Radiation Protection Services (RPS) recently cancelled a proposed rulemaking to allow Advanced Practice Registered Nurse’s (APRN’s) to personally supervise fluoroscopy during interventional pain management procedures and requiring additional training for non-radiologist practitioners to become eligible to personally supervise or operate fluoroscopy devices. The notice of proposed rulemaking was unfiled with the Secretary of State’s Administrative Rules Unit and the related public hearing cancelled. This was due to RPS learning of a possible conflict between the draft rules and the Oregon Board of Medical Imaging (OBMI) statute that only permits physicians to supervise medical imaging equipment operators [ORS 688.405 (18)].
RPS has subsequently modified the proposed rule language so that it does not refer to “supervision” of operators by APRNs and instead would allow APRNs to give verbal instructions to operators to activate and terminate fluoroscopy if the APRN has completed the didactic, applications and clinical training that was in the original draft.
Furthermore, the original proposed rules establishing additional training requirements for non-radiologist practitioners to become eligible to supervise or operate fluoroscopy devices have been removed.
Our agency is requesting your feedback by December 7, 2016, in order to file a notice of proposed rulemaking with the Secretary of State. A Public Hearing will be scheduled for January 17, 2017. It is our intent to make the rules effective February 1, 2017.