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TITLE 22EXAMINING BOARDS
PART 9TEXAS MEDICAL BOARD
CHAPTER 194MEDICAL RADIOLOGIC TECHNOLOGY
SUBCHAPTER ACERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES
RULE §194.2Definitions

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.

  (1) ABHES--Accrediting Bureau of Health Education Schools.

  (2) Act--The Medical Radiologic Technologist Certification Act, Texas Occupations Code, Chapter 601.

  (3) Active duty--A person who is currently serving as full-time military service member in the armed forces of the United States or active duty military service as a member of the Texas military forces, as defined by §437.001, Government Code, or similar military service of another state.

  (4) Agency--The divisions, departments, and employees of the board, Texas Medical Board, Texas Physician Assistant Board, Texas State Board of Acupuncture Examiners, Medical Physicist Licensure Advisory Committee; Perfusionist Licensure Advisory Committee; and Texas Board of Respiratory Care.

  (5) APA--The Administrative Procedure Act, Texas Government Code, Chapter 2001 as amended.

  (6) Applicant--A person who files an application with the board for a certificate, including a temporary certificate, general, limited, or a provisional certificate; or a person or program who files an application with the board for approval to act as an instructor or educational program.

  (7) Armed forces of the United States--Army, Navy, Air Force, Coast Guard, or Marine Corps of the United States or a reserve unit of one of those branches of the armed forces.

  (8) ARRT--The American Registry of Radiologic Technologists and its predecessor or successor organizations.

  (9) ASRT--The American Society of Radiologic Technologists and its predecessor or successor organizations.

  (10) Board--The Texas Board of Medical Radiologic Technology.

  (11) Cardiovascular (CV)--Limited to radiologic procedures involving the use of contrast media and or ionizing radiation for the purposes of diagnosing or treating a disease or condition of the cardiovascular system.

  (12) CBRPA--Certification Board for Radiology Practitioner Assistants.

  (13) Certificate--A medical radiologic technologist certificate, general, limited or provisional, issued by the board.

  (14) Chiropractor--A person who is licensed by the Texas Board of Chiropractic Examiners as a doctor of chiropractic.

  (15) Dentist--A person who is licensed by the Texas State Board of Dental Examiners as a doctor of dentistry.

  (16) Direct supervision--Supervision and control by a medical radiologic technologist or a practitioner who:

    (A) assumes legal liability for a student employed to perform a radiologic procedure and enrolled in a program that meets the requirements adopted under Texas Occupations Code Section 601.052; and

    (B) is physically present during the performance of the radiologic procedure to provide consultation or direct the action of the student.

  (17) Education program--Clinical training or any other program offered by an organization approved by the advisory board that:

    (A) has a specified objective;

    (B) includes planned activities for participants; and

    (C) uses an approved method for measuring the progress of participants.

  (18) Executive director--The executive director of the Agency or the authorized designee of the executive director.

  (19) Federally qualified health center (FQHC)--A health center as defined by 42 United States Code, §1396d(L)(2)(B).

  (20) Fluorography--Hard copy of a fluoroscopic image; also known as spot films.

  (21) Fluoroscopy--The practice of examining tissues using a fluorescent screen, including digital and conventional methods.

  (22) General certification--An authorization to perform radiologic procedures.

  (23) Good professional character--An applicant for licensure must not be in violation of or have committed any act described in the Medical Radiologic Technologist Certification Act, §§601.302-.303, Texas Occupations Code Annotated.

  (24) Hospital--A facility that:

    (A) is:

      (i) a general hospital or a special hospital, as those terms are defined by §241.003, Health and Safety Code, including a hospital maintained or operated by the state; or

      (ii) a mental hospital licensed under Chapter 577, Health and Safety Code; and

    (B) has an organized medical staff.

  (25) Instructor--An individual approved by the board to provide instruction and training in the discipline of medical radiologic technology in an educational setting.

  (26) JRCCVT--The Joint Review Committee on Education in Cardiovascular Technology.

  (27) JRCERT--The Joint Review Committee on Education in Radiologic Technology.

  (28) JRCNMT--The Joint Review Committee on Educational Programs in Nuclear Medicine Technology.

  (29) Limited certification--An authorization to perform radiologic procedures that are limited to specific parts of the human body.

  (30) Limited medical radiologic technologist (LMRT)--A person who holds a limited certificate issued under the Act, and who under the direction of a practitioner, intentionally administers radiation to specific parts of the bodies of other persons for a medical purpose. The limited categories are the skull, chest, spine, extremities, podiatric, chiropractic and cardiovascular. The term does not include a practitioner.

  (31) Medical Board--The Texas Medical Board.

  (32) Medical radiologic technologist (MRT)--A person who holds a general certificate issued under the Act, and who under the direction of a practitioner, intentionally administers radiation to other persons for medical purpose. The term does not include a practitioner.

  (33) Military service member--A person who is on active duty.

  (34) Military spouse--A person who is married to a military service member.

  (35) Military veteran--A person who served on active duty and who was discharged or released from active duty.

  (36) Mobile service operation--The provision of radiation machines and personnel at temporary sites for limited time periods. The radiation machines may be fixed inside a motorized vehicle or may be a portable radiation machine that may be removed from the vehicle and taken into a facility for use.

  (37) NMTCB--Nuclear Medicine Technology Certification Board and its successor organizations.

  (38) Non-certified technician (NCT)--A person who has completed a training program approved by the board and who is registered with the board under this chapter. An NCT may not perform a radiologic procedure which has been identified as dangerous or hazardous.

  (39) Open Meetings Act--Texas Government Code Annotated, Chapter 551 as amended.

  (40) Party--The board and each person named or admitted as a party in a hearing before the State Office of Administrative Hearings.

  (41) Pediatric--Pertaining to radiologic procedures performed on a person who is between the age range of fetus to age 18 or as otherwise defined by Texas law, when the growth and developmental processes are generally complete. These rules do not prohibit a practitioner from taking into account the individual circumstances of each patient and determining if the upper age limit requires variation by not more than two years.

  (42) Physician--A person licensed by the Texas Medical Board as a doctor of medicine or osteopathy.

  (43) Physician assistant--A person licensed by the Texas Physician Assistant Board to practice as a physician assistant.

  (44) Podiatrist--A person licensed by the Texas State Board of Podiatric Medical Examiners as a doctor of podiatry.

  (45) Practitioner--A chiropractor, dentist, physician, or podiatrist who prescribes radiologic procedures for other persons.

  (46) Presiding Officer--The person designated by the Governor to serve as the presiding officer of the board.

  (47) Provisional medical radiologic technologist (PMRT)--A person who holds a provisional certificate issued under the Act, and who, under the direction of a practitioner, intentionally administers radiation to other persons for a medical purpose. The authorization to perform radiologic procedures under the provisional certificate shall not exceed 180 days from date of the certificate's issuance. The term does not include a practitioner.

  (48) Radiation--Ionizing radiation:

    (A) in amounts beyond normal background levels; and

    (B) from a source such as a medical or dental radiologic procedure.

  (49) Radiologic procedure--A procedure or article, including a diagnostic X-ray or a nuclear medicine procedure, that:

    (A) is intended for use in:

      (i) the diagnosis of disease or other medical or dental conditions in humans; or

      (ii) the cure, mitigation, treatment, or prevention of disease in humans; and

    (B) achieves its intended purpose through the emission of ionizing radiation.

  (50) Radiologic technology--The administration of radiation to a person for a medical purpose.

  (51) Radiologist--a physician specializing in radiology certified by or board-eligible for the American Board of Radiology, the American Osteopathic Board of Radiology, the Royal College of Radiologists, or the Royal College of Physicians and Surgeons of Canada.

  (52) Radiologist assistant (RA)--an advanced-level medical radiologic technologist who is certified as:

    (A) a registered radiologist assistant by the American Registry of Radiologic Technologists; or

    (B) a radiology practitioner assistant by the Certification Board for Radiology Practitioner Assistants.

  (53) Registered nurse--A person licensed by the Texas Board of Nursing to practice professional nursing.

  (54) Registry--A list of names and other identifying information of non-certified technicians registered with the board.

  (55) SACS--The Southern Association of Colleges and Schools, Commission on Colleges.

  (56) Sponsoring institution--A hospital, educational, other facility, or a division thereof, that offers or intends to offer a course of study in medical radiologic technology.

  (57) State--Any state, territory, or insular possession of the United States and the District of Columbia.

  (58) Submit--The term used to indicate that a completed item has been actually received and date-stamped by the board along with all required documentation and fees, if any.

  (59) Supervision--Responsibility for and control of quality, radiation safety and protection, and technical aspects of the application of ionizing radiation to human beings for diagnostic and/or therapeutic purposes.

  (60) Temporary certification, general or limited--An authorization to perform radiologic procedures for a limited period, not to exceed one year.

  (61) X-ray equipment--An x-ray system, subsystem, or component thereof. For the purposes of this rule, the types of X-ray equipment are as follows:

    (A) portable X-ray equipment--X-ray equipment mounted on a permanent base with wheels and/or casters for moving while completely assembled. Portable X-ray equipment may also include equipment designed to be hand-carried;

    (B) stationary X-ray equipment--X-ray equipment that is installed in a fixed location; or

    (C) mobile stationary X-ray equipment--X-ray equipment that is permanently affixed to a motor vehicle or trailer with appropriate shielding.


Source Note: The provisions of this §194.2 adopted to be effective April 3, 2017, 42 TexReg 1763; amended to be effective November 10, 2019, 44 TexReg 6883

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