Authority: IC 16-21-1-7

Affected: IC 16-21-1

Sec. 8. (a) The center shall provide or make available diagnostic radiology services and reports required in connection with any surgery to be performed, necessary to meet the needs of the patients, as determined by the medical staff.

(b) Radiology services solely under arrangement must meet the needs of the patient and meet all state and federal requirements. If all radiology services are under arrangement, the remainder of this section does not apply.

(c) All centers shall comply with all regulations set forth in this rule and with 410 IAC 5, when radiology services are provided on-site by the center, including, but not limited to, the following:

1. (1) Radiology services must be supervised by a radiologist or radiation oncologist.
2. (2) All radiation therapy treatments, including all aspects of radium treatments, must be under the direct supervision of a radiation oncologist.
3. (3) If therapeutic or diagnostic nuclear medicine services are provided, they must comply with the applicable requirements of this section and with 410 IAC 15-1.6-3.
4. (4) All diagnostic radiographic procedures must be conducted by an individual meeting the requirements of 410 IAC 5- 11.

(d) Written policies and procedures must be developed, implemented, and maintained and made available to personnel.

(e) Safeguards for patients, personnel, and public must be specified, including, but not limited to, the following:

1. (1) Proper safety precautions must be maintained against radiation hazards in accordance with the center's radiation and safety program(s).
2. (2) Hazards and faulty equipment identified must be promptly corrected in accordance with current standards of practice and applicable federal and state rules, including, but not limited to, collimation and filtration and evaluations of equipment performance.

(f) Procedures and treatments are performed on the written request of individuals and practitioners allowed to order such procedures and treatments and receive the results of the evaluations to the extent permitted by law as authorized by the governing body.

(g) All radiologic equipment must be registered and inspected prior to use and then periodically, according to 410 IAC 5 and all other applicable state and federal statutes and rules.

(h) All radioactive materials must be registered and/or licensed under all applicable state and federal statutes and rules.

(i) The use of fluoroscopes must be limited to physicians or others authorized to operate in accordance with 410 IAC 5.

(j) Records of the results of all radiological procedures must be kept on file and recorded on the patient's chart. The center shall maintain the following for at least five (5) years:

1. (1) Copies of reports and printouts.
2. (2) Films, scans, and other image records.
3. (3) If subdivisions (1) and (2) are maintained in the medical record, these items shall be maintained in accordance with state and federal law.

(Indiana Department of Health; 410 IAC 15-2.5-8; filed Dec 1, 1999, 3:44 p.m.: 23 IR 794; errata filed Feb 15, 2000, 8:05 a.m.: 23 IR 1658; readopted filed Jul 15, 2005, 8:00 a.m.: 28 IR 3661; readopted filed Jul 14, 2011, 11:42 a.m.: 20110810-IR- 410110253RFA; readopted filed Sep 13, 2017, 4:08 p.m.: 20171011-IR-410170339RFA; readopted filed Nov 28, 2023, 12:13 p.m.: 20231227-IR-410230639RFA)