(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,
who meets the qualifications
of
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
, as medical director. 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. The medical director shall:
(1) Approve specific duties that may be
performed by each member of the physics staff as established
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
who:
(1)
Is certified by the American board of radiology in
radiological physics or therapeutic radiological physics
For radioactive materials, meets the requirements of rules
3701:1-58-19 and
3701:1-58-21 of the
Administrative Code;
and
(2)
Is certified
by the American board of medical physics in medical physics with a specialty in
radiation oncology physics;
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.
(3) Has a master's degree or
doctorate from an accredited college or university in physics, biophysics,
medical physics, radiological physics, nuclear engineering or health physics,
and three years of experience in radiation therapy to include performance
evaluations, safety checks, and treatment planning; or
(4) Is currently certified by the
Ohio department of health as a certified radiation expert in the category of
therapeutic and meets the requirements of paragraph (C)(3) 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
that shall
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 with
within a medically appropriate response time
on a twenty-four hour basis.
(G)
In addition to
the requirements of paragraph (B) of rule 3701-83-08 of the Administrative
Code, each
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.