| (a) The facility shall adopt, implement, and enforce
policies and procedures for emergency radiological procedures.
(b) The facility shall provide radiological services
that are immediately available on the premises to meet the emergency
needs of patients and to adequately support the facility's clinical
capabilities, including plain film X-ray.
(c) The facility shall provide computed tomography
(CT) scan services and ultrasound services that are immediately available
on the premises.
(d) A physician or other practitioner within the scope
of their license and education shall read, date, sign, and authenticate
all examination reports.
(e) The radiology department shall meet all applicable
federal, state, and local laws, codes, standards, rules, regulations,
and ordinances.
(f) Procedure manuals shall include procedures for
all examinations performed, infection control in the facility, treatment
and examination rooms, personnel dress code, and equipment cleaning.
(g) Policies shall address the quality aspects of radiology
services, including:
(1) performing radiology services only on the written
order of a physician, podiatrist, dentist, or other practitioner,
who is practicing within the scope of their license and education,
(such orders shall be accompanied by a concise statement of the reason
for the examination); and
(2) limiting the use of any radioactive sources in
the facility to physicians who have been granted privileges for such
use based on their training, experience, and current competence.
(h) Policies shall address safety, including:
(1) regulating use, removal, handling, and storage
of any radioactive material that is required to be licensed by the
Texas Department of State Health Services Radiation Control Program;
(2) precautions against electrical, mechanical, and
radiation hazards;
(3) proper shielding where radiation sources are used;
(4) acceptable monitoring devices for all personnel
who might be exposed to radiation that shall be worn by such personnel
in any area with a radiation hazard;
(5) maintenance of radiation exposure records on personnel;
and
(6) authenticated dated reports of all examinations
performed added to the patient's medical record.
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