Current through all regulations passed and filed through September 16, 2024
(A) Each
freestanding or mobile diagnostic imaging center shall have a radiologist,
nuclear medicine physician, authorized user, physician acting within their
scope of practice, or chiropractic radiologist, as appropriate to the
diagnostic imaging services being offered, that has overall responsibility for
the diagnostic imaging services being provided by the freestanding or mobile
diagnostic imaging center.
(B) Each
freestanding or mobile diagnostic imaging center shall have;
(1)
A physician on
site when anesthesia, other than local anesthesia, is being administered;
and
(2)
One of the following on site when local anesthesia or
diagnostic imaging contrast are being administered:
(a)
A
physician;
(b)
A certified nurse practitioner;
(c)
A certified
nurse-midwife;
(d)
A certified nurse specialist; or
(e)
A physician
assistant.
(3)
If the administration of local anesthesia or diagnostic
imaging contrast agents are being supervised by a certified nurse practitioner,
clinical nurse specialist, certified nurse-midwife, or physician assistant, the
approval for the supervision of the administration of the local anesthesia or
diagnostic imaging contrast shall be documented in the standard care
arrangement or supervision agreement.
(C) CT freestanding and mobile diagnostic
imaging centers shall have available sufficient and qualified personnel as
appropriate for the services being offered as follows:
(1) CT services shall be provided only upon
the written order of a physician, chiropractor, dentist or
podiatrist;
(2) CT image
interpretation shall be conducted by:
(a) A
radiologist; or
(b) A physician or
chiropractic radiologist acting within their scope of practice who does not
meet the requirements of paragraph (N) of rule
3701-83-51 of the Administrative
Code who has at least two years cross-sectional imaging and interpretation
experience;
(3) A medical physicist
who meets the requirements of paragraph (D)(1), (D)(2), or
(D)(3) of rule
3701:1-66-03 of the
Administrative Code, or who is certified by the Ohio department of health as a
certified radiation expert in accordance with rule
3701:1-66-03 of the
Administrative Code; and
(4) An individual licensed
as a radiographer under Chapter 4773. of the
Revised Code .
(D) MRI freestanding and mobile
diagnostic imaging centers shall have available sufficient and qualified
personnel as appropriate for the services being offered as follows:
(1) MRI services shall be provided only upon
the written order of a physician, chiropractor, dentist or
podiatrist;
(2) MRI image
interpretation shall be conducted by:
(a) A
radiologist; or
(b) A physician or
chiropractic radiologist acting within their scope of practice who does not
meet the requirements of paragraph (S) of rule
3701-83-51 of the Administrative
Code who has at least six months experience or training in cross-sectional body
imaging and image evaluation and interpretation.
(3)
A service engineer, or medical physicist certified by:
(a)
The American
board of radiology in diagnostic medical or diagnostic radiologic physics;
or
(b)
The American board of medical physics in diagnostic
medical physics or MRI physics; or
(c)
The Canadian
college of physicists in medicine in MRI physics.
(4) A technologist for preparing and
positioning the patient and for obtaining the MRI data in a manner suitable for
interpretation. As used in this paragraph, "technologist" means an individual:
(a) Registered with the American registry of
radiologic technologists in the categories of "radiography," "nuclear medicine
technology," "radiation therapy technology" or "magnetic resonance
imaging";
(b) Certified by the
American registry of magnetic resonance imaging technologists; or
(c) Registered as a nuclear medicine
technologist with the nuclear medicine technology certification
board.
(E) PET
and nuclear medicine freestanding and mobile diagnostic imaging centers shall
have available sufficient and qualified personnel as appropriate for the
services being offered as follows:
(1) PET and
nuclear medicine services shall be provided only upon the written order of an
authorized user pursuant to rule 3701:1-58 of the Administrative
Code;
(2) PET and nuclear medicine
image interpretation shall be conducted by one of the following:
(a) A nuclear medicine physician;
(b) A radiologist;
(c) A physician acting within
their scope of practice who meets the requirements of
rule 3701:1-58-36 of the
Administrative Code;
(d) A
physician acting within their scope of practice who does not meet the
requirements of paragraph (R) or (S) of rule
3701-83-51 of the Administrative
Code that is supervised by a physician who is qualified pursuant to paragraph
(E)(2)(a), (E)(2)(b), or (E)(2)(c) of this rule while the physician is
completing a training program that will result in certification as a physician
listed in paragraph (E)(2)(a), (E)(2)(b), or (E)(2)(c) of this
rule.
(3) An individual
licensed as a nuclear medicine technologist under
Chapter 4773. of the Revised Code ; and
(4) A radiation safety officer who meets the
requirements of rule
3701:1-58-18 of the
Administrative Code and is listed on the Ohio radioactive materials
license.
(F) Fluoroscopy
freestanding and mobile diagnostic imaging centers shall have available
sufficient and qualified personnel as appropriate for the services being
offered as follows:
(1) Fluoroscopy services
shall only be provided upon the written order of a physician, dentist, or
chiropractor;
(2) Fluoroscopy image
interpretation shall be conducted by one of the following:
(a) A radiologist;
(b) A physician or chiropractic radiologist
acting within their scope of practice who does not meet the
requirements of paragraph (S) of rule
3701-83-51 of the Administrative
Code who has at least six months experience or training in the performance and
interpretation of fluoroscopy;
(3) A medical physicist
who meets the requirements of paragraph (D)(1), (D)(2), or
(D)(3) of rule
3701:1-66-03 of the
Administrative Code, or who is certified by the Ohio department of health as a
certified radiation expert in accordance with rule
3701:1-66-03 of the
Administrative Code; and
(4) An individual licensed
as a radiographer under Chapter 4773. of the
Revised Code .
(G)
Each
freestanding or mobile diagnostic imaging center shall establish personnel
files for all individuals who provide diagnostic imaging services and shall:
(1) Maintain files for each individual which
specify the types of procedures the individual is permitted to perform;
and
(2)
Update all files at
least every twelve months .
(H) For
CT and fluoroscopy services, the medical physicist shall be available
for consultation with the radiologist or authorized user responsible for
diagnostic imaging services to provide advice and direction. The freestanding or
mobile diagnostic imaging center shall document the availability of the
medical physicist in a written record that also
includes:
(1) Documentation that the
medical physicist performed an annual on-site survey of the imaging equipment in accordance with the
manufacturer's specifications to evaluate compliance with:
(a) Applicable rules adopted pursuant to
Chapter 3748. of the Revised Code;
(b) The equipment management program
required by rule
3701-83-53 of the Administrative
Code; and
(c) The quality
assessment and improvement program
required by rules
3701-83-12 and
3701-83-55 of the Administrative
Code.
(2)
The
medical physicist's written procedures to specify the physics duties to be performed by each member of
the physics staff in accordance with their qualifications and competence, and
with the approval of the radiologist or authorized user responsible for
diagnostic imaging services, as applicable to the services provided.
(I) For MRI services,
the
service engineer or the medical physicist shall be available for
consultation with the physician or radiologist. The
availability of the service engineer or the medical physicist shall be
documented in a written record that also includes:
(1)
The service engineer's or medical
physicist's annual on-site survey to evaluate the equipment management program, as required by rule
3701-83-53 of the Administrative
Code; and
(2)
The
service engineer's or medical physicist's written procedures to specify
the service and preventive maintenance duties
to
be performed by each member of the staff in accordance with their
qualifications and competence that are approved by the individual specified in
paragraph (A) of this rule.
(J) For PET and nuclear medicine services,
radiation safety officer qualified under the
requirements of paragraph (E)(4) of this rule shall implement and conduct the
activities specified in rules 3701:1-58-38, 3701:1:58-40,
3701:1-58-50 and
3701:1-58-58 of the
Administrative Code.
