Medical Radiologic Technologist Certification Program Dangerous or Hazardous Procedures

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Dangerous or Hazardous Procedures

Dangerous or hazardous procedures are radiologic procedures which may only be performed by a practitioner (MD, DO, DC, DPM) in the course and scope of the license, or by a certified medical radiologic technologist (MRT, LMRT).  The identification of these procedures in this format is authorized by the Medical Radiologic Technologist Certification Act, Texas Occupation Code, Section 601.056.  LMRTs are limited to radiography of specific anatomical parts indicated on the limited certificate.

This chart is intended to be helpful in illustrating the radiologic procedures an MRT, LMRT,  non-certified technician (NCT), RN or PA may perform. This list is for illustrative purposes only and is not exhaustive. For more information consult §140.516 of the rules.

Select the link below to download or print the "Dangerous or Hazardous Procedures" Table

DANGEROUS OR HAZARDOUS PROCEDURES TABLE

 

 

§140.516(b) Dangerous procedures. Unless otherwise noted, the list of dangerous procedures which may only be performed by a practitioner or MRT are:

 

P

 

 

MRT

 

LMRT

 

RN/PA

 

NCT

 1

 

Nuclear medicine studies (to include PET)

 

YES

 

YES

 

   No

 

 No

 

No

 

 2

 

Administration of radiopharmaceuticals, unless performed by an RN or Physician Assistant who is appropriately trained as authorized by the department’s DSHS Radiation Control  Program for licensure of radioactive materials;

 

 

YES

 

YES

 

   No

 

   YES

 

No

 

 3

 

Radiation therapy including simulation, brachytherapy and all external radiation therapy beams including Grenz rays;

 

 

YES

 

YES

 

   No

 

 No

 

No

 

 4

 

Computed tomography (CT) or any variation thereof;

 

 

YES

 

YES

 

  No

 

No

 

No

 

 5

 

Interventional radiographic procedures, including angiography, unless performed by an LMRT with a certificate issued in the cardiovascular category;

 

 

YES

 

YES

 

  LMRT-CV

 

 No

 

No

 

 6

 

fluoroscopy and/or fluorography, unless performed by an LMRT with a certificate issued in the cardiovascular category, or by an appropriately trained* RN or physician assistant who assists in the performance of the procedure under the direct supervision of a practitioner;

 

 

YES

 

 

YES

 

 

LMRT-CV

 

 

YES

 

 

No

 

 7

 

cineradiography (including digital acquisition techniques), unless performed by an LMRT with a certificate issued in the cardiovascular category.

 

 

YES

 

 

YES 

 

 

LMRT-CV

 

 

 No

 

 

No

 

 

§140.516 (c) Hazardous procedures. Unless otherwise noted, the list of hazardous procedures which may only be performed by a practitioner or MRT are:

 

 

 

 

 

 

 

       

 

 

 

1

 

Conventional Tomography

 

YES

 

YES

 

   No

 

 No

 

No

 

2

 

skull radiography

 

anterior-posterior/posterior-anterior (AP/PA), lateral, Townes, Caldwell, and Waters views;

 

YES

 

 

YES

 

YES

 

 

YES

 

LMRT-Skull

 

 

LMRT-Skull

 

No

 

 

YES

 

No

 

 

YES

 

3

 

portable x-ray equipment;

 

YES

 

YES

 

No

 

No

 

No

 

4

 

spine radiography

 

 AP/PA, lateral and lateral flexion/extension views;

 

 

 

lumbar oblique views performed by an appropriately trained* RN or physician assistant who performs the procedure under the supervision of a practitioner;

 

 

 

 

 

YES

 

YES

 

 

 

 

YES

 

 

YES

 

YES

 

 

 

 

YES

 

 

LMRT-Spine

 

LMRT-Spine

 

 

 

 

LMRT-Spine

 

No

 

YES

 

 

 

 

YES

 

 

No

 

YES

 

 

 

 

No

 

 

Continued §143.16(c) Hazardous procedures. Unless otherwise noted, the list of hazardous procedures which may only be performed by a practitioner or MRT are:

 

P

 

 

MRT

 

LMRT

 

RN/PA

 

NCT

 

 

6

 

shoulder girdle radiographs

 

excluding AP and lateral shoulder views, AP clavicle and AP scapula, unless performed by an appropriately trained* RN or physician assistant who performs the procedure under the direct supervision of a practitioner;

 

 

YES

 

 

YES

 

YES

 

 

YES

 

LMRT-Extremities

 

LMRT-Extremities

 

YES

 

 

YES

 

No

 

 

YES

 

7

 

pelvic girdle radiographs

 

AP or PA views;

 

 

YES

 

YES

 

YES

 

YES

 

 No

 

LMRT-Extremities

 

 

  No

 

YES 

 

 No

 

YES

 

8

 

sternum radiographs, unless performed by an appropriately trained* RN or physician assistant who performs the procedure under the direct supervision of a practitioner;

 

YES

 

YES

 

No

 

YES

 

No

 

9

 

radiographic procedures which utilize contrast media, unless performed by an RN or physician assistant who assists in the performance of the procedure under the supervision of a practitioner.

 

 

YES

 

YES

 

   No

 

YES

 

No

 

10

 

pediatric radiography, excluding extremities, unless performed by an appropriately trained* RN or physician assistant or an LMRT with the appropriate category (relevant categories are: skull, chest, spine, extremities, and podiatry). If an emergency condition exists which threatens serious bodily injury, protracted loss of use of a bodily function or death of a pediatric patient unless the procedure is performed without delay, or if other extenuating circumstances deemed by the practitioner exist, a pediatric radiographic procedure is also excluded. The emergency condition or extenuating circumstance must be documented by the ordering practitioner in the patient's clinical record and the record must document that a regularly scheduled MRT, LMRT, RN or physician assistant is not reasonably available to perform the procedure.

Pediatric is defined as anyone under age of 18.

 

 

YES

 

YES

 

No, unless the LMRT has certification in the appropriate category.

 

YES

 

No

 

 

 

Pediatric extremities only.

 

YES

 

YES

 

LMRT-Extremities

 

YES

 

YES

 

 

 

Mammography is a radiologic procedure which may only be performed by an MRT.

 

No

 

YES

 

    No

 

  No

 

 No

Key:
P – Practitioner is a doctor of medicine, osteopathy, podiatry, dentistry, or chiropractic who is licensed under the laws of this state and who prescribes radiologic procedures for other persons for medical reasons.
MRT – Medical Radiologic Technologist  
LMRT – Limited Radiologic Technologist  
RN/PA – Registered Nurse/Physician Assistant
NCT – Non-Certified Technician 

*appropriately trained RN or PA as set out in 140.517 and 140.518 or 140.522 

In Chapter 140.520 Hardship Exemptions:

(a) General.

(4) A hardship exemption granted by the department does not constitute licensure, certification, registration, or authorization to perform a dangerous or hazardous radiologic procedure or mammography.

For more information, please contact:

TDSHS - MRT Program
P.O. Box 149347, Mail Code 1982,
Austin, Texas 78714-9347

Phone (512) 834-6617,  Fax (512) 834-6677.

 

 

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Last updated March 01, 2011