Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-100 - General Hospital Standards
Section R432-100-23 - Radiology Services
Universal Citation: UT Admin Code R 432-100-23
Current through Bulletin 2024-06, March 15, 2024
(1) The licensee shall provide an organized radiology department offering services that are in accordance with the needs and size of the institution.
(a) A person appointed and authorized by the
hospital administrator shall direct the radiology services.
(b) A member of the medical staff shall
provide medical direction of the department.
(i) If a radiologist is not the medical
director of the radiology services, the licensee shall retain the services of a
radiologist.
(ii) If a radiologist
provides services on less than a fulltime basis, the time commitment shall
allow the radiologist to complete the necessary functions to meet the
radiological needs of the patients and the medical staff.
(c) The radiologist shall:
(i) maintain a quality control program that
minimizes unnecessary duplication of radiographic studies and maximizes the
quality of diagnostic information available;
(ii) develop technique charts that include
part, thickness, exposure factors, focal film distances and either a grid or
screen technique; and
(iii) assure
the availability of information regarding the purpose and yield of radiological
procedures and the risks of radiation.
(d) The licensee shall ensure at least one
licensed radiologic technologist is on duty or available as needed.
(e) Only a member of the medical staff or
other person authorized by the hospital shall authorize the performance of
diagnostic radiology services.
(f)
If the licensee provides radiation oncology services, the following shall
apply:
(i) physicians and staff who provide
radiation oncology services have delineated privileges; and
(ii) the medical director of the radiation
oncology services is a physician member of the medical staff who is qualified
by education and experience in radiation oncology.
(2) The licensee shall integrate radiologic medical with the hospital patient record.
(a) Any requests for radiologic services
shall contain the reasons for the examinations.
(b) The licensee shall file authenticated
reports of these examinations in the patient's medical record as soon as
possible.
(c) The licensee shall
retain radiological film in accordance with hospital policy.
(d) If requested by the attending physician
and if the quality of the radiograph permits, the radiology department may
officially enter the interpretations of the radiologic examinations performed
outside of the hospital in the patient's medical record.
(e) The licensee shall file radiotherapy
summaries as follows:
(i) in the patient's
medical record;
(ii) a copy may be
filed in the radiotherapy department;
(iii) forwarded to the referring
physician;
(iv) documented in the
medical record of the patient receiving radiotherapy for treatment or
palliation of a malignancy and reflect the histologically substantiated
diagnosis, unless otherwise justified.
Disclaimer: These regulations may not be the most recent version. Utah may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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