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Minnesota Administrative Rules

4732.0560 ORDERING OF DIAGNOSTIC RADIOGRAPHIC OR THERAPEUTIC PROCEDURES.

Subpart 1.

Applicability.

Except when the radiographic procedure is part of a healing arts screening program approved by the commissioner, the registrant must be responsible for ensuring that the requirements in subpart 2 on ordering radiographic or therapeutic procedures are met.

Subp. 2.

Diagnostic radiographic procedure orders.

A.

The order for a radiographic examination can be made only by a licensed practitioner of the healing arts, a certified clinical nurse specialist, certified nurse midwife, certified nurse practitioner, or physician assistant. The physician assistant must show eligibility to order radiographic procedures through the physician assistant's written physician-physician assistant agreement with a copy on site at the facility.

B.

The operator must not carry out a radiographic procedure unless ordered by individuals listed in this subpart.

C.

An order for a radiographic procedure must be available to procedure personnel at the time of the examination.

D.

The order for a radiographic procedure must include:

(1)

identification of the patient to be radiographed;

(2)

identification of the individual ordering the examination, through either a signature, electronic signature, or equivalent procedure;

(3)

clearly stated clinical indications for the examination;

(4)

the exact anatomical part to be examined; and

(5)

the examination to be performed.

E.

A licensed dental hygienist may order radiographs in facilities under a collaborative agreement authorized by the Board of Dentistry under Minnesota Statutes, chapter 150A.

Subp. 3.

Exception for dental facilities.

Dental facilities are exempt from the provisions of subpart 2 for recall patients provided:

A.

the facility has a signed, written standing order limited to recall patients; and

B.

the facility's policy defines the scope of the recall standing order.

Subp. 4.

Therapeutic procedure orders.

A.

The order for radiation therapeutic treatments can be made only by a licensed practitioner of the healing arts or a physician assistant supervised by a therapeutic radiologist or a radiation oncologist. The physician assistant must show eligibility to order therapeutic procedures through a written delegation agreement with a copy on site at the facility.

B.

The operator must not carry out radiation therapeutic treatments unless ordered by individuals listed in this subpart.

C.

An order for radiation therapeutic treatments must be available to personnel at the time of the treatment.

D.

The order for a therapeutic procedure must include:

(1)

identification of the patient;

(2)

identification of the individual ordering the treatment, through either a signature, electronic signature, or equivalent procedure;

(3)

exact anatomical area to be treated;

(4)

total dose to be delivered to the treatment site;

(5)

dose per fraction; and

(6)

overall treatment time period.

Subp. 5.

Identification prior to administration of treatment.

Prior to each administration of a treatment series, the patient's identity must be verified as the individual named in the procedure order. This should be done using two means of identification.

Statutory Authority:

MS s 144.12

History:

32 SR 777

Published Electronically:

December 10, 2007

700 State Office Building, 100 Rev. Dr. Martin Luther King Jr. Blvd., St. Paul, MN 55155 ♦ Phone: (651) 296-2868 ♦ TTY: 1-800-627-3529 ♦ Fax: (651) 296-0569