From: Dieter <[EMAIL PROTECTED]> At our institution, students are under direct supervision at all times, ie a student will not do an x-ray unless there is some one there to watch.
The competency issue is irrelevant as students do not need to gain competencies in every single examination they will ever do. Additionally, some students still need supervision once they have completed a competency for exactly the same examinaton on a different patient. "Direct" supervision does not have to mean that the student is no more than 3 feet away from you at all times but it does mean that you should be watching what the student is doing, after-all you are directly responsible for the radiation safety of every patient who is having an examination performed by a student under your supervision. That's my stance anyway. Dieter At 17:39 22/02/2003 +1100, you wrote: > From: "Rita Richter" <[EMAIL PROTECTED]> > >Hi all >I may behind the 8-ball here, but what are other practices doing >regarding >the requirement of direct supervision of students by a licensed >radiographer >whilst the student operates x-ray equipment. I have enclosed >excerpts from >the NSW EPA Radiation Control Regulation and Act that relate to >this. >My interpretation of this is that a qualified and licensed radiographer >must >supervise students at all times whilst they are taking an x-ray. >Someone on >site must also be given the authority by EPA to give the approval >for >exemption for students. I have heard other interpretations such as >direct >supervision is only required for examinations for which the student >has not >gained competency. Once the student has gained competency in a >procedure, >they only require general supervision, eg. check the films at the >end. EPA >advise that students should be directly supervised at all times for all >examinations, and general supervision for when they are doing non- >radiation >tasks such as processing. >I am sure there are many practices that would not be able to >function >without allowing a student to at least take x-rays that they are >competent >in without having someone supervising them directly. Let alone the >demoralising effect this would have on students. >What do others think of this? >Rita Richter >San Radiology >Sydney Adventist Hospital >185 Fox Valley Rd >Wahroonga NSW 2067 >Ph: 9487 9838 >Fax: 9487 9845 >Email: [EMAIL PROTECTED] >RADIATION CONTROL REGULATION 1993 - SECT 8 >Exemptions from sec. 6 licensing requirements for certain persons > >8. (1) The following persons are exempt from the licensing >requirements of >section 6 of the Act in relation to the use of radioactive substances >and >ionising radiation apparatus: > > (a) a person who is a medical registrar at a hospital and is >training in > nuclear medicine, diagnostic radiology, radiation oncology, > ophthalmology, dermatology, rheumatology or in a medical >discipline > which uses fluoroscopy; > > (b) a person who is a student in medical radiation technology and >is a > trainee technologist in nuclear medicine, diagnostic radiology >or > radiation oncology; > > (c) a person who is an assistant to an industrial radiographer; > > (d) an undergraduate student in a university or other educational > institution who is undertaking course work or research; > >2) This exemption does not have effect with respect to a person >unless the >person: > > (a) is the subject of an approval under this clause; and > > (b) is complying with the conditions to which the approval is >subject. > >(3) A person who holds a licence may give approvals for the >purposes of this >clause, but only if the conditions of the licence so allow. > >(4) An approval: > > (a) must be in writing; and > > (b) must specify the radioactive substances or radiation >apparatus to > which it relates; and > > (c) must set out any conditions to which it is subject; and > > (d) must identify each person, or class of persons, to whom it >relates; > and > > (e) must identify the person or persons who are to supervise each >person, > or class of persons, to whom it relates. > >(5) A person who gives an approval for the purposes of this clause >must >ensure >that a copy of the approval: > > (a) is given to each person to whom it relates; or > > (b) is conspicuously displayed at each place in which the >radioactive > substances or ionising radiation apparatus to which the >approval > relates are proposed to be used. >Maximum penalty: 15 penalty units. > >(6) A person who grants an approval must ensure that each person >so approved >is supervised by a qualified person as follows: > > (a) a person referred to in subclause (1) (a) must be subject to: > > (i) immediate supervision at all times during the first 6 months of >the > person's training; and > > (ii) general supervision after that period; > > (b) a person referred to in subclause (1) (b) must be subject to: > > (i) immediate supervision at all times while the person is using >the > radioactive substances or radiation apparatus to which the >approval > relates during clinical experience in the course of training; and > > (ii) general supervision at all other times; > > (c) a person referred to in subclause (1) (c) must be subject to > immediate supervision at all times; > > (d) a person referred to in subclause (1) (d) must be subject to: > > (i) immediate supervision at all times while the person is using >the > radioactive substances or radiation apparatus to which the >approval > relates in any clinical situation; and > > (ii) general supervision at all other times; > >Maximum penalty: 15 penalty units. > >(7) In this clause: > >"general supervision" means supervision by a qualified supervisor >who >oversees >the person being supervised and ensures that the person follows >safe >radiation >work practices in relation to the use of radioactive substances or >radiation >apparatus; > >"immediate supervision" means supervision by a qualified >supervisor who is >present at all times during, and is observing and directing, the use >by the >person being supervised of radioactive substances or radiation >apparatus; > >"qualified person", in relation to supervision for a particular >radioactive >substance or item of radiation apparatus, means a person who is >the holder >of >a licence which allows the person to provide supervision with >respect to >that >substance or item. > >RADIATION CONTROL ACT 1990 - SECT 6 >Restrictions on possession, use and sale etc of radioactive >substances and >certain radiation apparatus >6 Restrictions on possession, use and sale etc of radioactive >substances and >certain radiation apparatus >(1) This section applies to the following: >(a) all radioactive substances, >(b) all ionising radiation apparatus, >(c) non-ionising radiation apparatus prescribed as apparatus to >which this >section applies. >(2) A person must not possess, use, sell or give away anything to >which this >section applies unless the person is the holder of a licence under >this >section and does so in compliance with any conditions to which the >licence >is subject. >Maximum penalty: 1,500 penalty units in the case of a corporation >or 250 >penalty units or imprisonment for 2 years, or both, in any other >case. >(3) A person must not sell or give away anything to which this >section >applies except to a person who holds a licence under this section >authorising the possession, use or sale of that thing. >Maximum penalty: 1,500 penalty units in the case of a corporation >or 250 >penalty units or imprisonment for 2 years, or both, in any other >case. >(4) The Authority may, on application in the approved form and >payment of >the prescribed fee, grant a licence. >(5) The Authority is not to grant a licence authorising a person to >use >anything to which this section applies unless it is satisfied: >(a) that the applicant is a natural person and is a fit and proper >person to >hold the licence, and >(b) that the applicant has appropriate knowledge of the principles >and >practices of radiation safety and protection applicable to the >activities >proposed to be carried on by the applicant pursuant to the licence, >and >(c) that the applicant meets any relevant requirements for licensing >for use >of the substance or apparatus set out in a document forming part of >the >National Directory and adopted by the Authority under section 37. >(6) A licence is subject to such conditions as may be imposed by >the >Authority. > >Rita > > > > > +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+= > This message is being broadcast by AIRNEWS, > the Australian Institute of Radiography list Server > > Send messages to [EMAIL PROTECTED] > For assistance send mail to [EMAIL PROTECTED] > Commands should be sent to [EMAIL PROTECTED] > >Opinions expressed on this list are not necessarily those of the >moderator, his assistants or those of the A.I.R. +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+= This message is being broadcast by AIRNEWS, the Australian Institute of Radiography list Server Send messages to [EMAIL PROTECTED] For assistance send mail to [EMAIL PROTECTED] Commands should be sent to [EMAIL PROTECTED] Opinions expressed on this list are not necessarily those of the moderator, his assistants or those of the A.I.R.
