ACMDTT

Alberta College of Medical Diagnostic and Therapeutic Technologists

Decision-Making Tool

Question #3

Is it a restricted activity?

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A restricted activity is a high-risk activity performed by a member when providing a health service that requires the member to have specific competencies, skills and authorization, by the regulations under the HPA, to perform the activity safely and competently. The Medical Diagnostic and Therapeutic Technologists Profession Regulation (the Regulation) of the HPA outlines the restricted activities for members, which include procedures considered to be enhanced practice and those that require additional authorizations.

View the Medical Diagnostic and Therapeutic Technologists Profession Regulation

The following passage from the Regulation (Sections 14 through 21) outlines restricted activities and defines enhanced practice for medical diagnostic and therapeutic technologists.

Sections 14-21
Restricted Activities
Radiological technologists
  • 14(1) A regulated member who is registered in the radiological technologist general register or the radiological technologist temporary register category of the regulated members register is authorized to perform in accordance with the standards of practice the following restricted activities:
    • (a) apply any form of ionizing radiation in conjunction with medical radiography;
    • (b) apply non-ionizing radiation in lithotripsy;
    • (c) administer diagnostic imaging contrast agents for the purpose of conducting diagnostic scans and imaging of body tissue;
    • (d) insert or remove instruments, devices or fingers
      • (i) beyond the opening of the urethra,
      • (ii) beyond the anal verge, and
      • (iii) into an artificial opening in the body for the purpose of administering diagnostic examinations in medical radiography.
  • (2) A person referred to in subsection (1) who has completed advanced training approved by the Council and who has received notification from the Registrar that the authorization is indicated on the appropriate category of the regulated members register may perform in accordance with the standards of practice the following restricted activities:
    • (a) to cut a body tissue or to perform other invasive procedures on body tissue below the dermis for the purpose of starting an intravenous line;
    • (b) to apply non-ionizing radiation for the purpose of ultrasound imaging.

AR 61/2005 s14;113/2009

Nuclear medicine technologists
  • 15(1) A regulated member who is registered in the nuclear medicine technologist general register or the nuclear medicine technologist temporary register category of the regulated members register is authorized to perform in accordance with the standards of practice the following restricted activities:
    • (a) apply any form of ionizing radiation in conjunction with nuclear medicine;
    • (b) compound or administer blood or blood products to perform autologous procedures;
    • (c) administer radiopharmaceuticals, radiolabelled substances, radioactive gases or radioaerosols for diagnostic and therapeutic purposes;
    • (d) cut a body tissue, or administer anything by an invasive procedure on body tissue below the dermis, for the purpose of administering injections or for starting an intravenous line;
    • (e) insert or remove instruments or devices beyond the opening of the urethra for the purpose of administering diagnostic examinations in nuclear medicine.
  • (2) A person referred to in subsection (1) who has completed advanced training approved by the Council and who has received notification from the Registrar that the authorization is indicated on the appropriate category of the regulated members register may, in accordance with the standards of practice, apply non-ionizing radiation for the purpose of ultrasound imaging.

AR 61/2005 s15;113/2009

Radiation therapists
  • 16(1) A regulated member who is registered in the radiation therapist general register or the radiation therapist temporary register category of the regulated members register is authorized to perform in accordance with the standards of practice the following restricted activities:
    • (a) apply any form of ionizing radiation in conjunction with radiation therapy;
    • (b) administer diagnostic imaging contrast agents for the purpose of conducting diagnostic scans and imaging of body tissue;
    • (c) insert or remove instruments, devices, hands or fingers
      • (i) beyond the cartilaginous portion of the ear canal,
      • (ii) beyond the pharynx,
      • (iii) beyond the opening of the urethra,
      • (iv) beyond the labia majora,
      • (v) beyond the anal verge, and
      • (vi) into an artificial opening in the body for the purpose of radiation treatment.
  • (2) A person referred to in subsection (1) who has completed advanced training approved by the Council and who has received notification from the Registrar that the authorization is indicated on the appropriate category of the regulated members register may perform in accordance with the standards of practice the following restricted activities:
    • (a) to cut a body tissue or to perform other invasive procedures on body tissue below the dermis for the purpose of starting an intravenous line;
    • (b) to apply non-ionizing radiation for the purpose of ultrasound imaging.

AR 61/2005 s16;113/2009

Magnetic resonance technologists
  • 17(1) A regulated member who is registered in the magnetic resonance technologist general register or the magnetic resonance technologist temporary register category of the regulated members register is authorized to perform in accordance with the standards of practice the following restricted activities:
    • (a) apply non-ionizing radiation in conjunction with magnetic resonance imaging;
    • (b) administer diagnostic imaging contrast agents for the purpose of conducting diagnostic scans and imaging of body tissue;
    • (c) insert or remove instruments or devices beyond the opening of the urethra or beyond the anal verge for the purposes of conducting diagnostic scans and imaging of body tissue.
  • (2) A person referred to in subsection (1) who has completed advanced training approved by the Council and who has received notification from the Registrar that the authorization is indicated on the appropriate category of the regulated members register may perform in accordance with the standards of practice the following restricted activities:
    • (a) to cut a body tissue or to perform other invasive procedures on body tissue below the dermis for the purpose of starting an intravenous line;
    • (b) to apply non-ionizing radiation for the purpose of ultrasound imaging.

AR 61/2005 s17;113/2009

Electroneurophysiology technologists
  • 18 If a regulated member who is registered in the electroneurophysiology technologist general register or the electroneurophysiology technologist temporary register category of the regulated members register
    • (a) has provided evidence satisfactory to the Registrar of having successfully completed the requirements approved by the Council to perform the restricted activity described in this section, and
    • (b) has received notification from the Registrar that the authorization is indicated on the appropriate category of the regulated members register,
  • the regulated member may perform in accordance with the standards of practice the restricted activity of cutting a body tissue or administering anything by an invasive procedure on body tissue for the purpose of using needle electrodes.

AR 61/2005 s18;113/2009

Enhanced practice
  • 19(1) A regulated member who is registered in
    • (a) one of the medical radiation technologist general register categories of the regulated members register listed in section 2(a),
    • (b) the medical radiation technologist courtesy register listed in section 2(c),
    • (c) the electroneurophysiology technologist general register category of the regulated members register listed in section 2(d), or
    • (d) the electroneurophysiology technologist courtesy register category of the regulated members register listed in section 2(f)
  • may perform a restricted activity that is not authorized in respect of that regulated member’s area of practice but only if
    • (e) the restricted activity is one that is authorized to be performed by another regulated member who is registered in another area of practice under this Regulation,
    • (f) the regulated member has completed the advanced training approved by the Council, and
    • (g) the regulated member has received notification from the Registrar that the authorization is indicated on the appropriate category of the regulated members register.
  • (2) The Registrar may impose any conditions in accordance with policies and standards set by the Council on a regulated member referred to in subsection (1).

AR 61/2005 s19;113/2009

Duty of regulated members
  • 20 Despite sections 14 to 19, regulated members must restrict themselves to performing only those restricted activities that they are competent to perform and that are appropriate to their areas of practice and the procedures being performed.
Students, supervision
  • 21(1) A student who is enrolled in an approved medical radiation technology program or an electroneurophysiology technology program satisfactory to the Council or who is enrolled in a combined laboratory and x-ray sciences program approved by the council of the Alberta College of Combined Laboratory and X-ray Technologists is permitted to perform restricted activities referred to in sections 14 to 18 as part of a clinical practicum with the consent of and under the supervision of a regulated member who is registered on the electroneurophysiology technologist general or courtesy register or the medical radiation technologist general or courtesy register.
  • (2) The supervising member must
    • (a) be authorized to perform the restricted activity in respect of which the member is providing supervision, and
    • (b) be physically present and available to assist the student with performing the restricted activity as needed.

AR 61/2005 s21;113/2009

© Alberta Queen’s Printer, 2005

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