Advanced Practice

An ACCLXT Registrant wishing to carry out activities that exceed entry to practice requirements must have the necessary competence to perform the processes/procedures safely and effectively. Competence is achieved by completing additional programming/training as approved by the College.

Upon successful completion of an approved program, a CLXT Registrant must apply to the College to receive an advanced authorization (Specialization) applied to their practice permit. Registrants that hold an advanced authorization on their practice permit will be required to verify maintenance of competence upon renewal each year.


Current Advanced Authorizations:

Bone Densitometry

Medication Preparation

IV Certification (supervised)


Approved Advanced Practice Courses - click here to view approved courses.

Application Process - click here to view the process to apply for an Authorization.



Director's Digest August 2018

What’s in a name, or in this case a Title?

All regulated health professionals have protected titles.  They are listed in the Health Profession Act and usually look something like this:

Use of titles, etc.

2  A regulated member of the Alberta College of Combined Laboratory  and  X-ray Technologists may, as authorized by the regulations, use any of the following titles, abbreviations and initials: 

  (a)       combined laboratory x-ray technician; 

  (a.1)   combined laboratory x-ray technologist; 

  (b)       CLXT. 


In the last several months, issues of inappropriate usage of title (CLXT’s misusing other professional titles) have come to light.


Here are some common questions/comments received when title issues arise:


  • What happens when someone else uses a CLXT title or a CLXT uses a different title? 
  • Is it really that big of deal?
  • Does anyone care that I called myself a “lab tech” or “x-ray tech”?
  • “Lab Tech” and “X-ray Tech” are not protected titles, so it really should not matter.
  • It’s hard to explain what a CLXT is.


First and foremost, there is a risk to patient safety and public protection when you misidentify yourself (with either name, profession or both), as it does not tell the patient/public who is accountable for their care. Patients and the public recognize health professional titles because they indicate a level of competence and fitness to practice.


While the CLX profession is made up of laboratory and DI competencies and CLXT’s work in a lab and/or in x-ray, “lab tech” and “x-ray tech” are common names for two separate and distinct professions. Section 128 (1) of the HPA states:

No person or group of persons shall represent or imply that the person is a regulated member or that the group of persons consists of regulated members unless the person is a regulated member, or the group of persons consists of regulated members.

Using the term “lab tech” or “x-ray tech” implies that you are a member of either of those professions and by extension a registrant of their College. The Act then goes on to say:

A person commits an offence if they use a title protected by the College if they are not registrants of the College at the time of using the title, the HPA further provides that a person who contravenes section 128 is guilty of an offence and liable under s129 as follows:

(a) for a first offence, to a fine of not more than $2000,

(b) for a 2nd offence, to a fine of not more than $4000, and

(c) for a 3rd and every subsequent offence, to a fine of not more than $6000 or to imprisonment for a term of not more than 6 months or to both fine and imprisonment.

Not only can you be held to account professionally, you may also be fined a significant amount of money.

Finally, it is a privilege to hold a protected title. CLX technology can be called a niche profession; small numbers and not well exposed.  If a patient doesn’t understand what a CLXT is, take the time to explain (while you are collecting blood or wheeling a patient down from the ER) what the profession entails and the benefit CLXT’s serve to the public.


The title CLXT is one that a registrant should actively promote and celebrate.

Director's Digest February 2018

Registration vs Permit

As we are in the midst of renewal season, one question that often gets asked is "What's the difference between my registration and practice permit? Are they not the same thing?”

To answer those questions, we must start with your renewing register. A register is an official list or record, and the following are a list of the Colleges Registers.

When you renew to the general (active) register, you must meet a particular set of criteria. This includes things like competency requirements, practice hours, fitness to practice, etc.  If you meet all the requirements, you are approved for an active registration and placed on the general register. The approval of an active registration triggers the approval of an active practice permit. 

When you move to the associate register, you are telling the College that you are not practicing for the renewal year; however, you want to maintain your registration. Moving to an associate register does not trigger a permit approval, as there are no practice permits attached to a non-practicing register.

You might have noticed that “inactive” is not listed on the non-practicing register. When you to move an inactive status, you are removing your registration with the College. This status change takes you off all registers, and if you choose to come back to practice, you are required to reapply to the general register.

The diagram below shows how your renewal application is processed in the system.

Let’s go back to our two central questions:

What's the difference between my registration and practice permit?”  Your registration is determined by the information provided to the College in your renewal application (whether you meet practicing requirements). A permit is only available to those who are on the practicing register. In the case of renewals, you must be on the active/general register to receive your active practice permit.

 “Are they not the same thing?” No, they are not the same thing because you can be registered with the College (active or associate) but not always hold a practice permit (associate).

I hope this information helped to provide some clarity on registration and practice permits.


Temporary Permit

Temporary Registrants

If you are:

  • A prospective registrant who needs to challenge and pass the ACCLXT Provincial Examination to complete registration requirements to obtain an Active registration and permit with the ACCLXT.
  • A student who has completed their training and has the opportunity of employment prior to challenging the ACCLXT Provincial Examination.
  • A candidate who is currently completing a mandated refresher program in order to be eligible for reinstatement into the ACCLXT.

…then you may be eligible to apply for an ACCLXT Temporary registration and permit.



An applicant who has completed NAIT or Sask Polytech training and has the opportunity of employment prior to challenging the ACCLXT Provincial Examination may be registered on the Temporary register.

ACCLXT Temporary permit applicants:

  • Must have completed the required program practicum.



Temporary permits expire 3-months from the effective date and may be extended for up to one year. Once a Temporary registrant successfully passes the ACCLXT Provincial Examination, the registrant must move to the Active register to obtain an ACCLXT Active Permit.

As per Legislation a temporary permit holder may practice only while on direct or indirect supervision by an ACCLXT Active Registrant on the general register or by another person approved by the Registrar.

Indirect supervision is defined as having a supervisor/designate available for guidance and/or consultation but is not directly at the side of a Temporary Registrant.


Once you are approved as an Exam Candidate you may apply for your Temporary registration and permit in the MyACCLXT database. You will need to include the following important documents with your application for Temporary Permit. Your application process will go much quicker and smoother if you have obtained these documents prior to application.

  • Encon Insurance Application (Errors and Omissions Insurance) – please ensure you fully complete #1-3 (a)(b), date and sign. Click here to obtain the application.
  • Two character declaration references. Click here to obtain the Character Declaration form. Ensure that each Character Declaration is completed and includes a full reference.

Note: the following are also required to be submitted with your application. 

  • Unofficial educational transcripts (official transcripts WILL be required upon successful graduation of your program). All ACCLXT Registrants are responsible to provide official educational transcripts in their first Learning Plan.
  • Criminal Reference check dated within 6 months of application.


President's Pen February 2018

At our last Council meeting Council had a lengthy discussion regarding leaves and the proration of registration fees. A total of 20 other Regulatory Colleges were surveyed to assist Council to make a well-informed decision. Out of these, 85% prorate annual registration fees if re-entering practice after the renewal period; this is in line with the ACCLXT’s policy of prorating fees after November 1st when returning to work. Only 25% of the Colleges surveyed offer refunds of annual registration fees if a registrant leaves practice after the annual renewal period. Of the Colleges that are similar in size and in cost of registration, none of them offer refunds when a leave begins after the renewal period.

Prorating fees is not as simple as dividing $700 by 12 months and calculating the number of months you will be working. The main issue being that $100 of the fee is applied to your liability insurance and the insurance company does not prorate. It is also important to note that if a complaint is received while you are on leave and you have not paid for insurance, you are not covered by the insurance company, even if you were insured at the time of the incident.

The College operates on a budget that is based on $600 annual registrant fees. This budget includes operational costs such as office space rent and equipment, salaries of staff members, and contributing to the liability fund that the ACCLXT has set up in the event of a serious complaint made against a registrant. It is impossible to budget for leaves; there is no way to forecast how many techs will be off work in a given year and for how long. To ensure that the College has the funds to operate, if refunds after renewals were offered, registration fees would have to increase for all registrants to cover the decrease in fees paid by those on leaves. Council will not impose a fee increase for this and therefore will keep the policy of not issuing refunds if a registrant leaves practice after the annual renewal period.

As Council appreciates that there is inequity in only offering proration upon return to work, we are asking for feedback on whether to keep the current policy or to remove all prorations. Click here to complete the short survey.