OAR 333-106-0055
General Requirements: X-ray Operator Training


(1)

The registrant shall assure that individuals who will be operating the X-ray equipment by physically positioning patients or animals, determining exposure parameters, or applying radiation for diagnostic purposes shall have adequate training in radiation safety.

(a)

Radiation safety training records shall be maintained by the registrant for each individual who operates X-ray equipment. Records must be legible and meet the requirements in OAR 333-120-0690 (Form of Records).

(b)

When requested by the Authority, radiation safety training records shall be made available.

(2)

Dental X-ray operators who meet the following requirements are considered to have met the requirements in section (1) of this rule:

(a)

Currently licensed by the Oregon Board of Dentistry as a dentist or dental hygienist; or

(b)

Is a dental assistant who is certified by the Oregon Board of Dentistry in radiologic proficiency.

(c)

Dental radiology students in an approved Oregon Board of Dentistry dental radiology course are permitted to take dental radiographs on human patients during their clinical training, under the direct supervision of a dentist or dental hygienist currently licensed, or a dental assistant who has been certified in radiologic proficiency by the Oregon Board of Dentistry.

(3)

Veterinary X-ray operators who meet the following requirements are considered to have met the requirements in section (1) of this rule:

(a)

Currently licensed by the Oregon Veterinary Medical Examining Board as a veterinarian or a certified veterinary technician.

(b)

Veterinary students enrolled in a radiology course approved by the Oregon Veterinary Medical Examining Board are permitted to take radiographs on animal patients during their clinical training under the direct supervision of a veterinarian or a certified veterinary technician who is currently licensed.

(4)

Diagnostic medical X-ray operators who meet the following requirements are considered to have met the requirements of section (1) of this rule:

(a)

Holds a current license from the Oregon Board of Medical Imaging; or

(b)

Holds a current limited X-ray machine operator permit from the Oregon Board of Medical Imaging; or

(c)

Is a student in an approved school of Radiologic Technology as defined in ORS 688.405 (Definitions for ORS 688.405 to 688.605) while practicing Radiologic Technology under the direct supervision of a radiologist who is currently licensed with the Oregon Medical Board or a radiologic technologist who is licensed with the Oregon Board of Medical Imaging; or

(d)

Is a student in an Oregon Board of Medical Imaging approved limited permit program under a radiologic technologist who is licensed by the Oregon Board of Medical Imaging.

(5)

All other types of X-ray operators must have completed an Authority approved radiation use and safety course.

(6)

At a minimum, an Authority approved training course shall cover the following subjects:

(a)

Nature of X-rays:

(A)

Interaction of X-rays with matter;

(B)

Radiation units;

(C)

X-ray production;

(D)

Biological effects of X-rays; and

(E)

Risks of radiation exposure.

(b)

Principles of the X-ray machine:

(A)

External structures and operating console;

(B)

Internal structures:
(i)
Anode; and
(ii)
Cathode.

(C)

Operation of an X-ray machine;

(D)

Tube warm up;

(E)

Factors affecting X-ray emission:
(i)
mA;
(ii)
kVp;
(iii)
Filtration; and
(iv)
Voltage waveform.

(c)

Principles of radiation protection:

(A)

Collimation;

(B)

Types of personal protection equipment and who must wear it;

(C)

ALARA;

(D)

Time, distance, shielding;

(E)

Operator safety;

(F)

Personal dosimetry:
(i)
Types of dosimetry;
(ii)
Proper placement of dosimetry; and
(iii)
Situations that require dosimetry.

(G)

Occupational and non-occupational dose limits.

(d)

Radiographic technique:

(A)

Factors affecting technique choice:
(i)
Thickness of part;
(ii)
Body composition;
(iii)
Pathology; and
(iv)
Film versus computed radiography (CR) and digital radiography (DR).

(B)

How to develop an accurate chart;

(C)

Low dose techniques;

(D)

Pediatric techniques (does not apply to veterinary); and

(E)

AEC Techniques.

(e)

Darkroom:

(A)

Safelights;

(B)

Chemical storage;

(C)

Film storage; and

(D)

Darkroom cleanliness.

(f)

Image processing:

(A)

Automatic film processing;

(B)

Dip tank film processing;

(C)

Computed radiography (CR) processing; and

(D)

Digital radiography (DR) processing.

(g)

Image critique:

(A)

Reading room conditions;

(B)

Light box conditions;

(C)

Image identification;

(D)

Artifacts;

(E)

Exposure indicators for CR and DR;

(F)

Technical parameter evaluation; and

(G)

Positioning evaluation.

(h)

Veterinary X-ray use (for veterinary courses only):

(A)

Types of animal restraints;

(B)

Small animal versus large animal;

(C)

Film holders; and

(D)

Portable X-ray machine safety.
(i)
Applicable federal and state radiation regulations including those portions of chapter 333, divisions 100, 101, 103, 106, 111, 120, and 124.

(7)

In addition to the training outlined in section (6) of this rule, medical X-ray equipment operators using diagnostic radiographic equipment on human patients, and who are not regulated by the Oregon Board of Medical Imaging, must have 100 hours or more of instruction in radiologic technology including, but not limited to:

(a)

Anatomy physiology, patient positioning, exposure and technique; and

(b)

Appropriate types of X-ray examinations that the individual will be performing; and in addition

(c)

Receive 200 hours or more of X-ray laboratory instruction and practice in the actual use of an energized X-ray unit, setting techniques and practicing positioning of the appropriate diagnostic radiographic procedures that they intend to administer.

(8)

All X-ray operators shall be able to demonstrate competency in the safe use of the X-ray equipment and associated X-ray procedures.

(9)

When required by the Authority, applications training must be provided to the operator before use of X-ray equipment on patients.

(a)

Records of this training must be maintained and made available to the Authority for inspection.

(b)

The training may be in any format such as hands-on training by a manufacturer’s representative, video or DVD instruction, or a training manual.

(10)

X-ray equipment operators who have received their radiation safety training outside of Oregon will be considered to have met the training requirements in section (5) of this rule, if the Authority’s or applicable Oregon Licensing Board’s evaluation of their training or training and experience, reveals that they substantially meet the intent of section (6) of this rule.

Source: Rule 333-106-0055 — General Requirements: X-ray Operator Training, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-106-0055.

333–106–0001
Purpose and Scope
333–106–0005
Definitions
333–106–0010
Administrative Controls
333–106–0015
General Requirements: Technique Chart
333–106–0020
General Requirements: Written Rules and Procedures
333–106–0025
General Requirements: Protection of Patients and Personnel
333–106–0035
General Requirements: Deliberate Exposures Restricted
333–106–0040
General Requirements: Patient Holding and Restraint
333–106–0045
General Requirements: Use of Best Procedures and Equipment
333–106–0050
General Requirements: Personnel Monitoring
333–106–0055
General Requirements: X-ray Operator Training
333–106–0060
General Requirements: Radiation Use and Safety Instructor Qualifications
333–106–0101
General Requirements: Diagnostic X-ray Systems
333–106–0105
General Requirements: Information and Maintenance Record and Associated Information
333–106–0110
General Requirements: Plan Review
333–106–0120
General Requirements: Information on Radiation Shielding for Plan Reviews — Optional
333–106–0130
General Requirements: Design Requirements for an Operator’s Booth
333–106–0201
Fluoroscopic X-ray Systems
333–106–0205
Fluoroscopic X-ray Systems Requirements: Activation of the Fluoroscopic Tube
333–106–0210
Fluoroscopic X-ray Systems Requirements: Fluoroscopic Entrance Exposure Rates
333–106–0215
Fluoroscopic X-ray Systems Requirements: Fluoroscopic Barrier Transmitted Radiation Rate Limits
333–106–0220
Fluoroscopic X-ray Systems Requirements: Fluoroscopic Indication of Potential and Current
333–106–0225
Fluoroscopic X-ray Systems Requirements: Fluoroscopic Source-to-Skin Distance
333–106–0230
Fluoroscopic X-ray Systems Requirements: Fluoroscopic Timer
333–106–0235
Fluoroscopic X-ray Systems Requirements: Mobile Fluoroscopes
333–106–0240
Fluoroscopic X-ray Systems Requirements: Fluoroscopic Control of Scattered Radiation
333–106–0245
Fluoroscopic X-ray Systems Requirements: Fluoroscopic Radiation Therapy Simulation Systems
333–106–0301
Additional Requirements for Radiographic Machines: Beam Limitation for Radiographic Systems Other Than Fluoroscopic, Dental Intraoral, Veterinary Systems, or Computed Tomography(CT)
333–106–0305
Additional Requirements for Radiographic Machines: Radiation Exposure Control Devices
333–106–0310
Additional Requirements for Radiographic Machines: Source-to-Skin Distance
333–106–0315
Additional Requirements for Radiographic Machines: Exposure Reproducibility
333–106–0320
Additional Requirements for Radiographic Machines: Radiation from Capacitor Energy Storage Equipment in Standby Status
333–106–0325
Additional Requirements for Radiographic Machines: Intraoral Dental Radiographic Systems
333–106–0345
Purpose and Scope
333–106–0350
Computed Tomography X-ray Systems: Definitions
333–106–0355
CT Equipment Requirements
333–106–0360
Computed Tomography X-ray Systems: Facility Design Requirements
333–106–0361
Computed Tomography X-ray Systems: Radiation Protection Surveys
333–106–0362
Computed Tomography X-ray Systems: Operating Procedures and Conditions of Operation
333–106–0363
Computed Tomography X-ray Systems: Quality Control Program
333–106–0364
Computed Tomography X-ray Systems: Initial and Annual Qualified CT Medical Physicist Scanner Performance Evaluations
333–106–0366
Computed Tomography X-ray Systems: Dose Limits
333–106–0367
Computed Tomography X-ray Systems: Records and Report Retention
333–106–0368
Computed Tomography X-ray Systems: Qualified CT Medical Physicist
333–106–0369
Computed Tomography X-ray Systems: Report and Notification of a CT Medical Event
333–106–0370
Computed Tomography X-ray Systems: Operator Requirements
333–106–0601
Veterinary X-ray Systems: Veterinary Medicine Radiographic Installations Additional Requirements
333–106–0700
Mammography Requirements: Mammography X-Ray Systems Definitions
333–106–0710
Mammography Requirements: Equipment Standards
333–106–0720
Mammography Requirements: Quality Assurance Program
333–106–0730
Mammography Requirements: Additional Requirements
333–106–0735
Mammography Requirements: Breast Density Notification
333–106–0750
Mammography Requirements: Mammography Personnel Qualifications
Last Updated

Jun. 8, 2021

Rule 333-106-0055’s source at or​.us