La. Admin. Code tit. 48 § I-4553

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-4553 - Radiology Services

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

La. Admin. Code tit. 48, § I-4553

Promulgated by the Department of Health, Bureau of Health Services Financing, LR 431745 (9/1/2017).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40:2131-2141.