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  • 14 Feb 2018 11:54 AM | Sidney Gallardo (Administrator)

    TO:  INTERESTED PARTIES

    RE:  LIMITED PERMIT RULEMAKING COMMENT PERIOD EXTENDED UNTIL MARCH 13

     The Board of Medical Imaging is extending the comment period on the rule making to update the process for obtaining a limited X-ray permit.  Why the extension?  Because we had not taken into account an existing statute (ORS 688.520[7]) which specifies that temporary X-ray permits are valid for two six-month periods.  The rule making as originally drafted could violate this statute, because the rule making as drafted would require the Board to terminate a temporary permit two years following course completion, whether or not the temporary permit had been active for a full six months. 

     To remain compliant with the law, while still enforcing an overall two-year time frame, the Board is proposing to revise the deadlines to be based upon the date that the applications are submitted to OBMI, as follows: 

    • The graduate must deliver an application for an initial temporary permit within 12 months of the date on the course completion certificate;
    • A person with an initial temporary permit must deliver an application to renew the temporary permit no later than when the initial permit expires; and
    • A temporary permit holder must deliver their application for a permanent permit to the Board within 12 months from the day that the initial temporary permit was issued.
    HOW TO COMMENT DURING THIS EXTENDED RULEMAKING COMMENT PERIOD:
    •      You must submit comments no later than 4:30, March 13, 2018.  Mail written comments to Ed Conlow at the address below or by e-mail to ed.conlow@state.or.us
    • Ed Conlow, Executive Director Oregon Board of Medical Imaging, 800 NE Oregon St., Suite 1160A, Portland OR  97232-2162, 971-673-0216

    Original Rule Making Notice -  December 2017
    1.      Allow students to apply to sit for the limited x-ray machine operator (LXMO) exam up to 30 days prior to graduation.
    2.       Allow a graduate of a LXMO school to apply for a 6-month temporary permit after passing only the CORE examination, without having to pass any anatomic area exams.
    3.      Lists specific numbers of required and elective exams (for each anatomic area) which must be completed, as part of practical experience requirements.
    4.       Require limited x-ray schools to each designate a clinical coordinator and to assure proper supervision while temporary permit holders are completing clinical requirements.
    5.      Allow a temporary permit holder to be supervised by a person who has a permanent limited permit (and at least a year’s experience) in the same anatomic area for which the temporary permit holder is practicing. 
    6.     Double the overall time frame from 12 months (current) to a maximum of 24 months:  allow a graduate up to 12 months (from graduation) to pass the CORE exam, and then an additional 12 months to complete all practical experience requirements and apply for a permanent permit. 

    Documents:


  • 05 Feb 2018 11:17 AM | Sidney Gallardo (Administrator)

    1. Update: Proposed legislation to allow CRNAs to supervise technologists during interventional pain management


    Still in process no updates.  This will likely be presented to Monnes-Anderson in the next legislative session.  The legislative session begins 2/5/18.

    2. Consideration of public comments and discussion of adoption of rules governing temporary limited x-ray permits

    Changes have been made to the revised proposal for limited permits to submit public comment.  Public comment will open again.  


    3. Request by CurveBeam for amendment to rules to allow RTs to operate cone beam CT without a CT credential .

    Dr. Edelman reported cone beam imaging used in Indiana during spine surgery.  

    The request is just for extremities.  The equipment CurveBeam sells is only for extremities, but it does exist for lumbar spines.  Dr. Edleman clarified it was actually an O-ring.  


    RPS:  They manage the equipment, but rely on OBMI to speak to the licensure and who can use the equipment.  


    In reach system:  Upper extremity is 1 microSievert.  Similar to the dose of a 2D x-ray.  Units are self shielded.  2-6 microsieverts compare to conventional CT which is 20-60 microsievert.  100-120 kVp, mAs setting at 5.    This technology came out of the dental realm.   Benefits to the patient:  3D images available to physicians at a lower dose than conventional CT.  Also includes weight bearing which is an advantage.   Allows them to plan better for their surgery.  


    RPS asked:  What type of QA programs are there?  Third party physicist provides a shielding review.  Ongoing, the system is calibrated quarterly done by the users.  Digital record is kept of calibration.  What is the application training? Staff have to radiation safety.  4 hours of application is provided.  

    How long has it been in the marketplace?  Since 2012.

    Providers don’t want to pay a CT/RT to operate it.  The new wording would exclude the LXMO.  

    There are three vendors currently.


    Concern from the board  is this can extend to larger extremities.  Concerns about giving the green light to RT’s will open up the opportunity for LXMO.  The concern is public safety and is someone having the minimum amount of training appropriate.  Concerns shared with podiatrist, chiropractors will start to use it without supervision.  The major concerns are deployment of the technology and who is using it.  If you loosen the regulatory rules then you invite in abuse.  


    Moving on without a change, but recommend a rules committee to review the current language.  





  • 02 Jan 2018 2:38 PM | Sidney Gallardo (Administrator)
    The December 2017 issue of the Oregon Board of Medical Imaging Newsletter is now available!  Articles include:
    • "OBMI Works with Nurses and RPS to Allow CRNAs to Supervise Fluoroscopy"
    • "Board Proposes Rules to Change the Process to Obtain a Limited Permit"

    If you would like to read the OBMI's December Newsletter please click here!

  • 24 Oct 2017 11:54 AM | Sidney Gallardo (Administrator)

    Amy Seavert is our technologist in the spotlight this month.  She has been a Radiologic Technologist since 1998 and a Mammographer since 2000. Amy currently works at a small rural hospital in Hermiston, Oregon, an ACR Mammography Certified Facility. Amy also works closely with her lead technologist Susan Ross to get all required documentation ready for review. This includes credentials for staff, correct images, QC and much more. Although that is a lot of work, Amy says her biggest challenge is keeping up with the ever changing current exam guidelines for patients.  

    Amy is married with 2 children that are very active in school, sports and the community. At this stage of her life her kids’ hobbies and activities are hers! In between all those activates she travels with her family all over the western U.S. and Hawaii. 

    Amy has a long history of caring about others. This began when she was young. She was very active in sports and would be curious and inquisitive when a teammate got hurt. This inquisitive desire to know and help with injuries didn’t diminish. When she was in high school she asked her father’s friend, a radiologist, if she could job shadow him and the technologists. After that Amy knew what she wanted to do. So, off she went to Western Oregon University for prerequisites. She then applied and was accepted into the Portland Community College Radiography Program. In the 2 years it took to complete the program and required competencies at Portland Adventist, Amy met a variety of people that helped her succeed.  

    After working as an x-ray tech for a few years she got an opportunity to cross train for mammography. She jumped at the chance and is quite happy she did. It’s the place she feels that she is contributing the most and makes her feel honored and blessed. Being a Mammographer has many rewards and some unexpected benefits for Amy. She receives hugs regularly, forges connections with patients she sees every year, and gets some breast humor when she sees one of her patients in the grocery store. Amy says that it’s pretty crazy that some of her patients have been hearing about her son since he was 2 and now he’s graduating high school. Lastly, the indescribable reward: when a patient comes in and tells you that having their mammogram caught their breast cancer early and saved their life. 

    Amy is motivated by her family and patients. She lives by finding something to do, someone to help, having goals and staying positive. Patients motivate her by being proactive about their health. Coming in for a mammogram isn’t fun but seeing people being responsible about their health for themselves and family is rewarding.  

    The biggest contribution to the profession for Amy is personal. It’s important that she gives her undivided attention and her time as well as continuing to learn. This allows her to stay sharp, keeping her up to speed with current technology and answering patient questions. Amy wants to honor the people that take time and responsibility to their health and she gives her best to her patients. Her tip for you is “Always remember what brought you into this line of work.” She stills loves her work after 19 years! Her tip for students is to never give up and to keep soaking up knowledge and experience.  

    Lastly Amy gives a big thank you to her personal and professional families as well as her patients. There is a statement in John O’Leary’s book Catching Fire that moves Amy. He says, “To live a radically inspired life, you must choose to go All In each day with a purpose greater than yourself.” 

     

    -Written by Brenda Posterick

     


  • 13 Jul 2017 8:40 AM | Spire Staff (Administrator)

    Bart Pierce has been an ASRT and an OSRT member for over 30 years.  He is a fellow of the ASRT and a life member of the OSRT.  Bart's article titled "Remembering an MRI Giant" is featured in this month's ASRT Scanner Magazine. This article highlights the key contributions of Sir Peter Mansfield that led to the development of MRI.  Also, be looking forward to hearing more about him in additional Scanner Magazine articles.


  • 30 Jun 2017 2:53 PM | Spire Staff (Administrator)

    Check out this education grant for affiliate members! 

    Follow this link for more details: http://bit.ly/2sYkMEu 

    Due August 31st. 




  • Dear Colleague: 

    The Medicare Access to Radiology Care Act of 2017 was introduced on March 29 by Senator John Boozman (R-AR) as S. 769 and on April 5 by Rep. Pete Olson (R-TX) as H.R. 1904. These bills will enact a law that amends Medicare reimbursement policy and supervision levels for radiologist assistants to align them with state radiologist assistant laws. 

    Adoption of new language contained in H.R. 1904 or S. 769 will enable radiologist assistants to work under less stringent supervision levels and be more efficient health care providers. Passage of the bill will allow radiologists to devote more focused time reviewing and interpreting complex medical images or urgent cases, thus increasing access to care. 

    Radiologist assistants have advanced education and clinical experience, and can expertly and safely perform radiologic assessments and certain procedures that traditionally are performed only by radiologists. 

    Without Medicare's recognition of radiologist assistants, the profession is in peril. As a direct result of Medicare's current policy, radiologist assistants are losing their jobs and universities are on the verge of suspending or terminating their educational programs.

    All radiologic technologists can help by contacting their senators and asking them to cosponsor S. 769 and their congressman asking him or her to cosponsor H.R. 1904.  This is easy to do by using ASRT's Advocacy Action Center to learn more about the bills and send a message

    You can find more information, monitor activities and follow up with your federal lawmakers on the MARCA bills in the ASRT Advocacy Action Center

    Sincerely,

    Michael Latimer, M.S.R.S., R.T.(R)
    President


  • New Business:

    1. Proposed rule to establish civil penalty schedule for employing an unlicensed person to perform imaging.  

    • OBMI is drafting a proposal to fine facilities for employing an unlicensed person.  They voted to accept a proposal which would fine institutions based on the number of individual patients served.  The proposed fee schedule is as follows:
      • $5,000 if service was provided to no more than 50 patients.
      • $10,000 if service is provided to 51-100 individual patients
      • $20,000 if service is provided to 101-150 individual patients
      • $30,000 if service is provided to 151-200 individual patients
      • $50,000 if service is provided to more than 200 individual patients
    • There was discussion on this as one of the board members felt like the fines were too harsh especially considering rural organizations, but the board ruled to proceed with the proposal noting the penalties need to be significant enough to detour facilities from using non licensed employees to operate imaging equipment.
    • I asked if this would apply to current situation of APRN's reportedly using fluoroscopy while performing pain management injections and the reply was yes.
    • Next steps:  This will go to public comment.  

    2. Five year review of specified administrative rules, in accordance with ORS 183.405.

    This was just a procedural item as they must review their administrative rules every 5 years.  No discussion to note.  

    3.  Proposed policy for handling public records requests

    • Policy on how to request public records including fees to obtain public records was approved.  Currently OBMI will only release the name and address of a licensee.  
    4. Planning future election of Board Chair and Vice-Chair.
    • This was an informational item from Ed that there will upcoming elections so for those board members who might be interested in serving ad chair or vice chair, they should let Ed know.

    Old Business:

    1. CT waiver request – follow-up question following the Board’s January action on CT waivers.

    • Last meeting there was a request for a CT waiver from a rural hospital which was denied.  A CT tech from this facility has attempted to take her CT registry with ARRT three times and has failed.  ARRT will not allow her to sit for another test, but OBMI could sponsor her to take the ARRT test which would apply to Oregon only.  Meaning if she were to pass the exam administered by OBMI, but written by ARRT she would only be allowed to practice at her specific site and in Oregon.  She would not be able to practice anywhere else and would not be considered ARRT registered.  
    • The board had mixed feelings on allowing her to test for a 4th time.
    • Currently the facility has 9 CT techs.
    • Next steps:   The board requesting the site prove that not having her employed has created a hardship.

    2. Board action regarding possible rulemaking regarding supervision of temporary limited permit holders

    • The rulemaking is still in process for supervision and the board suggested that the RAC meet again to clean up some of the language on the proposal.  
    • Tom King reported an inspection with Pioneer Pacific's LXMO program in Wilsonville and it passed inspection.  He mentioned their organization of student records was lacking and the rooms were very messy which was concerning to him if students were picking up on these habits.  
    • They held student interviews which reflected the organization concerns from instructors.  
    • There was also much discussion on the extremely low pass rates and Rick Hoylman said these scores were unacceptable and the schools should be held accountable.
    • Next steps:  Tom will continue to inspect LXMO schools and the board put in a request to the board's attorney to see if OBMI has the authority to hold the school accountable to their low registry scores. The attorney will investigate whether or not the board can step in and consider issuing sanctions against LXMO who have poor registry pass rates.  

    3. APRNs providing verbal instructions during fluoroscopy procedure—update on SB 801.

    • SB 801 legislation was pulled There has been no contact from ONA on the proposal.  
    4.  Update on OBMI’s legislative concepts for the 2017 session in Salem. 
    • HB 2267 for Opthalmic Sonography was signed by the Governor.  
    5. Update on legislative action on the OBMI budget for the upcoming 2017-19 biennium.
    • Informational only.  Nothing noted.  



  • Tauna Callahan - PCC - 1st Place (Center)

    Amber Hagen - PCC - 2nd place (Left)

    Karen Wickman - Oregon Tech  - 3rd place (right) 

  • Links to Ergonomic/SPHM Equipment Ideas

    “Ergonomics in the Radiology Work Setting” ---   OSRT Annual Conference April 21, 2017

    Candace Shorack, MA, OTR/L       

    CShorack@peacehealth.org   541-222-2541

    Friction Reducing Devices: Lateral Patient Movement

    HoverTech International    Hovermatt

    http://www.hovermatt.com/hovermatt-menu.html

    McAuley Medical   RollBord Transfer Board

    https://www.mcauleymedical.com/Samarit_Rollbord.php

    Jamar, Patran, Tollos, etc.  Slippery Tubes and Sheets

    https://www.youtube.com/watch?v=gh19ULKUJww

    http://www.patran.net/

    North Coast Medical   SLIPP Patient Mover

    https://www.ncmedical.com/item_1795.html

    Reposition & Position Supine Patients

    HoverTech International    HoverAirWedge

    http://www.hovermatt.com/air-wedge.html

     

    Barton Medical Convertible Chair/Transfer System

    http://www.pattersonmedical.com/app.aspx?cmd=getProduct&key=IF_45956

     JZ Imaging & Consulting   Leg Lift

    http://www.jzimaging.com/Leg_lift_positioning_aid.htm

     

    Transfer Seated Patients: Standing Aids

    Romedic   ReTurn 7500 Standing Aid

    https://www.handicare.com/en/products//transfer-and-lifting/sittostand-aids/systemromedic-return7500i-/c-39/c-204/p-293

    Gimme A Lift

    http://www.gimmealift.com/hospitals/

    Transfer Seated Patients: Non-Powered Options

    AliMed  Beasy transfer boards

    http://www.alimed.com/beasy-transfer-board/

    Arjo Huntleigh   Sara Stedy

    http://www.arjohuntleigh.us/products/patient-transfer-solutions/standing-raising-aids/sara-stedy/

    Transfer Seated Patients: Powered Options

    Brewer   Lift Mate

    http://brewercompany.com/product/brewer-liftmate/

    Sit-to-Stand Lift (many manufacturers & models)

    http://invacare.com/cgi-bin/imhqprd/inv_catalog/prod_cat_detail.jsp?s=0&prodID=ROZE&catOID=-536885359

    Portable Dependent Lift (many manufacturers and models)

    http://www.hill-rom.com/usa/Products/Category/Patient-Handling/Mobile-patient-lifts/Golvo-8000--8008-Patient-Lift/

    Patient Transport

     PHS West   Bariatric self-propelled chair

    https://www.phswest.com/products/patient-transport-chairs/

    Stryker   Prime TC Patient Transport Chair

    https://www.google.com/search?q=stryker+patient+transport+chair&sourceid=ie7&rls=com.microsoft:en-US:IE-Address&ie=&oe=&safe=active&gws_rd=ssl#spf=1

    Zoom Stretcher

    http://www.stryker.com/en-us/products/PatientHandlingEMSandEvacuationEquipment/Stretchers/GeneralPurposeTransportStretchers/PrimeSeriesStretchers/index.htm

    Equipment for Staff Use

    Darcor    Casters (Galifco Oregon)

    http://darcor.com/

    Positioning Bolsters for Support of Technologist’s Arm

    Size 6” x 8” x 12”

    http://www.isokineticsinc.com/category/pt_rehab_pt_positioning_bolsters/product/cl_54

    Size 3” x 8” x 12”

    http://www.isokineticsinc.com/category/pt_rehab_pt_positioning_bolsters/product/cl_53

    Computer Work Stations:

    Ergotron    Sit/Stand Desks

    http://www.ergotron.com/en-gb/products/stand-up-desks/desk-conversions

    Alternative Mouse Designs:

    Evoluent Vertical Mouse

    https://evoluent.com/

    Contour Design RollerMouse Pro2  

    http://www.contourdesign.com/US/product/rollermouse-pro2/

    Alternative Keyboard Designs: 

    Microsoft Sculpt Desktop Ergonomic

    https://www.microsoft.com/accessories/en-us/products/keyboards/sculpt-ergonomic-desktop/l5v-00001

    Kensington Comfort-Type Keyboard

    https://www.kensington.com/us/us/4489/k64338us/comfort-type-usb-keyboard

    Ceiling Hoist Lifts

    There are numerous manufacturers and vendors for ceiling hoist lifts. When it’s practical for your patient census, it is less expensive to install ceiling tracking in more than one area and use portable hoist motors that can be moved room-to-room as needed for patient transfers and movement.

    Oregon Workers’ Compensation System as a Funding Source for Equipment

    The Employer-at-Injury Program (EAIP) is designed to encourage the early return to work of injured workers. EAIP is administered by all workers compensation insurers in Oregon. Insurers establish their own EAIP policies & practices. SAIF will pay vendors directly for EAIP equipment purchases. Other insurers require employers to cover the cost of equipment until they are reimbursed by the State of Oregon.

    Eligibility & Benefits of EAIP:

    • 1)       Injured workers must have filed a workers compensation claim and be released for work with restrictions that prevent the worker from doing full-duty regular work.
    • 2)       ​The injured worker must be doing “transitional work” which must be within the worker’s specific injury-caused restrictions.
    • 3)      $5,000 per injured worker for worksite modification and purchases of tools and equipment

    Official Sources of Information & Answers about EAIP:

    1)            Call toll free   1-800-452-0288

    2)            Email   eaip.oregon@oregon.gov

    3)            Web    http://wcd.oregon.gov/rtw/Pages/eaip.aspx

    Case Example Information Packet:

    Email me CShorack@peacehealth.org and I will send you a detailed 13 page packet including:

    • 1)      Information and advice based on my experiences using EAIP work site modifications to purchase ergonomic equipment for Peacehealth Sacred Heart Medical Center injured staff.
    • 2)      List of 14 types of equipment that have been purchased by Peacehealth using EAIP funding.
    • 3)      Sample Equipment Justification Form with specific injured worker case example.
    • 4)      Full texts of justifications for 7 types of patient handling equipment that you are welcome to adapt and use.
    Full texts of Progressive Modified Return-To-Work Plans that we use to design modified light duty work for Imaging Tech and Imaging RN staff. You are welcome to adapt 



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