This information is for NON-Imaging Personnel only (i.e.: nursing or allied health professionals) wishing to perform as a Limited X-ray Machine Operator (LXMO). All prerequisite requirements MUST be completed BEFORE requesting to take the State Examination administered by the ARRT.
Process for those CURRENTLY practicing as a regulated and designated ND Department of Health LXMO (actively practicing designated by DoH before 12/31/2018 transitioning to licensure)
Brief Overview: During the 2019 ND Legislative Session, LXMOs were moved from the ND Dept. of Health to this Board, the ND Board of Medical Imaging. You are no longer licensed under the ND Dept. of Health. Please contact the Board office immediately if you were currently practicing as a LXMO before 12/31/2018 and have not yet been licensed by the ND Board of Medical Imaging. The Board office will assist you in getting licensed. It is illegal to practice as a LXMO in ND without a current license.
Renewal and Continuing Education: The LXMO license will be initially good for one year. It will expire 12/31/2019, as all licensees renew biennially (every 2 years), with a $75 renewal fee. After renewal, the license will be good for 2 years. In the future, upon each biennial (2 year) LXMO renewal cycle, the NDMIRTB LXMO MUST submit all RCEEM approved continuing education.
Process for NEW applicants to become a licensed NDMIRTB LXMO (applying after December 31, 2018 NEW applicants):
- NDAC 114-02-01-02(3) must first meet eligibility requirements of required Allied Health profession or petition Board for approval.
To be eligible for licensure as a limited x-ray machine operator after completing the requirements of subsection 2,an applicant shall hold at least one of the following licenses:
- Medical technologist, medical laboratory technician, or clinical laboratory technician;
- Occupational therapist or occupational therapy assistant;
- Physical therapist or physical therapy assistant;
- Physician assistant or orthopedic physician assistant;
- Registered nurse or licensed practical nurse;
- Otherwise, an individual may petition the board for licensure if the individual's education background is substantially similar to the above.
- Apply for a Conditional License to practice as a LXMO.
- Complete the required Criminal History Record background Check forms.
- NDAC 114-02-01-02(2) requires satifactory completion of a structured academic program and demonstration of practical clinical competency documentation (forms supplied by NDMIRTB).
- After applicant is approved and completes the structured academic program (proof submitted) the office will issue a Conditional LXMO License to begin the demonstration of the practical clinical competency. However, the applicant may begin the application process and the CHRC (background check) process to help expedite licensure. The applicant MUST have completed their structured academic program and CHRC process before the Conditional License will be issued.
- Both the structured academic program and all of the clinical competencies MUST be satisfactorily completed BEFORE requesting to take the ARRT LXMO exam.
- Upon completing all prerequisites and signing the Completion Agreement, an applicant may request the ARRT LXMO exam. (ARRT will decide if requirements and qualifications have been met.)
- If met, NDMIRTB forwards application to ARRT.
- Fees are payable directly to ARRT.
- ARRT contacts the applicant with a 90 day window to take the exam.
- Exam results are sent to NDMIRTB.
- NDMIRTB contacts applicant of pass/fail. If successfully passed, will receive full licensure as a ND LXMO.
ARRT State Licensing Exam
ATTENTION: Taking the ARRT state exam limits the applicant to practice within North Dakota and does not qualify the applicant to hold the ARRT national certification. The NDMIRTB State Licensing Examination may not transfer to other states.
The North Dakota Medical Imaging and Radiation Therapy Board (NDMIRTB) has a contract with the American Registry of Radiologic Technologists (ARRT) to administer the ARRT Examination to individuals who meet the minimum standards detailed on the ARRT for State licensing.
Check out the ARRT Website for details of eligibility and video instructions:
Applicants for a North Dakota State Licensing Examination MUST comply with the standards detailed by NDMIRTB and complete the appropriate forms along with the appropriate fee to apply for eligibility to take the ND State Licensing Examination administered by the ARRT.
Fees: Payable directly to ARRT online for ARRT state LXMO examination (instructions supplied after eligibility).
*If you intend to apply for the ARRT national certification please contact the ARRT directly. Completing the NDMIRTB State Licensing Examination limits the applicant to practice within North Dakota and does not qualify the applicant to hold the ARRT national certification. The NDMIRTB State Licensing Examination may not transfer to other states.
You are NOT able to perform imaging on humans without a ND License. (Note: you MUST have completed ALL prerequisite requirements: didactic and clinical competency experience before requesting the ND State Examination.)
Application is valid for two years and maybe renewed once or upon Board approval. (Must provide documentation to renew.)
Download NDMIRTB LXMO Application (for NEW applicants only AFTER December 31, 2018)
NDMIRT Board approved structured academic programs:
Note: The Board does NOT advocate one program over another and does NOT have any affiliations with any programs.
All program questions and pending dates of upcoming programs should be directed to the specific program.
Proof of completion MUST come directly from the program coordinator.
1) Dakota County Technical College 1300 -145th Street E Rosemount, MN 55068
Continuing Education Department, 651-423-8549
2) Minnesota State Community and Technical College 900 MN-34 Detroit Lakes, MN 56501
Detroit Lakes Campus, 218-846-3740
1) Eastern Montana AHEC at RiverStone Health 123 South 27th Street Billings, MT 59101
Clinical Competency Requirements
Competence in clinical practice for the LXMO encompasses attributes of knowledge, problem solving, technical skills, comprehension, attitudes, and ethics.
Upon satisfactory completion of the structured academic program, the applicant should begin their practical Clinical Competency requirements in a timely manner. Clinical Competency requirements MUST be completed within three (3) months. If there is valid evidence of a hardship completing the clinical requirements within 3 months the Conditional LXMO must contact the board office immediately with written explanations.
Overview of Clinical Competency Requirements
- After satisfactory completion of the structured academic program (copies of proof must be submitted to the Board office), you will need to apply and be issued a Conditional LXMO ND License and receive the packet of information regarding clinical requirements. You must have a conditional LXMO license to begin your clinical competency requirements.
- Clinical Competency requirements MUST be completed within three (3) months. If there is valid evidence of a hardship completing the clinical requirements within 3 months, the Conditional LXMO must contact the board office immediately with written explanation(s).
- There is a total of 31 procedure/examination competencies to be completed by the Conditional LXMO. If needed simulations are allowed. Of the 31 procedure/exam competencies no more than 9 may be simulated for the Final.
- The Conditional LXMO may perform procedures/examinations only while under personal supervision by a ND licensed ARRT Registered Radiographer or a ND licensed currently practicing LXMO with three (3) years of experience. (Personal supervision means: must be in attendance in the room during the performance of the procedure/examination.)
- The Conditional LXMO may obtain their clinical competencies at more than one facility if they choose, simply document each on the form provided in the information packet.
With three months to complete all clinical competency requirements, it is encouraged to make arrangements at a larger facility with a higher volume of procedures/examinations if you are employed at a smaller facility with a low volume of procedures/examinations. This is not a requirement from the Board, only encouragement to assist with your success of completion and compliance of the clinical competency requirements.
- The Conditional LXMO may ONLY perform procedures/examinations independently (not under personal supervision) after successfully completing the required evaluations and final for that particular procedure/examination.
- After successful completion of the Clinical Competency Requirements, complete the Completion Agreement (last page of information packet) and send to Board office.
- Lastly, the Conditional LXMO notifies the Board office, in writing, requesting to take the ARRT LXMO exam.
- Upon completion of all prerequisites, ARRT decides if requirements and qualifications are met.
- If met, NDMIRTB forwards application to the ARRT.
- Fees are payable directly to ARRT for the LXMO examination.
- ARRT contacts the applicant with a 90 day window to take the exam. Exam results are sent to NDMIRTB.
- Required exam modules: Core, Chest, Extremities, Skull/Sinu, and Spine.
- NDMIRTB contacts applicant of pass/fail. If successfully passed, will receive full licensure as a ND LXMO.
NDMIRTB LXMO Scope of Practice
Limited x-ray machine operators are limited in scope of practice to only those procedures approved by the board while under the general supervision by a licensed practitioner.
Practice Standards Related to Limited X-Ray Machine Operators
Limited x-ray machine operators are limited in scope of practice to only those procedures approved by the board. Limited x-ray machine operators may not perform fluoroscopic procedures or administer contrast media or radiopharmaceuticals. Specific procedures or examinations that are allowed in the scope of practice for limited x-ray machine operators include the following:
Chest: PA, lateral, decubitus
Ribs: AP, PA, obliques
Abdomen: KUB, upright abdomen
Hand and fingers: PA, lateral, oblique
Wrist: PA, lateral, oblique
Forearm: AP, lateral
Elbow: AP, lateral
Humerus: AP, lateral
Shoulder: AP, internal and external rotation, y-view
Clavicle: AP, AP axial
Hips: AP, frog leg lateral, cross-table lateral
Femur: AP, lateral
Knee: AP, lateral, obliques
Patella: AP, lateral, sunrise
Tibia-fibula: AP, lateral
Ankle: AP, lateral, obliques
Calcaneus: Plantodorsal, lateral
Foot and toes: AP, lateral, obliques
Sinuses: Water's, lateral
Skull: AP/PA, lateral
Facial bones: PA, lateral
Nasal bones: Water's, lateral
C-spine: AP, lateral, odontoid, (not trauma), swimmer's (not trauma)
T-spine: AP, lateral, swimmer's (not trauma)
L-spine: AP, lateral, L5-S1 lateral
Any other procedure or examination performed during an emergency and requiring a limited x-ray machine operator to perform requires a written order from a licensed practitioner with personal supervision.
Licensees may petition the board to perform procedures and examinations not currently identified above. One of the criterion utilized by the board includes frequency of performance to consider approval or justification of expansion of the procedures and examination outlined above.