Additional and Enhanced Practice Authorization

Important notice regarding additional and enhanced practice authorization applications

Please note that as of August 3, 2020, regulated members in the general register apply for additional and enhanced practice authorizations online through My Profile (see instructions below). Individuals applying for temporary practice permits, including new graduates, will continue to apply for authorizations using a paper process until further upgrades of the member portal are rolled out later this year.

Everyone using the annual registration renewal system in the fall will be required to renew their authorizations online.

The Medical Diagnostic and Therapeutic Technologists Profession Regulation (the Regulation) of the Health Professions Act (HPA) outlines the restricted activities for members, which include procedures considered to be enhanced practice and those that require additional authorizations.

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 of the Regulation
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

Enhanced practice is when you perform restricted activities that are not primarily authorized for the area of practice in which you’re registered. An example of this would be a radiological technologist preparing or administering medication. This role requires the technologist to be authorized in restricted activities not primarily a principal expectation of practice for radiological technologists.

Additional authorizations differ from enhanced practice in that the additional competencies/restricted activities are included in the specialty’s section of the regulation and additional authorization can be achieved by a technologist upon successful completion of advanced training approved by Council.

Members seeking enhanced or additional authorization are required to complete advanced training approved by Council. When all requirements have been satisfied, the College will indicate a ‘condition of practice’ on your practice permit indicating the achievement of an enhanced practice skill set. Members granted enhanced practice are required to verify the maintenance of competence upon renewal each year.

How to apply for additional and enhanced practice authorizations

The recently upgraded member portal allows members in the general register to apply for additional and enhanced practice authorizations using a paper-free, “all online” process. Please note that individuals applying for temporary practice permits this summer, including new graduates, will continue to apply for authorizations using a paper process until further upgrades of the member portal are rolled out later this year.

  • Log in to My Profile.
  • Select “My profile” on the left side of the screen.
  • Select “Edit profile” at the top of the page.
  • In the “Additional and Enhanced Practice Authorization Application” section, select “Add” to begin your application.
  • Select the specialty in which you are applying for an authorization and the authorization you are seeking. Please note that you can only apply for one authorization at a time.
  • Enter information about your program completion.
  • Upload the required documentation. This may include a certificate and/or skills checklist depending on the type of authorization.
  • Enter your supervisor’s information. Please provide a valid email address for your supervisor as they will verify your additional and enhanced practice authorization.
  • Complete the “Member Declaration” section. You must check all the boxes in this section to proceed with your application.
  • If you don’t need to make any other changes to your profile, scroll to the bottom of the page and select “Submit.” Your profile will be locked until the College reviews your application.
  • You will receive an email from the College when your application has been approved or if we require further information or documentation.

If you are on the temporary register, please email communications@acmdtt.com to request an Additional and Enhanced Practice Authorization Application form.

Enhanced practice authorizations

The following is a list of enhanced practice authorizations available to College regulated members:

CT and Contrast Media (nuclear medicine technologists)

Under the provision of the HPA, a regulated member who has completed advanced training, approved by Council, may be authorized by the Registrar under section 19(1) of the Regulation. This section provides that a regulated member in one of the general registers may be authorized to perform restricted activities that are not authorized for their area of practice but that other members of the College are authorized to perform if:

  • they have completed advanced training approved by Council, and
  • the Registrar is satisfied that the regulated member has received the appropriate education and has demonstrated the competencies required by the Council.

Under this legislation, nuclear medicine technologists may complete advanced training in order to gain authorization to apply ionizing radiation in conjunction with medical radiography and/or prepare and/or administer contrast media.

In 2018, the College Council approved the current program which reflects current practice and entry-to-practice education for nuclear medicine technologists in Alberta.

View the approved CT and Contrast Media program

Enhanced Gastrointestinal Fluoroscopy (radiological technologists)

The College considers the activities encompassed by this authorization, within the specialty of radiological technology, to pose a risk to the public of Alberta. Although the technical practice of performing fluoroscopy procedures falls within the authorization of a radiological technologist registered with the College, the additional responsibility of technical and clinical assessment, for specific gastrointestinal (GI) examinations, that is the purpose of this authorization does not. As such, in order to perform these enhanced procedures, a technologist must complete a program of advanced study approved by Council.

Approved program:

  • Enhanced Practice for GI Fluoroscopy by Technologists – Canada Diagnostic Centres (approved January 2015)
Ictal SPECT Injection (electroneurophysiology technologists)

Under the provision of the HPA, a regulated member who has completed advanced training, approved by Council, may be authorized by the Registrar under section 19(1) of the Regulation. This section provides that a regulated member in one of the general registers may be authorized to perform restricted activities that are not authorized for their area of practice but that other members of the College are authorized to perform if:

  • they have completed advanced training approved by Council, and
  • the Registrar is satisfied that the regulated member has received the appropriate education and has demonstrated the competencies required by the Council.

Under this legislation, electroneurophysiology technologists may complete advanced training in order to gain authorization to administer radiopharmaceuticals for diagnostic purposes.

Approved program:

  • Ictal SPECT Injection Training Program for EEG Technologists – Foothills Medical Centre (approved 2005; reviewed 2017)
Intraoperative Monitoring (electroneurophysiology technologists)

The College considers the practice of intraoperative monitoring (IOM) within the specialty of electroneurophysiology technology to pose a risk to the public of Alberta. As such, in order to perform this highly specialized procedure, a technologist must complete a program of advanced study approved by Council.

Approved program:

  • Successful completion of the certification examination in neurophysiologic Intraoperative Monitoring (CNIM) offered by the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET) (approved 2005; reviewed July 2013)
Magnetic Resonance in Radiation Therapy (radiation therapists)

Under the provision of the HPA, a regulated member who has completed advanced training, approved by Council, may be authorized by the Registrar under section 19(1) of the Regulation. This section provides that a regulated member in one of the general registers may be authorized to perform restricted activities that are not authorized for their area of practice but that other members of the College are authorized to perform if:

  • they have completed advanced training approved by Council, and
  • the Registrar is satisfied that the regulated member has received the appropriate education and has demonstrated the competencies required by the Council.

Under this legislation, radiation therapists may complete advanced training in order to gain authorization to apply non-ionizing radiation (magnetic resonance imaging) in conjunction with radiation therapy.

Approved program:

  • Integration of MRI into Radiation Therapy – Cross Cancer Institute (approved 2020)
Medication Administration (radiological technologists, magnetic resonance technologists)

Under the provision of the HPA, a regulated member who has completed advanced training, approved by Council, may be authorized by the Registrar under section 19(1) of the Regulation. This section provides that a regulated member in one of the general registers may be authorized to perform restricted activities that are not authorized for their area of practice but that other members of the College are authorized to perform if:

  • they have completed advanced training approved by Council, and
  • the Registrar is satisfied that the regulated member has received the appropriate education and has demonstrated the competencies required by the Council.

Under this legislation, radiological and magnetic resonance technologists may complete advanced training in order to gain authorization to administration of pharmaceuticals in conjunction with imaging procedures.

Approved programs:

  • Medication Administration Module for Diagnostic Imaging Technologists: Cardiac Catheterization Lab – Foothills Medical Centre (approved February 2012)
  • Medication Administration Module for Radiological Technologists: Interventional Radiology – Alberta Health Services (approved July 2016)
  • Medication Administration for MR Technologists – Mayfair Diagnostics (approved 2013; reviewed 2018)
  • Medication Management – Medical Imaging Consultants (approved April 2016)
  • Managing Medications while Preparing Sterile Trays for Pain Therapy – Mayfair Diagnostics (approved July 2016)
  • Medication Preparation and Aseptic Technique – EFW Radiology (approved July 2016)
  • Medication Administration Module for Medical Radiation Technologists – Alberta Health Services (approved July 2016)
  • Medication Management Course – Canada Diagnostic Centres (approved July 2017)
  • Medication Preparation – Insight Medical Imaging (approved April 2017)
  • Medication Preparation and Aseptic Technique – BGSA Radiology Inc. (approved September 2017)
  • Medication Preparation – Radiology Associates (approved September 2017)
  • Medication Management Authorization Program for Diagnostic Imaging – Alberta Health Services (approved November 2017)
  • Medication Administration for Medical Radiation Technologists – Insight Medical Imaging (approved April 2018)
  • Medication Administration Enhancement Module – ADC Imaging (approved July 2018)
  • Medication Management – Guardian Radiology (approved December 2019)
  • Medication Management Course – Central Alberta Medical Imaging Services (approved February 2020)
  • Medication Management – Vivo Cura Health (approved May 2020)
  • Medication Management for Infini Health – Infini Health (approved September 2020)
Quantitative Computed Tomography (radiation therapists)

Under the provision of the HPA, a regulated member who has completed advanced training, approved by Council, may be authorized by the Registrar under section 19(1) of the Regulation. This section provides that a regulated member in one of the general registers may be authorized to perform restricted activities that are not authorized for their area of practice but that other members of the College are authorized to perform if:

  • they have completed advanced training approved by Council, and
  • the Registrar is satisfied that the regulated member has received the appropriate education and has demonstrated the competencies required by the Council.

Under this legislation, nuclear medicine technologists may complete advanced training in order to gain authorization to apply ionizing radiation in the distinct specialty of high-resolution peripheral quantitative computed tomography (CT). This modality is currently utilized in a research setting.

Approved program:

  • High-Resolution Peripheral Quantitative Computed Tomography (HR-pQCT) – University of Calgary (approved 2013; amended September 2014)

Additional authorizations

The following is a list of additional authorizations available to College regulated members:

Automated Breast Ultrasound (radiological technologists)

Under the provision of the HPA, a regulated member who has completed advanced training, approved by Council, may be authorized by the Registrar to apply non-ionizing radiation for the purpose of ultrasound imaging. This additional authorization is applicable to all MRT specialties.

Currently, the College endorses an approved avenue of study, consisting of both didactic and clinical components, as appropriate training for the radiological technologist to apply non-ionizing radiation for the purposes of automated ultrasound of the breast.

Approved program:

  • ABUS for Mammography Technologists – Mayfair Diagnostics (approved September 2017)
Bladder Ultrasound (radiation therapists)

Under the provision of the HPA, a regulated member who has completed advanced training, approved by Council, may be authorized by the Registrar to apply non-ionizing radiation for the purpose of ultrasound imaging in conjunction with radiation therapy. This additional authorization is applicable to the specialty of radiation therapy.

Currently, the College endorses an approved avenue of study, consisting of both didactic and clinical components, as appropriate training for the radiation therapist to apply non-ionizing radiation for ultrasound of the bladder for the indicated and appropriate purposes regarding radiation therapy planning and treatment.

Approved program:

  • Handheld Ultrasound Bladder Scanner Training Program – Alberta Health Services Community Oncology (CACC, JACC) (approved November 2015)
Breast Ultrasound (radiological technologists)

Under the provision of the HPA, a regulated member who has completed advanced training, approved by Council, may be authorized by the Registrar to apply non-ionizing radiation for the purpose of ultrasound imaging. This additional authorization is applicable to all MRT specialties.

Currently, the College endorses an approved avenue of study, consisting of both didactic and clinical components, as appropriate training for the radiological technologist to apply non-ionizing radiation for the purposes of ultrasound of the breast.

View the approved Breast Ultrasound program

Needle Authorization (electroneurophysiology technologists)

Under the provision of the HPA, a regulated member on the electroneurophysiology technologist general register who has completed advanced training, approved by Council, may be authorized by the Registrar to cut a body tissue for the purpose of using needle electrodes.

Approved program:

  • Alberta Health Services Subdermal Needle Insertion Program (approved 2013; reviewed 2018)
Prostate Ultrasound (radiation therapists)

Under the provision of the HPA, a regulated member who has completed advanced training, approved by Council, may be authorized by the Registrar to apply non-ionizing radiation for the purpose of ultrasound imaging in conjunction with radiation therapy. This additional authorization is applicable to the specialty of radiation therapy.

Currently, the College endorses an approved avenue of study, consisting of both didactic and clinical components, as appropriate training for the radiation therapist to apply non-ionizing radiation for ultrasound of the prostate for the indicated and appropriate purposes regarding radiation therapy planning and treatment.

Approved program:

  • Ultrasound Education for Radiation Therapists in Prostate Brachytherapy – Tom Baker Cancer Centre (approved September 2014)
Venipuncture (radiological technologists, magnetic resonance technologists, radiation therapists)

Under the provision of the HPA, a regulated member who has completed advanced training, approved by Council, may be authorized by the Registrar to perform venipuncture for the purpose of starting an intravenous line.

This additional authorization is applicable to radiological technologists, magnetic resonance technologists and radiation therapists. It is not applicable for nuclear medicine technologists as this is an entry-to-practice competency for those registered in the specialty; nor is it applicable for electroneurophysiology technologists.

Approved programs:

  • MacEwan University (approved 2004; reviewed 2018)
  • Northern Alberta Institute of Technology (NAIT) School of Health Sciences Venipuncture Program [MRAD2691; MRID1260; MRID1400] (approved April 2015)
  • Mayfair Diagnostics (approved 2008; reviewed 2018)
  • Tom Baker Cancer Centre (approved 2008; reviewed 2013)
  • Canada Diagnostics Centres (approved 2006; reviewed 2014)
  • NAIT Department of Continuing Education IV Certification Program (approved April 2015)
  • Covenant Health Venipuncture Program (approved April 2015)
  • Alberta Health Services Venipuncture Authorization Program for Diagnostic Imaging (approved July 2015)
  • Southern Alberta Institute of Technology Medical Radiologic Technology Program (approved 2016; reviewed 2017)

If you have any questions about additional and enhanced practice authorizations, please feel welcome to contact the College by email at info@acmdtt.com or by phone at 780.487.6130 or 1.800.282.2165.

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