Before taking on new responsibilities, MRTs consider their own level of competence, the scope of practice and all relevant legislation and regulation
Evaluation of competence and scope
- For a given procedure or treatment, the outcomes should be the same for the patient, regardless of who performs the care.
- An evaluation of appropriateness includes the following questions1:
- Does the MRT have the requisite knowledge, skills and judgment to carry out responsibilities safely and effectively?
- Is this responsibility within the established scope of practice for an MRT?
- It is the duty of MRTs to ensure they have the necessary knowledge, skills and judgment to perform all of their responsibilities safely and effectively1,2.
- For responsibilities beyond their current level of competence, MRTs need to acquire additional knowledge and skills through education and training programs to ensure appropriate care
- MRTs are also responsible for being familiar with their scope of practice.
- MRTs determine whether a new responsibility falls inside or outside the established scope of practice for MRTs in their jurisdiction
- Questions concerning the MRT scope of practice are directed to provincial member association or regulatory body for clarification
Responsibilities outside the scope of practice
- For responsibilities that fall outside the established scope of practice, MRTs must take additional steps to ensure appropriateness.
- MRTs should be familiar with the legislation concerning the performance of responsibilities outside of their scope of practice in his/her province/jurisdiction
- Different provinces have made different provisions which may or may not allow for the delegation of responsibilities – legislation currently allows for delegation in all provinces except Quebec, Alberta and British Columbia
- If an MRT is uncertain about whether a task can be performed or not, an MRT should contact their provincial member association or regulatory body for clarification
- An MRT should also be confident that the request originates from a professional with the authority to delegate the responsibility in question, and that the other professional has carried out their responsibilities with regard to delegation.
- Any delegation or transfer of responsibility should be documented according to the requirements set out in provincial legislation and regulations.
Education and training
- In order to perform responsibilities beyond their current level of competence MRTs will need to undertake additional education/training to acquire the requisite knowledge skills and judgment.
- Training for new responsibilities can typically be obtained through one or a combination of:
- Continuing professional development courses
- On-site training
- Applications training
- Once acquired, any new education/training is documented in the MRT’s file
Federation of Health Regulatory Colleges of Ontario. An interprofessional guide on the use of orders, directives and delegation for regulated health professionals in Ontario. Available from: http://www.regulatedhealthprofessions.on.ca/orders,-directives,-delegation.html. [Accessed 30 Apr 2018]
Canadian Association of medical radiation technologists. Code of Ethics. CAMRT. June 2008. Available from: http://www.camrt.ca/mrt-profession/professional-resources/code-of-ethics/. [Accessed 3 Nov 2014]