(A) Clinical facilities for radiation therapy services and stereotactic radiosurgery services should be designed to accommodate large numbers of outpatients and limited numbers of inpatients, if applicable.
(B) Ramps, doors, hallways and lavatories shall accommodate wheelchairs and have a holding area for patients on stretchers or beds.
(C) Each radiation therapy service and stereotactic radiosurgery service shall have on -site or accessible:
(1) Reception and waiting areas;
(2) An adequate number of exam rooms;
(3) A physicians' work room;
(4) A secure area for medications;
(5) Procedure rooms;
(6) A treatment planning area;
(7) A physics lab; and
(8) A room for fabrication of treatment aids.
(D) Each radiation therapy service shall have the necessary equipment to provide services with accuracy, precision, and efficiency.
(1) Each service shall provide for diagnostic services, either on-site or by referral. At a minimum, these services shall include:
(a) Computerized tomography (CT);
(b) Magnetic resonance imaging (MRI);
(d) Nuclear medicine; and
(e) Clinical and surgical pathology.
(2) Each radiation therapy service shall document arrangements for referrals to one or more other radiation therapy sites so that the patients will have access to a broad spectrum of radiation therapy equipment and a variety of treatment modalities including, at least, brachytherapy and a unit of radiation therapy equipment providing photons of at least ten megavolts (MV) and electron energies to at least twelve megaelectron volts (MeV).
(E) Each radiation therapy service and/or radiosurgery service shall develop and implement a program to monitor the calibration and radiation beam characteristics to assure accurate and reliable delivery of ionizing radiations. Calibration and operation of radiation therapy equipment shall be in accordance with the applicable requirements in Chapters 3701:1-67 and 3701:1-58 of the Administrative Code.
(F) Gamma knife and stereotactic radiosurgery services shall assess and assure correlation of alignment between imaging and treatment equipment in accordance with current recommended standards for radiosurgery treatment by the American association of physicists in medicine and the American college of medical physics.
(G) Each radiation therapy service shall develop and implement a preventive maintenance and repair program for equipment in accordance with manufacturer's specifications. The service shall maintain current records of equipment performance, maintenance and malfunctions.
(H) Each radiation therapy service shall maintain emergency equipment and medications appropriate for the services provided.
Five Year Review (FYR) Dates: 02/27/2017 and 03/01/2022
Promulgated Under: 119.03
Statutory Authority: 3702.11, 3702.13
Rule Amplifies: 3702.11, 3702.12, 3702.13 , 3702.14, 3702.141, 3702.15, 3702.16, 3702.18, 3702.19, 3702.20
Prior Effective Dates: 3/1/1997, 3/24/03, 5/15/08, 6/21/12