 |
|
|
|
|
|
Essential Competencies
Introduction
Legislation, Standards and Ethics
Equipment and Materials
Diagnostic Examinations and Radiation Treatment
Safe Practice
Relationship with Patients
Records and Reporting
M.R.T.s are health care professionals who employ ionizing radiation, radiopharmaceuticals, and electromagnetism (static magnetic fields and radio frequencies) to create images that are part of diagnostic imaging examinations or that are used for defining and recording treatment parameters. These images may be dynamic, on film, digital displays, three-dimensional models or templates. M.R.T.s in the specialties of radiation therapy and nuclear medicine, administer ionizing radiation to treat cancer and other diseases.
M.R.T.s who apply ionizing radiation do so under the authority of, and in accordance with, the Healing Arts Radiation Protection Act and, where applicable, the Nuclear Safety and Control Act and their respective regulations. M.R.T.s are permitted to apply electromagnetism for magnetic resonance imaging under an exemption set out in a regulation made under the Regulated Health Professions Act.
M.R.T.s perform four controlled acts, which they have been authorized to perform under the Medical Radiation Technology Act. The four controlled acts that M.R.T.s are authorized to perform are:
- taking blood samples from veins;
- administering substances by injection or inhalation;
- administering contrast media through or into the rectum or an artificial opening into the body; and
- tattooing.
M.R.T.s may accept delegation of other procedures that are controlled acts under the Regulated Health Professions Act, provided they comply with the Regulated Health Professions Act and the Comprehensive Guidelines.
Essential Competency:
M.R.T.s must be able to create images that are sufficiently accurate and clear for the diagnostic or treatment purposes that are ordered by a physician (or other health care practitioner listed in the Healing Arts Radiation Protection Act), while using only the minimum amount of radiation or electromagnetism (radio frequency) necessary during the course of an examination or treatment. M.R.T.s must be proficient in evaluating the technical sufficiency of the images and tests to ensure that the images are satisfactory. M.R.T.s must be able to administer the therapeutic application of ionizing radiation accurately and in accordance with the treatment prescription ordered by a physician under the Healing Arts Radiation Protection Act. M.R.T.s must not apply or administer ionizing radiation unless the conditions under the applicable legislation (including, without limitation, the Healing Arts Radiation Protection Act and its regulations, and the Nuclear Safety and Control Act, its regulations and licences issued thereunder) have been met.
M.R.T.s must be able to perform the four controlled acts authorized to M.R.T.s (authorized acts) as required in the course of engaging in the practice of the profession. They must not perform the authorized acts, or any exempted controlled act, unless the conditions under the Regulated Health Professions Act, the Medical Radiation Technology Act, their respective regulations and the Comprehensive Guidelines have been met. M.R.T.s must only perform delegated controlled acts in accordance with the conditions set out in the Regulated Health Professions Act and the Comprehensive Guidelines.
Indicators
All M.R.T.s must:
| a) |
position the patient as required for examination or treatment; |
| b) |
perform procedures involving the application or administration of ionizing radiation only when the conditions under the applicable legislation (including, without limitation, the Healing Arts Radiation Protection Act and its regulations, and the Nuclear Safety and Control Act, its regulations and licenses issued thereunder) have been met; |
| c) |
perform only those controlled acts that have been authorized, or exempted or excepted under the legislation, or delegated in accordance with the legislation and the Comprehensive Guidelines; |
| d) |
perform authorized acts, or delegated or exempted controlled acts, only when the conditions under the legislation and Comprehensive Guidelines have been met; |
| e) |
not perform any procedure which may result in serious physical harm, unless that procedure is within the scope of practice of the profession or the M.R.T. is authorized or permitted to do so by legislation; |
| f) |
ensure the area to be diagnosed or treated will be displayed on the exposed film or captured electronically; |
| g) |
use radiation protection devices and other patient protection devices as required; |
| h) |
instruct the patient on breathing and movement procedures; |
| i) |
ensure that the orientation of the body and other pertinent parameters are marked correctly on the image; |
| j) |
ensure the exposure provides optimum image quality while using minimal radiation; |
| k) |
ensure examination results (film, electronic image or other computer data input) provide all the information requested in the order; |
| l) |
carry out the procedures ordered; and |
| m) |
assess the patient’s condition during the course of treatment or procedures and respond accordingly;
|
In addition, all M.R.T.s in the specialties of radiography, nuclear medicine and magnetic resonance must:
| n) |
determine if the image is of sufficient diagnostic quality or if additional or repeat images are necessary; |
In addition, all M.R.T.s in the specialty of magnetic resonance must:
| o) |
perform procedures involving the application of electromagnetism (static magnetic fields and radio frequencies) only when the conditions under the Regulated Health Professions Act and its regulations have been met; |
In addition, all M.R.T.s in the specialty of radiation therapy must:
| p) |
develop an optimal treatment distribution for each patient; |
| q) |
calculate treatment doses and duration of administration; |
| r) |
ensure use of record and verification systems; |
| s) |
identify the treatment field and treatment volumes; |
| t) |
select and/or verify treatment parameters; |
| u) |
administer treatment; and |
| v) |
determine if the image verifies treatment parameters or if a repeat image is necessary. |
|
  |
|
|
|
Some documents require the free Adobe Acrobat Reader™