3701-83-45 Personnel requirements and qualifications - freestanding radiation therapy centers.

(A) Each freestanding radiation therapy center shall have an administrator.

(B) Each freestanding radiation therapy center shall have a radiation oncologist, nuclear medicine physician, radiologist, or other authorized user, who meets the qualifications of 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 by the medical physicist under paragraph (E) of this rule;

(2) Ensure appropriate coverage of the radiation therapy center by radiation oncologists or other authorized users and staff.

(C) 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 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;

(2) Is certified by the American board of medical physics in medical physics with a specialty in radiation oncology physics;

(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 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 to initiate urgent treatment with 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 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.

Effective: 04/24/2011
R.C. 119.032 review dates: 02/07/2011 and 02/10/2016
Promulgated Under: 119.03
Statutory Authority: 3702.13
Rule Amplifies: 3702.30
Prior Effective Dates: 1/13/1996, 7/26/01, 6/1/06