NEW ZEALAND GAZETTE, No. 65 — 22 JUNE 2017

Notice Replacing Scopes of Practice and Prescribed Qualifications for the New Zealand Medical Radiation Technologists Board

This notice replaces all previous scopes of practice and prescribed qualifications notices of the New Zealand Medical Radiation Technologists Board ("Board").

Introduction

Under section 11 of the Health Practitioners Competence Assurance Act 2003 ("Act"), the Board is obliged to define each of the practice areas (known as scopes of practice or scopes) that make up the practice of medical radiation technology. The Board’s role is to identify for each of these scopes of practice the aspects of medical radiation technology covered by each scope. Medical radiation technology practitioners seeking to practise in New Zealand must first be registered with the Board in one or more of the scopes of practice as defined in this notice.

Section 12 of the Act requires the Board to formally "prescribe" the specific qualifications that medical radiation technology practitioners must have, to be eligible for registration in each of the scopes of practice. The prescribed qualifications may be different for each scope of practice.

The Profession of Medical Radiation Technology

Medical radiation technology is a patient-centred profession that encompasses the practices of medical imaging and radiation therapy. Medical imaging practitioners use different technologies to create images of the human body for diagnosis and the staging and management of disease. Radiation therapy practitioners use technology to create and evaluate images and data related to the localisation, planning and delivery of radiation treatments.

Scopes of Practice

The profession of medical radiation technology contains eight scopes of practice. Pursuant to section 11 of the Act, the Council specifies those scopes of practice as:

1. Scope of Practice – Medical Imaging Technologist

   Medical Imaging Technologists are responsible for the outcome of the diagnostic imaging examination. The outcome of the examination is recorded electronically to allow for consultation with other health and medical practitioners.

   Medical Imaging Technologists produce high quality diagnostic radiographs or carry out diagnostic procedures using ionising radiation. With appropriate training, Medical Imaging Technologists may practise computed tomography (CT), mammography, and angiography. Medical Imaging Technologists evaluate the diagnostic quality of images and take corrective measures as required.

   Medical Imaging Technologists’ competencies include, but are not limited to, patient care, patient positioning, imaging physics and technology, anatomy and physiology identification and assessment, bioeffects and radiation safety, clinical and organisational responsibility for the examination, and quality assurance.

2. Scope of Practice – Radiation Therapist

   Radiation Therapists are responsible for the planning and delivery of radiation treatment, primarily for people diagnosed with cancer. Radiation Therapists create and evaluate images for the localisation, planning and delivery of radiation treatment according to the prescription of the Radiation Oncologist.

   Radiation Therapists provide specific care to patients throughout the course of their treatment and educate patients on the management of any treatment related side-effects.

   Radiation Therapists’ competencies include, but are not limited to, patient care, treatment design and delivery, radiation safety, clinical and organisational responsibility for the planning and treatment, and quality assurance.

3. Scope of Practice – Nuclear Medicine Technologist

   Nuclear Medicine Technologists are responsible for the outcome of the nuclear medicine examination. The outcome of the examination is recorded electronically to allow for consultation with other health and medical practitioners.

   Nuclear Medicine Technologists are involved in the preparation, administration, imaging and quantification of diagnostic pharmaceuticals to demonstrate organ and molecular function as well as the delivery of therapeutic radiopharmaceuticals to treat a number of pathologies.

   Nuclear Medicine Technologists operate gamma camera systems (SPECT) and PET imaging systems with or without sealed sources of radioactive materials or x-ray tubes for attenuation correction, anatomical fusion, transmission imaging or, subsequent to a Board-approved training programme, diagnostic CT.

   Nuclear Medicine Technologists’ competencies include, but are not limited to, patient care, patient positioning, preparation and administration of radiopharmaceuticals, radionuclide and radiation safety, in-vitro diagnostic.