Limited Scope X-ray Operator

Limited Scope X-ray Operators may be limited in their scope of practice, but they provide a vital service within the North Dakota health system.

Questions may be addressed to the North Dakota Department of Health at 701.328.5188, or x-ray@nd.gov.


In order to qualify as a limited scope x-ray operator, you must first meet the prerequisite qualification. Once you become a Limited Scope X-ray Operator, you will be limited in the types of exams you may perform.


Limited Scope X-ray Operator training requirements have been divided into two sections, didactic and clinical experience/supervision. Both Sections must be fulfilled in order to qualify as a Limited Scope Operator.


Didactic Requirements

Didactic requirements include the successful completion of two items.

80-hour Department approved class:This must be a single training program providing didactic instruction in accordance with Part 1 of Appendix H of Chapter 33-10-06. A certificate of completion will be issued, which must be made available to the Department upon request.

Clinical Requirements

Clinical Experience and Supervision: Individuals must complete the clinical experience section as outlined in Part 2 of Appendix H of Chapter 33-10-06 of the North Dakota Radiological Health Rules

Individuals must complete either a or b below. If the individual is unable to demonstrate clinical competence in a procedure due to a lack of opportunity, the student shall complete the three prerequisite examinations required by Appendix J. Final demonstration of competence in subdivisions a through s of subsection 1 of Appendix J should be completed as soon as there is a patient requiring the procedure. No individual may perform an unsupervised procedure for which they have not successfully completed the final demonstration of competence.

a)  The individual must complete three months of clinical training during which time they may perform X-ray examinations only under direct supervision.

  • Direct supervision and evaluation of competence shall be performed y a general diagnostic operator or a limited scope operator with at least 2 years experience.
  • The individual shall utilize proper procedure as indicated in Appendix J.
  • The individual shall be evaluated on procedure, performance and competency on forms provided by the Department for each of the examinations listed in Appendix I; or

b) Individual must complete at least 120 hours of clinical training at a facility where there is routinely fifty or more limited scope x-ray examinations performed per week. During this time they may perform X-ray examinations only under direct supervision. After completing the 120 hours of training, the individual must complete an additional three month probationary training period as outlined in number four of this part.

  • Direct supervision and evaluation of competence shall be performed by a general diagnostic operator or a limited diagnostic operator with two years experience.
  • The individual shall utilize proper procedure as indicated in Appendix J.
  • The individual shall be evaluated on procedure performance and competency on forms provided by the department for each of the examinations listed in Appendix I.
  • Upon completion of 120 clinical hours and demonstration of competence in accordance with Appendix J for limited scope operator examinations:
    (a) Individuals must complete a three-month probationary training period during which time they may independently perform limited diagnostic operator examinations for the procedures which they have successfully demonstrated competence.
    (b) During the three-month probationary training, a general diagnostic operator, or a limited scope operator with at least two years experience, or a radiologist must evaluate all films and conduct at least six hours of direct supervision on a weekly basis and give feedback on any needed improvements.