Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 45 - Ambulatory Surgical Center › Subchapter D - Service Delivery › Section I-4553 - Radiology Services

Current through Register Vol. 50, No. 6, June 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