) Spine-8 hours
(4) Skull-8 hours;
and
2D.2.2 At least 480 hours of clinical training during which time the individual may perform x-ray examinations under direct supervision of a qualified trainer, including:
2D.2.2.1 At least 320 hours experiential training at a clinic; and
2D.2.2.2 No more than 160 hours of laboratory training (exclusive of the didactic hours required by 2D.2.1.1 through 2D.2.1.6);
and
2D.2.3 Performance of the following imaging procedures (at least 84 examinations in total, with record of each examination kept on file):
2D.2.3.1 Ribs-4 examinations;
2D.2.3.2 Hand-4 examinations;
2D.2.3.3 Wrist-4 examinations;
2D.2.3.4 Forearm-4 examinations;
2D.2.3.5 Elbow-4 examinations;
2D.2.3.6 Humerus-4 examinations;
2D.2.3.7 Shoulder-4 examinations;
2D.2.3.8 Clavicle-4 examinations;
2D.2.3.9 Femur-4 examinations;
2D.2.3.10 Tibia - Fibula-4 examinations;
2D.2.3.11 Ankle-4 examinations;
2D.2.3.12 Foot-4 examinations;
2D.2.3.13 Sinuses-4 examinations;
2D.2.3.14 Skull-4 examinations;
2D.2.3.15 Facial Bones-4 examinations;
2D.2.3.16 C-Spine-4 examinations;
2D.2.3.17 Thoracic Spine-4 examinations;
2D.2.3.18 Lumbar Spine-4 examinations;
2D.2.3.19 Chest-4 examinations;
2D.2.3.20 Hip / Pelvis-4 examinations;
2D.2.3.21 Abdomen-4 examinations.
and
2D.2.4 A passing score on the American Registry of Radiologic Technologists (ARRT) examination for the Limited Scope of Practice in Radiography. A passing score is:
2D.2.4.1 A score of at least 75% correct on the Core Module, and
2D.2.4.2 An average score of at least 75% correct on the Radiographic Procedures Modules for Chest, Extremities, Skull/Sinuses, and Spine.
2D.2.5 And, has maintained a minimum of twenty-four (24) hours of continuing education every two years in the areas of radiology, radiation safety, radiography and similar fields. This education shall:
2D.2.5.1 Conform to guidelines equivalent to the most current revision of the ARRT Continuing Education Requirements for Renewal of Registration;
6 CCR 1007-1-2-D