N.J. Admin. Code § 7:28-19.4

Current through Register Vol. 56, No. 21, November 4, 2024

Section 7:28-19.4 - Scopes of practice

(a) Any person who possesses a valid license in radiologic technology or as a radiologist assistant shall exercise proper principles of radiation protection with regard to radiological examinations.

(b) Any person who possesses a valid license to practice diagnostic radiologic technology issued in accordance with this subchapter may engage in the following activities, which constitute the scope of practice of diagnostic radiologic technology:

1. Operate ionizing radiation-producing equipment for radiographic procedures;

2. Measure patients for radiographic procedures;

3. Position patients for radiographic procedures;

4. Set technique factors for radiographic procedures;

5. Set the source-to-image receptor distance for radiographic procedures;

6. Assist in fluoroscopic procedures using ionizing radiation-producing equipment provided that a licensed physician is physically in the room and directing the procedure; and

7. Administer contrast media and pharmaceuticals provided that the material and its administration comply with New Jersey State Board of Medical Examiners (BME) rule, 13:35-6.20.

(c) Any person who possesses a valid license to practice radiation therapy technology issued in accordance with this subchapter may engage in the following activities, which constitute the scope of practice of radiation therapy technology:

1. Operate ionizing radiation-producing equipment for therapy simulation and therapeutic procedures only;

2. Position patients and equipment for therapy simulation and treatment procedures;

3. Deliver the treatment dose prescribed by a licensed physician;

4. Record and certify the parameters of each treatment delivered in the patient record;

5. Select and position any required immobilization devices and beam modification devices;

6. Perform fluoroscopic procedures for therapy simulation while under the direction of a licensed physician who is on-site during the procedure; and

7. Assist in treatment planning procedures while under the supervision of a licensed physician or therapy physicist or medical dosimetrist.

(d) Any person who possesses a valid license to practice chest radiologic technology issued in accordance with this subchapter may engage in the following activities, which constitute the scope of practice of chest radiologic technology; however, the scope of practice does not include radiographic procedures of the ribs or sternum or any type of fluoroscopy, tomography or computed tomography procedure:

1. Operate fixed (not portable) ionizing radiation-producing equipment for chest radiographic procedures only;

2. Measure patients for chest radiographic procedures only;

3. Position patients for posterior-anterior, anterior-posterior, oblique, lateral, decubitus and apical lordotic views for chest radiographic procedures only;

4. Set the technique factors for chest radiographic procedures only; and

5. Set the source-to-image receptor distance for chest radiographic procedures only.

(e) Any person who possesses a valid license to practice dental radiologic technology issued in accordance with this subchapter may engage in the following activities, which constitute the scope of practice of dental radiologic technology; however, the scope of practice does not include any type of fluoroscopy, tomography or computed tomography procedure:

1. Operate ionizing radiation-producing equipment for dental radiographic procedures only;

2. Position patients for intra-oral and extra-oral dental radiographic procedures only;

3. Set the correct technique factors for dental radiographic procedures only; and

4. Set the source-to-image receptor distance for dental radiographic procedures only.

(f) Any person who possesses a valid license to practice orthopedic radiologic technology issued in accordance with this subchapter may engage in the following activities, which constitute the scope of practice of orthopedic radiologic technology; however, the scope of practice does not include radiographic procedures of the sterno-claviclar joints, sternum and ribs or any type of fluoroscopy, tomography, computed tomography or bone densitometry procedures:

1. Operate fixed (not portable) ionizing radiation-producing equipment for orthopedic radiographic procedures only;

2. Measure patients for orthopedic radiographic procedures only;

3. Position patients for radiographic procedures limited to the spine and extremities;

4. Set the technique factors for orthopedic radiographic procedures only; and

5. Set the source-to-image receptor distance for orthopedic radiographic procedures only.

(g) Any person who possesses a valid license to practice podiatric radiologic technology issued in accordance with this subchapter may engage in the following activities, which constitute the scope of practice of podiatric radiologic technology; however, the scope of practice does not include bone densitometry or procedures involving the injection of contrast media or fluoroscopy:

1. Operate ionizing radiation-producing equipment for podiatric radiographic procedures only;

2. Position patients for radiographic procedures limited to the foot, ankle and distal third of the lower leg (tibia/fibula);

3. Set technique factors for podiatric radiographic procedures only; and

4. Set the source-to-image receptor distance for podiatric radiographic procedures only.

(h) Any person who possesses a valid license to practice urologic radiologic technology issued in accordance with this subchapter may engage in the following activities, which constitute the scope of practice of urologic radiologic technology; however, the scope of practice does not include fluoroscopy, computed tomography or bone densitometry procedures:

1. Operate ionizing radiation-producing equipment for urologic radiographic procedures only;

2. Position patients for radiographic procedures limited to the abdomen and pelvic area for urologic radiographic procedures only;

3. Measure patients for urologic radiographic procedures only;

4. Set technique factors for urologic radiographic procedures only; and

5. Set the source to image receptor distance for urologic radiographic procedures only.

(i) Any person who possesses a valid radiologist assistant license issued in accordance with N.J.A.C. 7:28-19.16may perform delegated fluoroscopic procedures and other activities as authorized by the BME while under the supervision of a licensed radiologist, at a level of supervision that the BME specifies. See the BME rules at N.J.A.C. 13:35.

N.J. Admin. Code § 7:28-19.4

Amended by 52 N.J.R. 1267(a), effective 6/15/2020