Or. Admin. R. 337-010-0037 - Fluoroscopy Supervision Permits for Advanced Practice Registered Nurses
(1) An Advanced Practice Registered
Nurse(APRN), as defined in ORS
678.025, may apply for a Limited
Permit to Supervise Fluoroscopy provided all of the following are completed in
the order listed and time frames indicated in this section. An APRN must:
(a) Successfully complete and obtain
certification of a passing score on the post-test of the didactic component of
the board-approved version of the Fluoroscopy Educational Framework
(Fluoroscopy Framework) dated December 2009 for the Physician Assistant; a
program that was developed through collaboration of the American Academy of
Physician Assistants and the American Society of Radiologic Technologists. The
Board shall waive some or all didactic requirements based upon submission by
the applicant of documentation confirming that the applicant has completed the
equivalent of the didactic requirements outlined in the Fluoroscopy Framework;
and
(b) Complete and submit to the
OBMI a Board-approved APRN device orientation checklist for each manufacturer
and model intended to be used in the course of fluoroscopy supervision;
and
(c) Document and submit to the
OBMI all required clinical experience as outlined in the Fluoroscopy Framework
and by adhering to all of the following;
(A)
A Temporary Permit is not required to complete Clinical requirements; however,
the advanced practice registered nurse must have the supervisor-evaluator in
the room to personally supervise and evaluate all clinical training.
(B) Personal Supervision and evaluation must
be provided by either a physician licensed under ORS Chapter 677 or an advanced
practice registered nurse with an active license from the Oregon State Board of
Nursing and who holds an active fluoroscopy permit issued in accordance with
this rule.
(C) The Board shall
waive some or all of the clinical experience requirements specified in this
section based upon submission by the applicant documentation confirming that
the applicant has already completed the equivalent of the clinical experience
requirements; and
(d)
Submit verification of active advanced practice licensure with the Oregon State
Board of Nursing; and
(e) Apply
for, take and pass the American Registry of Radiologic Technologists (ARRT)
Fluoroscopy Examination.
(A) Applicants
desiring to sit for the Fluoroscopy Exam are designated as "applicants" and
must be Advanced Practice Registered Nurses who properly submit to the Board
applications for examinations and fees in accordance with this rule. Applicants
are the only persons authorized to submit ARRT examination applications to the
Board and to sit for the ARRT Fluoroscopy exam. Applicant status expires upon
whichever of the following occurs first:
(i)
One year from the date of successful completion of the didactic component of
the fluoroscopy framework or Board approved waiver, as reflected on the
certificate indicating a passing score on the post-test or on the date the
Board approves the waiver, or
(ii)
Immediately upon failure of the third attempt to pass the ARRT fluoroscopy
examination within the one-year time-frame, or
(iii) Immediately upon passing the ARRT
fluoroscopy examination.
(B) The examination application must be
accompanied by a non-refundable processing fee of $20 plus the examination fee
set by the ARRT for each examination application submitted.
(C) Upon submission of the complete
application, which includes completed requirements as specified in this section
or a Board waiver in accordance with this rule, the OBMI will register the
applicant for the ARRT Fluoroscopy Examination with the ARRT.
(D) A passing score is 75%. The applicant may
attempt to pass the examination up to three times. An applicant who fails to
pass the ARRT Fluoroscopy Examination after the third attempt is required to
retake and complete all of the didactic and clinical components before applying
to sit for the examination again. A new exam application and associated
non-refundable fees must be submitted to the OBMI for each time an applicant
wishes to sit for the exam.
(E) The
examination will be administered at computer-based testing sites identified by
the ARRT. The applicant is subject to the rules regarding test administration
at the testing site.
(F) The
application fee for the examination is non-refundable.
(G) The Limited Permit to Supervise
Fluoroscopy is not an authorization to operate fluoroscopy
equipment.
(2)
To obtain a 2-year Permanent Initial Limited Permit to supervise fluoroscopy,
an APRN must submit to the Board and adhere to all of the following:
(a) Possess a current unexpired license in
advanced practice registered nursing from the Oregon State Board of Nursing;
and
(b) Comply with the Board's
requirements to sit for the ARRT fluoroscopy examination and have passed the
ARRT fluoroscopy examination; and
(c) Complete and submit a Permanent Initial
Limited Permit to supervise fluoroscopy application to the Board of Medical
Imaging, in the form and manner specified by the Board; and
(d) Pay the non-refundable permit fee
established by the Board of Medical Imaging; and
(e) Submit to a criminal background check as
specified by the Board of Medical Imaging.
(3) Permanent Limited Permit to Supervise
Fluoroscopy Renewal. Permit holders must renew a Limited Permit and pay all
renewal application fees every 2 years in accordance with established Oregon
Board of Medical Imaging Birth month renewal OAR 337-020-0015 and including all
of the following:
(a) Possess a current
unexpired license in advanced practice registered nursing from the Oregon State
Board of Nursing; and
(b) Complete
and submit a permit application to the Board of Medical Imaging, in the form
and manner specified by the Board of Medical Imaging; and
(c) Pay the nonrefundable permit fee
established by the Board of Medical Imaging; and
(d) Complete required Continuing
Education(CE) as follows: 4 hours of CE per year or 8 hours for a 2-year
renewal. Two of the yearly required 4 hours must be related to radiation use
and safety, and two hours must be related to the clinical use of fluoroscopy;
and
(e) Submit to a criminal
background check as specified by the Board of Medical
Imaging.
(4) For a
Permanent Limited Permit to Supervise Fluoroscopy applicant whose permit has
been expired for 24 continuous months, the applicant must follow all the steps
as outlined in section (3) of this rule and provide documentation of having
passed the ARRT Fluoroscopy Examination within the previous 12
months.
Notes
Statutory/Other Authority: ORS 688.555
Statutes/Other Implemented: SB 128 (2019), ORS 688.620 & ORS 688.505
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) An Advanced Practice Registered Nurse(APRN), as defined in ORS 678.025, may apply for a Limited Permit to Supervise Fluoroscopy provided all of the following are completed in the order listed and time frames indicated in this section. An APRN must:
(a) Successfully complete and obtain certification of a passing score on the post-test of the didactic component of the board-approved version of the Fluoroscopy Educational Framework (Fluoroscopy Framework) dated December 2009 for the Physician Assistant; a program that was developed through collaboration of the American Academy of Physician Assistants and the American Society of Radiologic Technologists. The Board shall waive some or all didactic requirements based upon submission by the applicant of documentation confirming that the applicant has completed the equivalent of the didactic requirements outlined in the Fluoroscopy Framework; and
(b) Complete and submit to the OBMI a Board-approved APRN device orientation checklist for each manufacturer and model intended to be used in the course of fluoroscopy supervision; and
(c) Document and submit to the OBMI all required clinical experience as outlined in the Fluoroscopy Framework and by adhering to all of the following;
(A) A Temporary Permit is not required to complete Clinical requirements; however, the advanced practice registered nurse must have the supervisor-evaluator in the room to personally supervise and evaluate all clinical training.
(B) Personal Supervision and evaluation must be provided by either a physician licensed under ORS Chapter 677 or an advanced practice registered nurse with an active license from the Oregon State Board of Nursing and who holds an active fluoroscopy permit issued in accordance with this rule.
(C) The Board shall waive some or all of the clinical experience requirements specified in this section based upon submission by the applicant documentation confirming that the applicant has already completed the equivalent of the clinical experience requirements; and
(d) Submit verification of active advanced practice licensure with the Oregon State Board of Nursing; and
(e) Apply for, take and pass the American Registry of Radiologic Technologists (ARRT) Fluoroscopy Examination.
(A) Applicants desiring to sit for the Fluoroscopy Exam are designated as "applicants" and must be Advanced Practice Registered Nurses who properly submit to the Board applications for examinations and fees in accordance with this rule. Applicants are the only persons authorized to submit ARRT examination applications to the Board and to sit for the ARRT Fluoroscopy exam. Applicant status expires upon whichever of the following occurs first:
(i) One year from the date of successful completion of the didactic component of the fluoroscopy framework or Board approved waiver, as reflected on the certificate indicating a passing score on the post-test or on the date the Board approves the waiver, or
(ii) Immediately upon failure of the third attempt to pass the ARRT fluoroscopy examination within the one-year time-frame, or
(iii) Immediately upon passing the ARRT fluoroscopy examination.
(B) The examination application must be accompanied by a non-refundable processing fee of $20 plus the examination fee set by the ARRT for each examination application submitted.
(C) Upon submission of the complete application, which includes completed requirements as specified in this section or a Board waiver in accordance with this rule, the OBMI will register the applicant for the ARRT Fluoroscopy Examination with the ARRT.
(D) A passing score is 75%. The applicant may attempt to pass the examination up to three times. An applicant who fails to pass the ARRT Fluoroscopy Examination after the third attempt is required to retake and complete all of the didactic and clinical components before applying to sit for the examination again. A new exam application and associated non-refundable fees must be submitted to the OBMI for each time an applicant wishes to sit for the exam.
(E) The examination will be administered at computer-based testing sites identified by the ARRT. The applicant is subject to the rules regarding test administration at the testing site.
(F) The application fee for the examination is non-refundable.
(G) The Limited Permit to Supervise Fluoroscopy is not an authorization to operate fluoroscopy equipment.
(2) To obtain a 2-year Permanent Initial Limited Permit to supervise fluoroscopy, an APRN must submit to the Board and adhere to all of the following:
(a) Possess a current unexpired license in advanced practice registered nursing from the Oregon State Board of Nursing; and
(b) Comply with the Board's requirements to sit for the ARRT fluoroscopy examination and have passed the ARRT fluoroscopy examination; and
(c) Complete and submit a Permanent Initial Limited Permit to supervise fluoroscopy application to the Board of Medical Imaging, in the form and manner specified by the Board; and
(d) Pay the non-refundable permit fee established by the Board of Medical Imaging; and
(e) Submit to a criminal background check as specified by the Board of Medical Imaging.
(3) Permanent Limited Permit to Supervise Fluoroscopy Renewal. Permit holders must renew a Limited Permit and pay all renewal application fees every 2 years in accordance with established Oregon Board of Medical Imaging Birth month renewal OAR 337-020-0015 and including all of the following:
(a) Possess a current unexpired license in advanced practice registered nursing from the Oregon State Board of Nursing; and
(b) Complete and submit a permit application to the Board of Medical Imaging, in the form and manner specified by the Board of Medical Imaging; and
(c) Pay the nonrefundable permit fee established by the Board of Medical Imaging; and
(d) Complete required Continuing Education(CE) as follows: 4 hours of CE per year or 8 hours for a 2-year renewal. Two of the yearly required 4 hours must be related to radiation use and safety, and two hours must be related to the clinical use of fluoroscopy; and
(e) Submit to a criminal background check as specified by the Board of Medical Imaging.
(4) For a Permanent Limited Permit to Supervise Fluoroscopy applicant whose permit has been expired for 24 continuous months, the applicant must follow all the steps as outlined in section (3) of this rule and provide documentation of having passed the ARRT Fluoroscopy Examination within the previous 12 months.
Notes
Statutory/Other Authority: ORS 688.555
Statutes/Other Implemented: SB 128 (2019), ORS 688.620 & ORS 688.505