Limited Radiography Training Manual - Purpose and Requirements for Iowa Limited Radiologic Technologists

Sep 29, 2026

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Limited Radiography Training Manual defines minimum training standards for limited radiologic technologists established by the Iowa Department of Health and Human Services. The manual explains purpose, applicable regulations, core definitions, and scope limits for radiography categories including chest, spine, extremities, shoulder, and pediatrics, while excluding CT and fluoroscopy. It provides standards excerpts from Chapter 42 rules and outlines required formal education and instructor qualifications for training programs and clinical sites.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages21

Reading Time53 min

AccessFree to download

Purpose

Applicable Regulations

Definitions

Excerpted Standards from Chapter 42 Rules

Required Forms

Limited Radiography Initial Clinical Site Form

Clinical Practice Record Sheet (Sample)

Clinical Competency Record Sheet (Sample)

Examination Evaluation Form (Sample)

Completion and Statement of Competency (Clinical Training)

Applications for Limited Radiography Examination and Iowa Permit

Bureau of Radiological Health Limited Radiography Training Manual Table of Contents Purpose—————————————————————————————————————————————— 3 Applicable Regulations———————————————————————————————————————— 3 Definitions————————————————————————————————————————————— 3 Excerpted from Chapter 42 Rules———————————————————————————————————— 4 Final Testing of Student—————————————————————————————————————–——— 6 Required Forms Description—————————————————————————————————————— 6 Required Forms LIMITED RADIOGRAPHY INITIAL CLINICAL SITE FORM—————————————————————— 8 SAMPLE OF CLINICAL PRACTICE RECORD SHEET———————————————————————— 9 SAMPLE OF CLINCAL COMPETENCY RECORD SHEET—————————————————————— 10 SAMPLE OF EXAMINATION EVALUATION FROM FOR FINAL COMPETENCY————————————— 11 COMPLETION OF RADIOGRAPHY CLINICAL TRAINING AND STATEMENT OF COMPETENCY————— 12 COMPLETION OF RADIOGRAPHY TRAINING FOR PEDIATRICS AND STATEMENT OF COMPETENCY—— 13 COMPLETION OF SHOULDER RADIOGRAPHY TRAINING AND STATEMENT OF COMPETENCY———— 14 APPLICATION FOR LIMITED RADIOGRAPHY EXAMINATION————————————————————15 APPLICATION FOR STATE OF IOWA LIMITED PERMIT TO PRACTICE———————————————— 19 PURPOSE: The Iowa Department of Health and Human Services (HHS) has established the minimum training standards for limited radiologic technologists. This guide should aid in making application for a training program that will meet HHS standards. It will also assist in developing the curriculum and classroom and clinical training. This guide does not apply to x-ray equipment operators in podiatry or bone densitometry. The appendices to this guide serve to provide additional information on specific subject areas. Model procedures that the applicant may adopt are provided. The applicant may use the model procedures as an outline to develop alternative procedures for review by the HHS staff. After review of this guide, if you have specific questions, you may contact: The Iowa Department of Health and Human Services, Bureau of Radiological Health Lucas State Office Building, 5th Floor 321 East 12th Street Des Moines, Iowa 50319-0075 Or, you may call 515-371-9398 APPLICABLE REGULATIONS In addition to 641-chapter 42(136C), other regulations pertaining to the technologist are found in Chapters 38, 40, and 41 of the HHS Radiation Machines and Radioactive Materials Rules. You can find the electronic version by going to [https://hhs.iowa.gov/radiological-health](https://hhs.iowa.gov/radiological-health) DEFINITIONS “Radiologic technologist” means an individual, excluding x-ray equipment operators in podiatry and bone densitometry, who performs radiography of the human body as ordered by an individual authorized by Iowa law to order radiography. “General radiologic technologist” performs radiography of any part of the human body. “Limited radiologic technologist” performs radiography for the chest, spine, extremities, shoulder or pediatrics, excluding CT and fluoroscopy. “Radiography” means a technique for generating and recording an x-ray pattern for the purpose of providing the user with an image(s) during or after termination of the exposure. “Student” means an individual enrolled in and participating in formal education. “Chest” allows the permit holder to perform radiography of the lung fields including the cardiac shadow, as taught in the limited radiography formal education standards. Chest radiograph techniques shall not be manipulated for the evaluation of the shoulder, clavicle, scapula, ribs, thoracic spine and sternum. “Extremities” allows the permit holder to perform radiography for body parts from: 1. The distal phalanges of the foot to the head of the femur, including its articulation with the pelvis girdle. True hip radiographs are prohibited. 2. The distal phalanges of the hand to the head of the humerus. The radiograph shall not include any of the views in the shoulder category unless the individual holds a limited permit that includes the should

FAQs

What is the purpose of the Limited Radiography Training Manual?

It provides guidance for meeting Iowa minimum training standards for limited radiologic technologists, including application support and curriculum and training development. It also clarifies that it does not apply to x-ray equipment operators in podiatry or bone densitometry.

Who is considered a “limited radiologic technologist” under the manual’s definitions?

A limited radiologic technologist performs radiography for the chest, spine, extremities, shoulder, or pediatrics, excluding CT and fluoroscopy. It is distinct from general radiologic technologists who perform radiography of any part of the human body.

What limits apply to the categories such as chest, extremities, and shoulder?

The manual specifies permitted anatomy and projection constraints for each category, including prohibited uses (e.g., certain shoulder evaluations within chest limits). Shoulder category approvals depend on holding a limited permit that includes the chest or extremity category and following only the listed approved projections.

Sep 29, 2026

Uploaded by Ivy