Section 3701-83-52 - Personnel and staffing requirements - freestanding diagnostic imaging centers(A) Each freestanding or mobile diagnostic imaging center shall have a radiologist, nuclear medicine physician, authorized user, physician acting within their scope of practice, or chiropractic radiologist, as appropriate to the diagnostic imaging services being offered, that has overall responsibility for the diagnostic imaging services being provided by the freestanding or mobile diagnostic imaging center.(B) Each freestanding or mobile diagnostic imaging center shall have; (1) A physician on site when anesthesia, other than local anesthesia, is being administered; and(2) One of the following on site when local anesthesia or diagnostic imaging contrast are being administered: (b) A certified nurse practitioner;(c) A certified nurse-midwife;(d) A certified nurse specialist; or(e) A physician assistant.(3) If the administration of local anesthesia or diagnostic imaging contrast agents are being supervised by a certified nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant, the approval for the supervision of the administration of the local anesthesia or diagnostic imaging contrast shall be documented in the standard care arrangement or supervision agreement.(C) CT freestanding and mobile diagnostic imaging centers shall have available sufficient and qualified personnel as appropriate for the services being offered as follows: (1) CT services shall be provided only upon the written order of a physician, chiropractor, dentist or podiatrist;(2) CT image interpretation shall be conducted by:(b) A physician or chiropractic radiologist acting within their scope of practice who does not meet the requirements of paragraph (N) of rule 3701-83-51 of the Administrative Code who has at least two years cross-sectional imaging and interpretation experience;(3) A medical physicist who meets the requirements of paragraph (D)(1), (D)(2), or (D)(3) 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 rule 3701:1-66-03 of the Administrative Code; and (4) An individual licensed as a radiographer under Chapter 4773. of the Revised Code .(D) MRI freestanding and mobile diagnostic imaging centers shall have available sufficient and qualified personnel as appropriate for the services being offered as follows: (1) MRI services shall be provided only upon the written order of a physician, chiropractor, dentist or podiatrist;(2) MRI image interpretation shall be conducted by:(b) A physician or chiropractic radiologist acting within their scope of practice who does not meet the requirements of paragraph (S) of rule 3701-83-51 of the Administrative Code who has at least six months experience or training in cross-sectional body imaging and image evaluation and interpretation.(3) A service engineer, or medical physicist certified by: (a) The American board of radiology in diagnostic medical or diagnostic radiologic physics; or(b) The American board of medical physics in diagnostic medical physics or MRI physics; or(c) The Canadian college of physicists in medicine in MRI physics.(4) A technologist for preparing and positioning the patient and for obtaining the MRI data in a manner suitable for interpretation. As used in this paragraph, "technologist" means an individual: (a) Registered with the American registry of radiologic technologists in the categories of "radiography," "nuclear medicine technology," "radiation therapy technology" or "magnetic resonance imaging";(b) Certified by the American registry of magnetic resonance imaging technologists; or(c) Registered as a nuclear medicine technologist with the nuclear medicine technology certification board.(E) PET and nuclear medicine freestanding and mobile diagnostic imaging centers shall have available sufficient and qualified personnel as appropriate for the services being offered as follows:(1) PET and nuclear medicine services shall be provided only upon the written order of an authorized user pursuant to rule 3701:1-58 of the Administrative Code;(2) PET and nuclear medicine image interpretation shall be conducted by one of the following: (a) A nuclear medicine physician;(c) A physician acting within their scope of practice who meets the requirements of rule 3701:1-58-36 of the Administrative Code;(d) A physician acting within their scope of practice who does not meet the requirements of paragraph (R) or (S) of rule 3701-83-51 of the Administrative Code that is supervised by a physician who is qualified pursuant to paragraph (E)(2)(a), (E)(2)(b), or (E)(2)(c) of this rule while the physician is completing a training program that will result in certification as a physician listed in paragraph (E)(2)(a), (E)(2)(b), or (E)(2)(c) of this rule.(3) An individual licensed as a nuclear medicine technologist under Chapter 4773. of the Revised Code ; and(4) A radiation safety officer who meets the requirements of rule 3701:1-58-18 of the Administrative Code and is listed on the Ohio radioactive materials license.(F) Fluoroscopy freestanding and mobile diagnostic imaging centers shall have available sufficient and qualified personnel as appropriate for the services being offered as follows:(1) Fluoroscopy services shall only be provided upon the written order of a physician, dentist, or chiropractor;(2) Fluoroscopy image interpretation shall be conducted by one of the following: (b) A physician or chiropractic radiologist acting within their scope of practice who does not meet the requirements of paragraph (S) of rule 3701-83-51 of the Administrative Code who has at least six months experience or training in the performance and interpretation of fluoroscopy;(3) A medical physicist who meets the requirements of paragraph (D)(1), (D)(2), or (D)(3) 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 rule 3701:1-66-03 of the Administrative Code; and (4) An individual licensed as a radiographer under Chapter 4773. of the Revised Code .(G) Each freestanding or mobile diagnostic imaging center shall establish personnel files for all individuals who provide diagnostic imaging services and shall: (1) Maintain files for each individual which specify the types of procedures the individual is permitted to perform; and(2) Update all files at least every twelve months .(H) For CT and fluoroscopy services, the medical physicist shall be available for consultation with the radiologist or authorized user responsible for diagnostic imaging services to provide advice and direction. The freestanding or mobile diagnostic imaging center shall document the availability of the medical physicist in a written record that also includes:(1) Documentation that the medical physicist performed an annual on-site survey of the imaging equipment in accordance with the manufacturer's specifications to evaluate compliance with: (a) Applicable rules adopted pursuant to Chapter 3748. of the Revised Code;(b) The equipment management program required by rule 3701-83-53 of the Administrative Code; and(c) The quality assessment and improvement program required by rules 3701-83-12 and 3701-83-55 of the Administrative Code.(2) The medical physicist's written procedures to specify the physics duties to be performed by each member of the physics staff in accordance with their qualifications and competence, and with the approval of the radiologist or authorized user responsible for diagnostic imaging services, as applicable to the services provided.(I) For MRI services, the service engineer or the medical physicist shall be available for consultation with the physician or radiologist. The availability of the service engineer or the medical physicist shall be documented in a written record that also includes: (1) The service engineer's or medical physicist's annual on-site survey to evaluate the equipment management program, as required by rule 3701-83-53 of the Administrative Code; and(2) The service engineer's or medical physicist's written procedures to specify the service and preventive maintenance duties to be performed by each member of the staff in accordance with their qualifications and competence that are approved by the individual specified in paragraph (A) of this rule.(J) For PET and nuclear medicine services, radiation safety officer qualified under the requirements of paragraph (E)(4) of this rule shall implement and conduct the activities specified in rules 3701:1-58-38, 3701:1:58-40, 3701:1-58-50 and 3701:1-58-58 of the Administrative Code.Ohio Admin. Code 3701-83-52
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, 06/27/1996, 07/26/2001, 07/01/2006, 04/24/2011, 07/01/2016