April 13, 2020

Despite Longstanding Objections, Oregon Expands Fluoroscopy Scope of Practice for APRNs

Since 2018, the Oregon Radiological Society (ORS) and ACR have opposed the proposal to allow APRNs to supervise all fluoroscopic procedures in Oregon and have enumerated a number of concerns to the Oregon Board of Medical Imaging; however, the Board issued a temporary administrative order allowing advanced practice registered nurses (APRNs) to obtain a limited permit to supervise fluoroscopy without first passing the American Registry of Radiologic Technologists (ARRT) fluoroscopy exam. The board also modified the timing of the practitioner’s required background check because of the COVID-19 emergency.
The board asserts the relaxed requirements for a limited permit to supervise fluoroscopy will increase the supply of medical imaging professionals to meet an anticipated spike in demand for fluoroscopy during the pandemic, but does not appropriately address issues of quality or safety. The rule is effective March 24, 2020 through September 1, 2020.
The ACR staff are closely tracking state orders on scope related matters during the pandemic to help ensure appropriate safeguards to help protect the public are observed during this crisis, and that any such relaxation of quality/safety standards be rescinded once the crisis has abated.
The new rule stipulates that the APRNs must meet the following requirements to qualify for a limited permit:
  • Completing the Fluoroscopy Framework for physician assistants and passing the post test
  • Completing the required clinical component of the Fluoroscopy Framework or being granted a board waiver for the clinical component
  • Completing a board approved, APRN device orientation checklist, and
  • Passing the ARRT fluoroscopy exam within three months of receiving a limited permit, unless the APRN receives an extension from the board administrator for additional time to pass the exam.