.06 RCIS Assistance in the Delegating Physician’s Performance of Fluoroscopy.
A. Scope of Regulation.
(1) This regulation governs:
(a) A licensed physician’s delegation of technical acts to an RCIS assisting in the physician’s performance of fluoroscopy provided the delegation is in accordance with the entirety of this chapter; and
(b) The responsibilities of the hospital in which the cardiac catheterization laboratory is located to verify and document the qualifications of an RCIS and to ensure that all requirements of Health Occupations Article, §14-306, Annotated Code of Maryland and this regulation are met for each procedure.
(2) This regulation does not limit a licensed physician from delegating technical acts to an RCIS who is not assisting in the physician’s performance of fluoroscopy provided the delegation is in accordance with Regulations .01—.05 of this chapter.
B. An RCIS assisting in a delegating physician’s performance of fluoroscopy shall:
(1) Possess an active RCIS certification issued by Cardiovascular Credentialing International or another credentialing body approved by the Board;
(2) Complete 40 hours of:
(a) Accredited didactic education in fluoroscopic radiation physics and fluoroscopic patient safety; and
(b) Clinical fluoroscopic training supervised by a radiologist, radiographer, or radiologist assistant who is physically present in the room with the RCIS to instruct the clinical fluoroscopic training;
(3) In the hospital, wear an identification badge displaying in readily visible type:
(a) The name of the RCIS; and
(b) A designation by the hospital of verification of the RCIS’ credentials and completion of requirements to assist in a physician’s performance of fluoroscopy; and
(4) Comply with any additional requirements as established by:
(a) MDE;
(b) The Joint Commission; and
(c) Federal and State laws and regulations.
C. Responsibilities.
(1) The hospital shall:
(a) Verify that the RCIS has met the requirements in §B of this regulation before permitting an RCIS to assist in a delegating physician’s performance of fluoroscopy;
(b) Issue to the RCIS an identification badge in accordance with §B(3) of this regulation;
(c) Keep on-site all documentation of the RCIS’ certification and the additional training required under this regulation;
(d) Permit the Board, at any reasonable hour, to inspect the hospital’s documentation of the RCIS’ certification and training to ensure compliance with this regulation;
(e) Regarding radiation machines and fluoroscopy services, comply with any additional requirements as established by:
(i) MDE;
(ii) The Joint Commission; and
(iii) Federal and State laws and regulations; and
(f) Verify that the acts delegated to the RCIS are in accordance with the scope of this chapter.
(2) The delegating physician shall:
(a) Exercise direct supervision of the RCIS when the RCIS is assisting the delegating physician in the delegating physician’s performance of fluoroscopy;
(b) Delegate only technical acts involved in the physician’s performance of fluoroscopy in accordance with Regulation .03 of this chapter; and
(c) Verbally direct each technical act performed by the RCIS.
(3) The RCIS:
(a) May not perform fluoroscopy;
(b) Shall perform technical acts to assist the delegating physician in the delegating physician’s performance of fluoroscopy only upon verbal direction from the delegating physician;
(c) May not delegate any act to another individual; and
(d) May not engage in prohibited conduct as set out in Regulation .05 of this chapter.
