Current through September 2, 2024
The hospital shall provide diagnostic radiological service, equipment, and facilities according to the size of the hospital and the scope of services rendered.
01.
Radiological Requests. Radiological services shall be performed only on the request of a person legally authorized to diagnose, treat and prescribe.
02.
Radiation Control and Safety. All hospitals shall comply with Idaho Department of Health and Welfare Rules, IDAPA 16.02.27, "Idaho Radiation Control Rules."
03.
Personnel. There shall be sufficient qualified personnel to meet the needs of services being offered. Minimum requirements are as follows:
a. A physician eligible or certified by the American Board of Radiology shall have overall direction for the service. In small hospitals this requirement can be accomplished by a consulting physician who meets the definition found in Subsection 002.51 and is a member of the medical staff.
b. There shall be sufficient radiologic technologists to meet the needs of the patients and services offered, and not less than one (1) available or on call at all times. If a hospital is unable to employ sufficient radiologic technologists to meet its needs, that hospital may use other hospital personnel who have documented, on-the-job training in radiologic technology and who are certified as being able to perform safely the duties assigned within the radiology services by the persons with overall direction of the radiology service under Subsection 340.03.a. Such certification shall be documented and updated annually.
c. The physician director of the department or service, or the medical staff shall determine if radiologic technologists are qualified by education and experience. Such determination shall be documented.
d. An ongoing educational program shall be developed, implemented and evaluated for personnel in radiology service.
e. An orientation shall be given to all new employees of the radiology department.
04.
Records and Reports. All radiology reports (readings) shall be signed and filed with the inpatient's medical record.
a. Requests for services shall be in writing and contain a statement of the reason for the request; and
b. Reports of examinations shall be written and signed by the appropriate physician; and
c. Reports and films (or reproductions) shall be preserved pursuant to Section 39-1394, Idaho Code.
05.
Policies and Procedures. There shall be written policies concerning the use of radiology services together with supporting procedures to include at least the following:
a. Safety precautions against electrical, mechanical, and fire hazards; and
b. Infection control procedure for patients, personnel, and procedures for decontamination of equipment; and
c. Written authority and procedure for all nonphysicians who administer diagnostic agents parenterally; and
d. There shall be written procedures for proper collimation, shielding and monitoring to minimize exposure to ionizing radiation to both patients and personnel.
Effective March 17, 2022
