Section 3701-83-45 - Personnel requirements and qualifications - freestanding radiation therapy centers(A) Each freestanding radiation therapy center shall have an administrator.(B) Each freestanding radiation therapy center shall have a medical director who is a radiation oncologist, nuclear medicine physician, radiologist, or other authorized user, as defined in paragraph (I), (J), or (K) of rule 3701-83-43 of the Administrative Code or rule 3701:1-58-40, 3701:1-58-51 or 3701:1-58-54 of the Administrative Code. The medical director shall: (1) Approve specific duties that may be performed by each member of the physics staff as specified by the medical physicist under paragraph (E) of this rule; and(2) Ensure appropriate coverage of the radiation therapy center by radiation oncologists or other authorized users and staff.(C) The medical director, radiation oncologists, radiologists, nuclear medicine physicians, and authorized users shall be qualified by training, experience, and certification to perform the scope of radiation therapy services provided by the facility. A radiation oncologist, nuclear medicine physician, radiologist, or other authorized user shall be available for direct care and quality review on a daily basis. If the radiation oncologist, nuclear medicine physician, radiologist, or other authorized user is not on-site, the radiation oncologist, nuclear medicine physician, radiologist, or other authorized user shall be accessible by phone, beeper, or other designated mechanism.(D) Each freestanding radiation therapy center shall have a medical physicist or teletherapy physicist :(1) For radioactive materials, meets the requirements of rules 3701:1-58-19 and 3701:1-58-21 of the Administrative Code; and(2) For radiation therapy equipment, meets the requirements of paragraph (C)(1), (C)(2), (C)(3), or (C)(4) 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 paragraph (C) of rule 3701:1-66-03 of the Administrative Code. (E) The medical physicist or teletherapy physicist shall be available for consultation with the radiation oncologist, nuclear medicine physician, radiologist, or other authorized user to provide advice or direction to staff when patient treatments are being planned or patients are being treated. Radiation therapy centers shall have regular on-site physics support during hours of clinical activity. The on-site support shall, at a minimum, be provided on a weekly basis. When a medical physicist or teletherapy physicist is not available on-site, other physics duties shall be established and documented in writing by the medical physicist or teletherapy physicist. The medical physicist shall specify the specific physics duties to be performed by each member of the physics staff in accordance with their qualification and competence.(F) Each freestanding radiation therapy center shall have available a sufficient number of qualified staff for the radiation therapy services provided including individuals licensed as radiation therapy technologists or nuclear medicine technologists under Chapter 4773. of the Revised Code, who are able to supervise and conduct the radiation therapy services as appropriate for the services being offered. The nuclear medicine physician, radiologist, radiation oncologist, or other authorized user and support staff shall be available on a twenty-four hour basis to initiate urgent treatment within a medically appropriate response time .(G) Each freestanding radiation therapy center shall establish personnel files for all individuals who provide radiation therapy services and shall: (1) Maintain files for each individual which specify the types of procedures or services the individual is permitted to perform; and(2) Update all files at least every twelve months.Ohio Admin. Code 3701-83-45
Effective: 7/15/2022
Five Year Review (FYR) Dates: 4/29/2022 and 07/15/2027
Promulgated Under: 119.03
Statutory Authority: 3702.13, 3702.30
Rule Amplifies: 3702.12, 3702.13, 3702.30
Prior Effective Dates: 01/13/1996, 07/26/2001, 06/01/2006, 04/24/2011, 07/01/2016