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Limited Permit Exams

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Process To Obtain A Bone Densitometry Limited Permit

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What is a Permanent Bone Densitometry Limited X-Ray Machine Operator (LXMO) Permit for?

The Permanent Bone Densitometry LXMO Permit is for a person who has met all of the requirements (more information and details below) and wishes to perform Bone Densitometry while under supervision. The Oregon Board of Medical Imaging (OBMI) Permit is valid for 2-years and must be renewed in order for a person to continue to perform Bone Densitometry.


How do I obtain a Permanent Bone Densitometry Limited X-Ray (LXMO) Permit?

To obtain a Permanent Bone Densitometry LXMO Permit issued by the Oregon Board of Medical Imaging you must complete all of the following within the time frames indicated:

  1. Complete an Oregon Board of Medical Imaging(OBMI)-recognized limited x-ray course of instruction in Bone Densitometry.
  2. Obtain a signed and dated course completion certificate from the school.
  3. Apply for the ARRT exam through the OBMI office.
  4. Take and Pass the ARRT exam
  5. Submit a Permanent Initial Limited Permit application to the OBMI. 

More details on these steps below.


What are the timelines for completing all of these steps?

Here are some general guidelines for completing all the steps to obtain a Permanent Bone Densitometry LXMO Permit from the OBMI:

  1. Complete school and obtain a course completion certificate. If you haven't obtained a Permanent Permit within 12 months from the date on your course completion certificate, you MUST retake all school courses.
  2. You have 12 months from the date on the course completion certificate to Apply, Take and Pass the ARRT Bone Densitometry Equipment Operators Examination (a passing score is 70% or better) AND Apply for a Permanent Initial LXMO Permit.

 

What schools are Recognized by the OBMI?

In order to start the process of obtaining a LXMO Permit from the Oregon Board of medical Imaging, you must successfully take and pass a Board approved 24-hour course of instruction which includes not less than 20 hours of radiation protection, equipment operation and quality control specific to x-ray bone densitometry, and meets the didactic and practical experience requirements stated in the Board's publication "Behavioral Objectives and Teaching Guide Bone Densitometry Equipment Operators".  The list of Board approved schools can be found HERE.


I have passed all of my course requirements at school and I have my course completion certificate. I am ready to take the ARRT Exam. What is the next step?

As a graduate, you have exactly 12 months from the date indicated on the course completion certificate to complete ALL of the following to obtain Permanent Bone Densitometry LXMO Permit:

  1. Apply for, take and pass the ARRT Bone Densitometry Equipment Operators Examination. You can find the exam Application HERE
  1. Submit an application and have been issued a Permanent Initial LXMO Permit in Bone Densitometry from the OBMI. You can find the application HERE​

 

What happens if I fail the ARRT Exam?

You can fail the ARRT exam twice. If you fail a third time, you must retake all Bone Densitometry education again by starting the entire process over, including going back to school, retaking all course work and obtaining a new course completion certificate.​


I have my Permanent Bone Densitometry Limited X-Ray (LXMO) Permit! Now what?

With an active Permanent LXMO permit you may perform Bone Densitometry within the scope of practice. You must renew your Permit every 2 years and provide the appropriate Continuing Education evidence with your renewal. Your renewal must include a total of 18 hours of Continuing Education (CE). Four of the 18 hours must be in radiation use and safety.  You may not practice without a valid Permit.


As an OBMI Permit Holder, it is your responsibility to know and abide by the Oregon Administrative Rules and Revised Statutes related to Medical Imaging.
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PROCESS TO OBTAIN A LIMITED FLUOROSCOPY PERMIT
FOR PHYSICIAN ASSISTANT
​(See Important Links At The Bottom Of This Page.)

 

 

I am a licensed Physician Assistant in Oregon.
What do I need to do to obtain my Limited Fluoroscopy Permit?

For an Oregon Licensed Physician Assistant (PA) to obtain the limited fluoroscopy permit from the Oregon Board of Medical Imaging (OBMI) you must meet the following requirements:
 

  1. Complete the didactic experience in the AAPA/ASRT Fluoroscopy Educational Framework examination preparation course referred to as the “fluoroscopy framework”;
  2. Receive a passing score and obtain a certificate of the post-test didactic component of the “fluoroscopy framework”;
  3. Obtain the clinical portion of the AAPA/ASRT framework clinical experience as detailed below;
  4. Apply for and Pass the ARRT fluoroscopy examination;
  5. Apply for and obtain the limited fluoroscopy permit from the OBMI. 

More details on these steps are below.



How do I obtain the required didactic experience?

The requirements for the didactic experience and registration are Found Here.

This is referred to as the “fluoroscopy framework”.

You can obtain this didactic experience through the American Academy of Physician Assistants (AAPA) fluoroscopy examination preparation course, which you take through the AAPA.  When you apply for the ARRT fluoroscopy examination, you will show proof of your successful completion of this course by submitting a copy of your certificate showing a passing score of the AAPA/ASRT Fluoroscopy Educational Framework post-test.


How do I obtain the required clinical experience?
 

The requirements for the clinical experience are found in the Fluoroscopy Framework Here​​​.

 You obtain the clinical portion of the AAPA/ASRT framework, by completing clinical experience with personal (in the room) supervision by either the PA’s supervising physician, a licensed radiologic technologist, licensed radiologist or medical physicist. You must include demonstration of the following:

  1. Patient dose reduction
  2. Occupational dose reduction
  3. Image recording
  4. Quality control of fluoroscopic equipment

 

How do I apply for and take the ARRT fluoroscopy examination?

You have one year to take and pass the ARRT fluoroscopy examination from the date you pass the AAPA/ASRT Fluoroscopy Educational Framework post-test.
 

Within that year, you submit a completed Examination Application form to the OBMI along with the following information:

  1. The certificate indicating a passing score of the AAPA/ASRT Fluoroscopy Educational Framework post-test;
  2. Documentation of completion of the 40-hour clinical component of the Fluoroscopy Educational Framework;
  3. Fluoroscopic Device Orientation Check-List;
  4. Clinical Experience Documentation form, documenting all procedures completed during the clinical component;
  5. Copy of current PA license issued by the Oregon Medical Board;

Non-refundable $20 processing fee and the American Registry of Radiologic Technologists (ARRT) current examination fee. The total fees are found on the Application for Fluoroscopy Exam Link on our website www.oregon.gov/OBMI. Fees are payable by check or money order, payable to O.B.M.I.

Once approved by the OBMI, ARRT will assign you a 90-day examination window. The ARRT will also provide you with an examination handbook, explanation of the examination scheduling process and the examination content specifications.

ARRT contracts with Pearson Vue to administer the computer-based exam at various locations.

If you do not sit for the exam within this 90-day window, you will need to reapply to the OBMI and pay all non-refundable fees again.


What if I fail the ARRT fluoroscopy examination?

You can fail the ARRT Fluoroscopy Examination two times within the one year window. You may retake the exam should you fail by submitting a new Fluoroscopy Examination application and by paying the non-refundable $20 processing fee and the American Registry of Radiologic Technologists (ARRT) current examination fee each time you take the exam. The total fees are found on the Application for Fluoroscopy Exam Link on our website www.oregon.gov/OBMI. Fees are payable by check or money order, payable to O.B.M.I.

If you fail the ARRT fluoroscopy examination three times in the one year window or the one year window has elapsed and you do not have a passing score on the examination, you will be required to retake and complete the didactic and clinical experience requirements before you apply for the exam again.

After you pass the framework post-test again, you must submit to the Board a new Fluoroscopy Exam Application form, along with the required, non-refundable $20 processing fee and current ARRT examination fee found on the Application for Fluoroscopy Exam Link on our website www.oregon.gov/OBMI. Fees are payable by check or money order, payable to O.B.M.I.


Once I pass the ARRT fluoroscopy examination, how do I apply for the limited fluoroscopy permit?

Once you have passed the ARRT fluoroscopy examination, you will submit an application form to the OBMI for the permit itself. The Permit Application will include: proof that you have passed the ARRT Fluoroscopy Examination, a copy of your current PA license (in good standing) issued by the Oregon Medical Board, Copy of your active practice agreement signed by PA applicant’s supervising physician and the OBMI non-r​​efundable permit fees as calculated on our online fee calculator. Fees are payable by check or money order, payable to O.B.M.I. The Oregon Board of Medical Imaging will perform a criminal background check but you are NOT required to submit fingerprints for the background check.

 

I received my limited fluoroscopy permit, now what?

With an active permit, a physician assistant may perform fluoroscopy while the supervising physician is in the room, or while a licensed radiographer is in the room and the PA’s supervising physician is in the building.


What are the Continuing Education requirements for renewal of my Limited Fluoroscopy Permit?

The continuing education requirements for renewal must include four hours of OBMI-recognized CE credits each year that consist of two hours related to the clinical use of fluoroscopy and two hours related to radiation use and safety.​





Take Me To The Physician Assistant Fluoroscopy Device Orientation Checklist.



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What is a Permanent Limited X-Ray Machine Operator (LXMO) Permit for?

The Permanent LXMO Permit is for a person who has met all of the requirements (more information and details below) and wishes to perform radiographic procedures in specific anatomical areas while under supervision. The Oregon Board of Medical Imaging (OBMI) Permit is valid for 2-years and must be renewed in order for a person to continue to perform radiographic procedures.


How do I obtain a Permanent Limited X-Ray (LXMO) Permit?

To obtain a Permanent LXMO permit or to add an anatomical area to an existing Permanent Permit issued by the Oregon Board of Medical Imaging you must first obtain a TEMPORARY Permit. You must have a temporary permit in order for you to complete the required clinical training experience. No one is permitted to perform radiographic procedures without a permit.



What is a Temporary LXMO Permit for?

The Temporary LXMO Permit is for a person who has taken a Board-recognized course of instruction and wishes to gain the required clinical experience in order to take a national exam and then go on to obtain a Permanent Permit (more information and details below). The Temporary Permit is a 6-month permit issued by the Oregon Board of Medical Imaging (OBMI) and may be renewed once in order to give additional time to complete the clinical experience requirements. A person must have an OBMI Permit in order to perform radiographic procedures.


How do I obtain a Temporary Limited X-Ray (LXMO) Permit?

To obtain a Temporary Initial Limited Permit you must complete all of the following within the time frames indicated:

  1. Complete an Oregon Board of Medical Imaging(OBMI)-recognized limited x-ray course of instruction.
  2. Obtain a signed and dated course completion certificate from the school.
  3. Apply for the ARRT exam through the OBMI office.
  4. Take and Pass the ARRT exam
  5. Submit a Temporary Initial Limited Permit application to the OBMI 

More details on these steps below.


What are the steps I need to do in order to obtain a Permanent Limited X-Ray Machine Operator (LXMO) Permit?

  1. Complete an Oregon Board of Medical Imaging(OBMI)-recognized limited x-ray course of instruction.
  2. Obtain a signed and dated course completion certificate from the school.
  3. Apply for the ARRT exam through the OBMI office.
  4. Take and Pass the ARRT exam
  5. Submit a Temporary Initial Limited Permit application to the OBMI
  6. Complete all of your clinical experience in the anatomical area(s) you passed in school and those same areas that are listed on your temporary permit; and
  7. Obtain a signed practical experience certification form in the desired anatomic area(s) AND receive notification from the Board of a passing score on the ARRT exam in the same anatomic area(s); and
  8. Apply to the OBMI for a Permanent Initial LXMO Permit.​​


What are the timelines for completing all of these steps?

Here are some general guidelines for completing all the steps to obtain a Permanent LXMO Permit from the OBMI:

  1. Complete school and obtain a course completion certificate. If you haven't obtained a Permanent Permit within 24 months from the date on your course completion certificate, you MUST retake all school courses.
  2. You have 12 months from the date on the course completion certificate to Apply, Take and Pass the CORE ARRT exam (a passing score is 70% or better) AND Apply for a TEMPORARY Initial LXMO Permit.
  3. The Temporary Permit is valid for 6 months. During these 6 months you can obtain your clinical experience in the anatomical areas you passed in school. During this time, you must also apply for, take and pass the ARRT exam in the specific anatomical areas that you wish to have on your Permanent Permit. You may renew a Temporary permit once to give you more time to complete your clinical experience. However, your second temporary permit will expire in 6 months or within the 12-month time frame, whichever is less (see 4 below).
  4. You have 12 months from the date you are issued an Initial Temporary Permit by OBMI to obtain your clinical experience, complete and pass all of your ARRT exams AND apply for a Permanent Initial LXMO Permit.


What schools are Recognized by the OBMI?

In order to start the process of obtaining a LXMO Permit from the Oregon Board of medical Imaging, you must successfully take and pass a course of instruction that reflects the current Core Module of the "Content Specifications for the Examination for the Limited Scope of Practice in Radiography" published by the American Registry of Radiologic Technologists(ARRT). The list of Board approved schools can be found HERE.


I have passed all of my course requirements at school in the CORE module, didactic portions of Radiographic Procedure module(s) related to specific anatomic area(s) that I wish to have a permit AND I have my course completion certificate. I am ready to take the ARRT Exam. What is the next step?

As a graduate, you have exactly 12 months from the date indicated on the course completion certificate to complete ALL of the following to obtain a Temporary Initial LXMO Permit:

1.   Apply for the ARRT Limited Scope Examination in Diagnostic Radiologic Technology (ARRT CORE exam) by submitting an application to the OBMI for the Exam. You can find the exam Application HERE. VINCE PUT A LINK TO THE EXAM APPLICATION PLEASE.

2.   Take and Pass the ARRT CORE Exam and any Radiographic Procedural Modules for desired anatomical areas you wish to include on your Permit. As long as you pass CORE, you will receive a Temporary Permit that includes the anatomical areas you passed in school. You may take your exam(s) in specific anatomical areas after you obtain your Temporary Permit. 

3.   Submit an application and have been issued a temporary initial limited permit from the OBMI. You can find the application for the OBMI Temporary Initial LXMO Permit HERE​.  

4.   At any time during the 6-month period, you may also sign up to take the ARRT Exam in any anatomic areas that you completed in school. 

5.   You may apply for a renewal of your temporary permit one time in order to give you more time to complete the required clinical experience. (more details below) 

With a Temporary LXMO Permit, you can gain your required clinical experience in order to obtain a Permanent LXMO Permit.


How long is my Temporary Permit valid?

You have 6 months to complete your clinical requirements as indicated on your temporary permit. If you need more time to complete your clinical requirements, you must apply to the OBMI to renew your temporary permit. In order to renew your temporary permit, you must have applied for and taken the ARRT exam in the particular anatomic area you desire for the temporary permit. You may renew a temporary permit only one time; however, the 12-month time frame to complete your clinical experience is not extended.


What happens if I fail the ARRT Exam?

You can fail the ARRT exam twice in each section of the Exam. If you fail a third time, you must retake all didactic and clinical experience again by starting the entire process over, including going back to school, retaking all course work and obtaining a new course completion certificate.


I have completed all of my clinical requirements with my Temporary Permit in specific anatomic area(s) and I have my documented clinical requirements, what is the next step?

The next step is to obtain your Permanent LXMO Permit. You must complete all of the following within 12 months from the date you are issued a temporary initial LXMO permit by OBMI: 

  1. Complete all of your clinical experience in the anatomical area(s) you passed in school and those same areas that are listed on your temporary permit; and
  2. Obtain a signed practical experience certification form in the desired anatomic area(s) AND receive notification from the Board of a passing score on the ARRT exam in the same anatomic area(s); and
  3. Apply to the OBMI for a Permanent Initial LXMO Permit. You can apply for a Permanent Initial LXMO Permit HERE.

 

​What happens if I don't get my clinical experience completed within the 12-month time frame?

If you do not complete your clinical experience AND submit an application for a Permanent LXMO Permit in the 12-month time frame, you must start the whole process over.​


I have my Permanent Initial LXMO Permit! Now what?

With an active Permanent LXMO permit you may perform the radiographic procedures listed on your Permit within the scope of practice. You must renew your Permit every 2 years and provide the appropriate Continuing Education evidence with your renewal. You may not practice without a valid Permit.



I have my Permanent Initial LXMO Permit and I would like to ​add an anatomic area to my Permit. How do I do that?
 


To add an anatomic area to your existing and valid permit you must first Complete a Board approved educational program and obtain a course completion certificate. You do not need to pass CORE again to add an anatomical area. Once you have your course completion certificate, you have 12 months from the date on your course completion certificate to complete all of the following: 

  1. Apply for, take and pass the Radiographic Procedural module ARRT Exam in that anatomical area; and
  2. Obtain a Temporary Permit for that particular anatomical area; and  
  3. Obtain your clinical experience in that anatomical area; and
  4. Provide all documentation to the OBMI as notice to add that anatomical area to your existing Permanent Permit.

     

As an OBMI Permit Holder, it is your responsibility to know and abide by the Oregon Administrative Rules and Revised Statutes related to Medical Imaging.

 
 

PROCESS TO OBTAIN A LIMITED FLUOROSCOPY PERMIT RESTRICTED TO SUPERVISON ONLY

(See Important Links at the Bottom of This Page)

 

I am a licensed APRN in Oregon. What do I need to do to obtain my limited fluoroscopy permit-restricted to supervision only?


For an Oregon licensed Advanced Practice Registered Nurse to obtain the limited fluoroscopy permit-restricted to supervision only from the Oregon Board of Medical Imaging (OBMI) you must meet the following requirements:

(1)  Have the required didactic experience

(2)  Have the required clinical experience

(3)  Apply for and pass the ARRT fluoroscopy
      examination

(4)  Apply for and obtain the limited
      fluoroscopy permit-restricted to
      supervision only from the OBMI
     
     More details on these steps are below.


How do I obtain the required didactic experience?

The requirements for the didactic experience are "FOUND HERE". This is referred to as the "Fluoroscopy Framework". To register for the American Academy of Physician Assistants (AAPA) Fluoroscopy Examination Preparation Course - "GO HERE".

You can obtain this didactic experience through the American Academy of Physician Assistants (AAPA) fluoroscopy examination preparation course, which you take through the AAPA. When you apply for the ARRT fluoroscopy examination, you will show proof of your successful completion of this course by submitting a copy of your passing score of the AAPA/ASRT Fluoroscopy Educational Framework post-test.

Alternatively, there is a waiver process for the AAPA education. If you already have met some or all of the required didactic experience requirements in the past, you can apply to the OBMI for approval of your experience to replace some or all of the AAPA education. You will be required to prove to the OBMI that your experience is equivalent to the AAPA educational component and meets the didactic requirements in the fluoroscopy framework in order to receive your waiver. Whatever didactic experience is not approved by the OBMI must be obtained through the American Academy of Physician Assistants (AAPA) fluoroscopy examination preparation course as described above.


How do I obtain the required clinical experience?

The requirements for the clinical experience are found in the fluoroscopy framework "FOUND HERE". To register for the American Academy of Physician Assistants (AAPA) Fluoroscopy Examination Preparation Course - "GO HERE".

You obtain your clinical experience under the supervision of an Oregon licensed physician or an Oregon licensed APRN with a limited fluoroscopy permit-restricted to supervision only from the OBMI. You must complete each of the clinical requirements in the fluoroscopy framework and have your supervisor sign off on each clinical component of the framework as you complete the component.

Alternatively, there is a waiver process. If you already have met some or all of the required clinical experience requirements in the past, you can apply to the OBMI for approval of your experience to replace some or all of the required clinical components in the framework. Whatever experience is not approved by the OBMI must be obtained through supervised clinical experience as described above.

You will need to document your clinical experience for submission as a waiver using the procedure log link found at the end of this page.


Do I have to submit a Device Orientation Checklist?


Yes! All applicants must submit a Device Orientation Checklist for each device they will be operating. The Form is located in a link at the bottom of this page.


How do I apply for a waiver for my didactic and clinical experience?

If you already have met some or all of the required didactic or clinical experience requirements in the past, you can apply to OBMI for approval of your experience to replace some or all of the required didactic and clinical components in the framework. Whatever experience is not approved by the OBMI must be obtained through successfully passing the didactic requirements and the supervised clinical experience as described in the “fluoroscopy framework". To apply for the waiver, you must provide the Board with documentation that your experience meets or exceeds the quality and quantity of the required experience in the “fluoroscopy framework". Documents must be submitted to the OBMI office 2 weeks prior to the scheduled Quarterly Board meetings. Original documents will be required in order to be used for the waiver approval process. Dates for Quarterly Board meetings are found on our website www.oregon.gov/OBMI. Please note that waivers are not expedited and could delay your application to sit for the ARRT Fluoroscopy exam.


How do I apply for and take the ARRT fluoroscopy examination?

You have one year to take and pass the ARRT fluoroscopy examination from the date you pass the AAPA/ASRT Fluoroscopy Educational Framework post-test or being issued an OBMI approved waiver of the didactic and clinical requirements.

Within that year, you submit an Examination Application form and an APRN device orientation checklist and any other documentation related to your didactic and clinical experience to the OBMI showing proof that you have obtained the required didactic and clinical experience. You will need to pay the OBMI a non-refundable $20 fee and the American Registry of Radiologic Technologists (ARRT) current examination fee. The total fees are found on the Application for Fluoroscopy Exam link on our website www.oregon.gov/OBMI. Fees are payable by check or money order, payable to O.B.M.I. Once approved by the OBMI, ARRT will assign you a 90-day examination window. The ARRT will also provide you with an examination handbook, explanation of the examination scheduling process, and the examination content specifications.

You must take the ARRT exam within the 90-day examination window or you will have to start the examination application process over.


What if I fail the ARRT fluoroscopy examination?

You can fail the ARRT Fluoroscopy Examination two times within the one-year window. You may retake the exam should you fail by submitting a new Fluoroscopy Examination Application and by paying the non-refundable $20 processing fee and the current ARRT examination fee each time you take the exam. The total fees are found on the Application for Fluoroscopy Exam link on our website www.oregon.gov/OBMI. Fees are payable by check or money order, payable to O.B.M.I.

If you fail the ARRT fluoroscopy examination three times in the one-year window or the one-year window has elapsed and you do not have a passing score on the examination, you will be required to retake and complete the didactic and clinical experience requirements again. If you previously applied to have your prior didactic or clinical experience approved as a waiver in lieu of the AAPA course or supervised experience requirements, you will need to apply again for that approval. You may be asked to supply additional evidence to prove your didactic and supervised clinical experience is equivalent to the AAPA fluoroscopy framework. You must also submit to the Board a new Fluoroscopy Exam Application form, along with the required, non-refundable $20 processing and current ARRT examination fee found on the Application for Fluoroscopy Exam link on our website www.oregon.gov/OBMI . Fees are payable by check or money order, payable to O.B.M.I.


Once I pass the ARRT fluoroscopy examination, how do I apply for the APRN limited fluoroscopy permit-restricted to supervision only?

Once you have passed the ARRT fluoroscopy examination, you will submit an application form to the OBMI for the permit itself. The Permit Application will include: proof that you have passed the ARRT examination, a copy of your current APRN license issued by the Oregon State Board of Nursing and the OBMI non-refundable permit fees as calculated on our online fee calculator. Fees are payable by check or money order, payable to O.B.M.I. The Oregon Board of Medical Imaging will perform a criminal background check but you are NOT required to submit fingerprints for the background check.


I received my limited fluoroscopy permit-restricted to supervision only, now what?

With an active permit, an advanced practice registered nurse may supervise the practice of fluoroscopy by OBMI licensees but may not themselves operate fluoroscopic devices.


What are the Continuing Education requirements for renewal of my Limited Fluoroscopy Permit?

The continuing education requirements for renewal must include 4 hours of CE per year or 8 hours for a 2-year renewal. Two of the yearly required 4 hours must be related to radiation use and safety, and two hours must be related to the clinical use of fluoroscopy.


Take Me To The Waiver Application For Didactic Requirements For APRN Limited Permit - Supervision In Fluoroscopy 

Take Me To The Waiver Application For Clinical Requirements (Procedure Log) For APRN Limited Permit - Supervision In Fluoroscopy
 

Take Me To The Device Orientation Checklist For APRN Limited Permit - Supervision In Fluoroscopy

Take Me To The Examination Application For Supervision In Fluoroscopy For Advanced Practice Registered Nurse (APRN). 


Print The Instructions For An APRN Permit

Click Here To Review The 2019 Fluoroscopy Examination Handbook

 

 

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