Note: On September 30, 2014 the State of California issued an exemption to Title 17 (17CCR), Section 30450(a)(1), 30450(a)(2) which required a fluoroscopy permit to be issued for someone who positions a patient, or positions fluoroscopy equipment.

The exemption permits “Staff operating under the direct oversight of a licentiate in possession of either current and valid Fluoroscopy Supervisor and Operator permit or a current and valid Radiology Supervisor and Operator certificate (“permitted licentiate”) issued by the Department, are hereby granted an exemption to requirements listed in 17 CCR 30450 (a)(1) and (a)(2), provided that all of the following conditions are met:

• Positioning the patient or the fluoroscopic equipment by non-permitted individuals shall be performed at the request of a permitted licentiate who is physically present and personally directs such actions.
• The permitted licentiate shall document all actions the non-permitted individuals will perform.
• The permitted licentiate shall document the following:
  • Equipment set up and operation;
  • Fundamentals of radiation safety;
  • Significance of radiation dose, to include hazards of excessive exposure to radiation, biological effects of radiation dose, and radiation protection standards;
  • Expected levels of radiation from fluoroscopy equipment;
  • Methods of controlling radiation dose: time, distance, shielding; and
  • Characteristics and use of personnel monitoring equipment.
• Fluoroscopy equipment being operated is operated only in the automatic exposure control (AEC) or automatic exposure rate control (AERC) mode.
• The permitted licentiate shall review and approve, before exposure of the patient to X-rays, any changes to the spatial relationship and technical factors that resulted from the actions taken by the non-permitted individual.