201 KAR 46:035. Practice standards, scopes of practice, and ethical standards

Section 1. Applicability. A licensee shall only perform medical imaging or radiation therapy for diagnostic medical imaging or therapeutic purposes while under the direct or indirect supervision as specified by a licensee's practice standards, by a licensee's scope of practice, or in the ACR-AAPM Technical Standard for the Management of the Use of Radiation in Fluoroscopic Procedures as listed in Section 3 of this administrative regulation. Section 2. If a licensee's practice standards, a licensee's scope of practice, or the ACR-AAPM Technical Standard for the Management of the Use of Radiation in Fluoroscopic Procedures fails to specify who may provide direct or indirect supervision, a licensee shall only perform medical imaging or radiation therapy for diagnostic medical imaging or therapeutic purposes while under the direct or indirect supervision of a licensed practitioner of the healing arts. Section 3. Practice Standards. A licensee shall perform according to practice standards of the discipline for which the licensee holds a credential, as established by the American Society of Radiologic Technologists (ASRT), the American College of Radiology (ACR), the American Association of Physicists in Medicine (AAPM), and the Society of Nuclear Medicine and Molecular Imaging (SNMMI) and incorporated by reference. These standards include the: (1) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Radiography; (2) Nuclear Medicine Technologist Scope of Practice and Performance Standards; (3) Scope of Practice for the Nuclear Medicine Advanced Associate; (4) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Radiation Therapy; (5) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Bone Densitometry; (6) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Cardiac-Interventional and Vascular-Interventional Technology; (7) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Computed Tomography; (8) The ASRT Pra

g and Radiation Therapy – Radiation Therapy; (5) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Bone Densitometry; (6) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Cardiac-Interventional and Vascular-Interventional Technology; (7) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Computed Tomography; (8) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Limited X-ray Machine Operator; (9) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Mammography; (10) The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Radiologist Assistant; (11) ACR ASRT Joint-Policy Statement-Radiologist Assistant: Roles and Responsibilities; (12) ACR-AAPM Technical Standard for Management of the Use of Radiation in Fluoroscopic Procedures; (13) The American Registry of Radiologic Technologists' Code of Ethics; and (14) The Nuclear Medicine Technology Certification Board's Code of Ethics. Section 4. Incorporation by Reference. (1) The following material is incorporated by reference: (a) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Radiography", revised June 30, 2024; (b) "Nuclear Medicine Technologist Scope of Practice and Performance Standards", June 9, 2022; (c) "Scope of Practice for the Nuclear Medicine Advanced Associate", created 2009; (d) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Radiation Therapy", revised June 30, 2024; (e) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Bone Densitometry", revised June 30, 2024; (f) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Cardiac- Interventional and Vascular-Interventional Technology", revised June 30, 2024; (g) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Computed Tomography", revised June 30, 2024; (h) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Limited X-ray Mach

e 30, 2024; (f) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Cardiac- Interventional and Vascular-Interventional Technology", revised June 30, 2024; (g) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Computed Tomography", revised June 30, 2024; (h) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Limited X-ray Machine Operator", revised June 30, 2024; (i) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Mammography", revised June 30, 2024; (j) "The ASRT Practice Standards for Medical Imaging and Radiation Therapy – Radiologist Assistant", revised June 30, 2024; (k) "ACR ASRT Joint Policy Statement-Radiologist Assistant: Roles and Responsibilities", May 2003; (l) "ACR-AAPM Technical Standard for Management of the Use of Radiation in Fluoroscopic Procedures", revised 2023; (m) "The American Registry of Radiologic Technologists' Code of Ethics", (September 1, 2023); and (n) "The Nuclear Medicine Technology Certification Board's Code of Ethics", (November 15, 2017). (2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at: (a) American Society of Radiologic Technologists, 15000 Central Ave. SE Albuquerque, NM 87123-3909, https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards; (b) Society for Nuclear Medicine and Molecular Imaging, 1850 Samuel Morse Drive Reston, Virginia 20190, http://www.snmmi.org; (c) The American Registry of Radiologic Technologists' Code of Ethics, 125 Northland Drive, Saint Paul, Minnesota 55120, https://www.arrt.org/docs/default-source/Governing-Documents/code-of-ethics.pdf?sfvrsn=10; (d) The Nuclear Medicine Technology Certification Board, 3558 Habersham at Northlake, Building I, Tucker, Georgia 30084, https://www.nmtcb.org/policies/ethics.php; or (e) The Board of Medical Imaging and Radiation Therapy, 2365 Harrodsburg Road, Suite A220, Lexington, Kentucky 40504, Monday through Friday, 8:00 a.m. to 4:30 p.m.