Current through Register Vol. 50, No. 9, September 20, 2024
A. All
ASCs shall provide radiology services commensurate with the needs of the ASC
and to meet the needs of the patients being served.
B. The scope and complexity of radiological
services provided within the ASC, either directly or under arrangement, as an
integral part of the ASCs services should be specified in writing and approved
by the governing body.
C. The ASC
is equally responsible for the compliance of radiological services performed in
the ASC, regardless of whether the service is provided directly by the ASC or
under arrangement.
D. Radiological
determinations made by the physician within 72 hours prior to admission shall
be acceptable if documented by the physician on the patients medical record and
the determinations conform to the medical staff bylaws and rules and
regulations of the center.
E. All
radiological determinations shall be in writing and the original shall be a
part of the patients chart.
F. When
radiology services are provided by the ASC directly, at a minimum, the
following criteria shall be met.
1. The ASC
shall comply with periodic inspections of equipment and testing for radiation
hazards, and shall promptly correct any identified problems.
2. Radiologic services shall be provided in
an area of sufficient size and arrangement to provide for the safety of
personnel and patients.
3.
Supervision of radiologic services should be appropriate to the types of
procedures conducted by the ASC.
4.
The ASC governing body is responsible for the oversight and accountability for
the quality assessment and performance improvement program, and is responsible
for ensuring that all policies and services provide quality healthcare in a
safe environment.
5. The governing
body is responsible for determining if any procedures, now or in the future,
require additional review by a radiologist.
6. The governing body is accountable for the
medical staff to ensure that such staff members are legally and professionally
qualified for the positions to which they are appointed and for the performance
of the privileges granted.
7. The
treating physician is expected to demonstrate documented competency in using
imaging as an integral part of the surgery or procedure.
8. A licensed practitioner who is qualified
by education and experience in accordance with state law, rules and regulations
and in accordance with ASC policy shall supervise the provision of radiologic
services.
a. For purposes of this Section, a
licensed practitioner means a person licensed to practice
medicine, dentistry, podiatry, chiropracty or osteopathy in this state, or an
advanced practice registered nurse licensed to practice in this
state.
9. Radiologic
reports shall be signed by the licensed medical practitioner who reads and
interprets the reports.
10. The ASC
shall adopt written policies and procedures to ensure that radiologic services
are rendered in a manner which provides for the safety and health of patients
and ASC personnel. At a minimum, the policies and procedures shall cover the
following:
a. shielding for patients and
personnel;
b. storage, use and
disposal of radioactive materials;
c. documented periodic inspection of
equipment and handling of identified hazards;
d. documented periodic checks by exposure
meters or test badges on all personnel working around radiological equipment
which shall also include knowledge of exposure readings at other places of
employment;
e. managing medical
emergencies in the radiologic department; and
f. methods for identifying pregnant
patients.
11. Only
personnel who are registered and/or licensed in the appropriate radiologic
technology modality or category by the state Radiologic Technology Board of
Examiners and designated as qualified by the medical staff may use the
radiologic equipment and administer procedures under the direction of a
physician
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
40:2131-2141.
