Fla. Admin. Code Ann. R. 64E-3.002 - Definitions
(1) "Approved educational or training
program" means a program which is recognized and accepted by the American
Registry of Radiologic Technologists or the Nuclear Medicine Technology
Certification Board.
(2) "General
diagnostic radiographic and general fluoroscopic equipment" means any medical
diagnostic X-ray system except computed tomography systems which, by design, is
not limited to examinations of specific anatomical regions.
(3) "General diagnostic radiographic and
general fluoroscopic procedures" means those procedures other than angiography,
arteriography, tomography, computed tomography, mobile imaging, portable
imaging, digital vascular imaging, bronchography, fistulography, sialography,
mammography, arthrography, lymphangiography, splenography, cholangiography,
procedures which involve the use of contrast, special procedures for the
reproductive system, and those procedures performed in an operating
room.
(4) "Physical presence" means
within the facility housing the equipment used by a basic X-ray machine
operator.
(5) "Positioning" means
the correct placement of the human body part to the image detector or radiation
source, and the correct alignment of the radiation equipment to the landmarks
of the body, and the major anatomical structures.
(6) "Rule" means chapter 64E-3,
F.A.C.
(7) "Technique" means the
equipment setting and procedure protocol used to produce a diagnostic image or
to accomplish the desired results.
(8) "Walk-in emergency center" means a
facility which holds itself out to the public through published advertising as
a walk-in emergency center, emergi-center, urgi-center, or walk-in center;
indicates to the public that the facility is open to the public primarily for
the purpose of providing emergency medical care; or any facility which uses any
other title, designation or advertising indicating the same; and is not
licensed under chapter 395 or 641, F.S., or rules adopted thereunder.
(9) "Practice of radiologic technology" means
the performance of activities requiring special knowledge and skills, including
positioning, technique, safe operation of radiation equipment and radiation
protection.
(a) For a general radiographer,
the practice is further specified in the "Radiography Practice Standards"
issued June 25, 2017, by the American Society of Radiologic Technologists,
which is incorporated herein by reference and can obtained at
http://www.flrules.org/Gateway/reference.asp?No=Ref-09916
or http://www.doh.state.fl.us/mqa/rad-tech.
(b) For a nuclear medicine technologist, the
practice is further specified in the "Nuclear Medicine Practice Standards"
issued June 25, 2017, by the American Society of Radiologic Technologists,
which is incorporated herein by reference and can obtained at
http://www.flrules.org/Gateway/reference.asp?No=Ref-09917
or http://www.doh.state.fl.us/mqa/rad-tech.
(c) For a radiation therapy technologist, the
practice is further specified in the "Radiation Therapy Practice Standards"
issued June 25, 2017, by the American Society of Radiologic Technologists,
which is incorporated herein by reference and can be obtained at
http://www.flrules.org/Gateway/reference.asp?No=Ref-09918
or http://www.doh.state.fl.us/mqa/rad-tech.
(10) "HIV/AIDS" means human immunodeficiency
virus and acquired immune deficiency syndrome.
(11) "Assist with managing patients
undergoing radiation therapy treatments" or "assist with radiation therapy
technology duties" as specified in section
468.302(3)(d),
F.S., means performing radiation therapy tasks in which the general
radiographer has been trained according to the program specified in paragraph
64E-3.0031(1)(b),
F.A.C., and excluding those tasks prohibited in subsection
64E-3.0031(2),
F.A.C. All assistance provided by a general radiographer must be physically
checked and verified by the radiation therapy technologist before delivery of
each treatment fraction.
(12)
"Brachytherapy" means a method of radiation therapy in which sources of
radioactive material are used to deliver radiation dose by surface,
intracavitary, or interstitial application and excludes teletherapy.
(13) "Duties of a medical physicist" as
specified in section 468.302(3)(d),
F.S., includes:
(a) Radiation beam
calibration and characterization.
(b) Quality assurance, including dose rate
verification; coincidence of light field to radiation beam; rotation; laser
positioning; and operation of all interlocks, collision safety systems, optical
distance indicators, and emergency switches.
(c) Instrument and device specification,
acceptance testing, and commissioning.
(d) Image quality assessment and optimization
of imaging systems and processes.
(e) Shielding design and protection analysis
on radiation-emitting equipment and radiopharmaceuticals.
(f) Consultation and treatment planning with
radiation oncologist to determine dose to be delivered.
(g) Consultation with radiation oncologist to
assure accurate radiation dose to a specific patient.
(h) Informing radiation oncologist when
critical structures appear to be reaching tolerance doses.
(i) Determination of dose delivered to
patients.
(14) "Treatment
planning" as specified in section
468.302(3)(d),
F.S., means the process by which the quantity and type of radiation to be
delivered to the patient and the method of delivery are prescribed,
characterized, modeled, shaped, verified, and documented to maximize the dose
to the tumor volume while minimizing the dose to surrounding healthy tissue.
Treatment planning includes determination of the need for and type of beam
modifying devices; consultation with radiation oncologist, medical physicist,
or dosimetrist to determine optimum fields to cover volume of interest; and
determination of the accuracy of the proposed isodose plan and treatment
prescription.
Notes
Rulemaking Authority 468.303 FS. Law Implemented 381.0034, 468.302(3)(a), (b), 468.304 FS.
New 4-10-85, Formerly 10D-74.42, Amended 3-21-88, 9-17-92, 5-7-96, Formerly 10D-74.042, Amended 7-16-02, 3-4-08, 10-4-18.
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