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Conclusion

Interim Guidance 

  • CT equipment is capable of delivering high radiation doses to patients in relatively short exposure timeframes.  Appropriate optimisation of technical factors and technique for each examination (patient) needs to be considered.
  • All IR(ME)R operators need to evidence appropriate education, training and CPD relating to their scope of practice for using CT equipment for hybrid imaging techniques and conventional CT scanning.
  • Registered radiographers have the necessary background education and competency to use CT technology for conventional CT scanning (not part of a radionuclide procedure) and to apply this knowledge to the use of X-ray generating equipment in Nuclear Medicine.  This is usually supplemented by postgraduate experience and courses. 
  • The SCoR does not encourage the practice of nuclear medicine staff requiring a ‘CT trained radiographer’ to make CT/X-ray exposures on their behalf during nuclear medicine examinations.
  • Registered radiographers are able to use Patient Group Directions under the Human Medicines Regulations (2012) to administer patients with IV contrast media.  Nuclear medicine technologists do not have statutory regulation and are unable to work with Patient Group Directions. Nuclear medicine technologists may administer medicines under Patient Specific Directions.
  • ‘Applications specialist training’ at the time of equipment installation is not sufficient to cover the core knowledge required by Schedule 2 of the IR(ME)Regulations 2000 to deliver medical exposures and use X-ray equipment safely.  
  • Locally developed training packages must ensure that they meet the relevant requirements of Schedule 2 of IR(ME)R 2000. 
  • The SCoR will actively engage with relevant professional groups and regulators to issue further comprehensive joint guidance in the near future.

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