Section 509.51 - Radiology(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.26 Tex. Admin. Code § 509.51
Adopted by Texas Register, Volume 48, Number 48, December 1, 2023, TexReg 7072, eff. 12/4/2023