Re: Interpretive Fluoro

[Chris Alston <alstonc@odrge.odr.georgetown.edu>]

>Date:         Wed, 4 Mar 1998 21:51:25 -0500
>Reply-To: Medical Physics Mailing List <MEDPHYS@LISTS.WAYNE.EDU>
>Sender: Medical Physics Listserver <medphys@lists.wayne.edu>
>From: "Joel E. Gray, Ph.D." <joelgray@M3.SPRYNET.COM>
>Subject:      Re: Interpretive Fluoro
>X-To:         gaw@usa.net
>To: Multiple recipients of list MEDPHYS <MEDPHYS@LISTS.WAYNE.EDU>
>
>
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>Jerry,
>
>Three thoughts-- the ACR does not accept technologists doing interpretive
>fluoro and what you describe would sure fall into that category.
>
>Many states have regulations that state fluoro can only be done by a
>licenses practitioner of the healing arts and techs are not in that group.
>(However, some physician assistants claim that they are licensed
>practitioners.)
>
>Some states also prohibit the use of fluoro for positioning.
>
>Check with your state folks and if these points are not in your regs it is
>time to convince them to make the appropriate changes!!
>
>Good luck!
>
>     Joel
>
>Joel E. Gray, Ph.D., Consultant
>2804 Second Street Southwest, Suite 334
>Rochester, Minnesota 55902
>
>Ph  507-286-8910
>Cell Ph  507-269-4247
>Fax  507-286-8910
>e-mail  joelgray@m3.sprynet.com
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>
>At 5:31 PM 3/4/98, Jerry White wrote:
>>         ** Mail from Medphys Listserver **
>>If you reply to this message, it will be posted on Medphys for all the
>>subscribers to review ...
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>>
>>The JCAHO had (and I assume still has) a prohibition against
>>"interpretive fluoroscopy" by non-physicians. Generally a bit of fluoro
>>by the tech to get the patient into position has bee acceptable, but
>>I've been asked about a different situation.  I'd like some opinions.
>>
>>Some pacemaker leads need to be checked for deterioration from time to
>>time. I've found that the CCL techs fluoro the patient to locate the
>>leads, fluoro to decide on the best position to image for the defect
>>then do a cine run to collect data. At a later time a cardiologist
>>reviews the images and makes a diagnosis.
>>
>>I pontificated that this was not acceptable, the Doc should be looking
>>at the screen during the fluoro and cine.  It seems to have crossed the
>>(fuzzy) line into a task that should be done by a physician.  Any
>>agreement or disagreement?  Does this happen elsewhere?
>>
>>
>>Jerry White
>>gaw@usa.net
>