PURPOSE: This rule establishes the requirements for radiology services in a hospital.

1. (1) Radiographic and fluoroscopic diagnostic services shall be provided in each hospital.
2. (2) The director of radiology services shall be a qualified physician member of the medical staff and appointed by the governing body. This physician shall be responsible for implementing the rules of the medical staff governing the quality and scope of radiology services and safety precautions to protect patients and personnel.
3. (3) Radiotherapy services shall be administered only under the supervision of a physician appropriately qualified by special training and experience.
4. (4) Requests for radiology services shall be authenticated in the patient’s medical record by the attending physician, licensed house staff or other medical staff member authorized to request radiologic services.
5. (5) A written interpretation, authenticated by a radiologist or other medical staff member appropriately trained and qualified through the medical staff credentialing process, shall be made for all radiological diagnostic services.
6. (6) Documentation of each radiotherapy treatment shall be authenticated and become a part of the patient’s medical record.
7. (7) A qualified radiologic technologist shall be on duty or on call at all times. Emergency radiologic services shall be available at all times.
8. (8) Protection from radiation to patients and personnel shall comply with 19 CSR 20- 10.010–19 CSR 20-10.190.
9. (9) There shall be periodic inspection of equipment by a medical physicist qualified to furnish complete evaluation. Documentation shall be maintained and available for two (2) years.

AUTHORITY: sections 192.006 and 197.080, RSMo 2000 and 197.154, RSMo Supp. 2007.* This rule previously filed as 19 CSR 30-20.021(3)(H). Original rule filed June 27, 2007, effective Feb. 29, 2008. *Original authority: 192.006, RSMo 1993, amended 1995; 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo 2004.