NDAC 33-07-01.1-24
Nuclear medicine services
Cite as N.D. Admin. Code § 33-07-01.1-24
1.
If the acute hospital provides nuclear medicine services, the services must be provided to
meet the needs of the patients and in a safe and effective manner.
a.
The hospital shall have available written verification of compliance with article 33-10.
b.
The hospital shall have evidence of licensure to handle radioactive materials.
c.
The physician responsible for the direction of the nuclear medicine services must be a
physician who is qualified to provide nuclear medicine services and who is a member of
the medical staff.
d.
Nuclear medicine services may be ordered only by a licensed health care practitioner
whose qualifications and medical staff privileges allow such referrals.
e.
Personnel employed in nuclear medicine services must meet the qualification and
training requirements, perform the functions, and carry out the responsibilities specified
by the director and approved by the medical staff.
f.
The diagnostic procedures must be interpreted by a licensed health care practitioner who
has been approved by the medical staff to do so. The licensed health care practitioner
shall document, sign, and date reports of procedures, interpretations of procedures, and
consultations.
g.
The hospital shall retain copies of nuclear medicine reports consistent with current
standards of practice.
h.
The nuclear medicine services shall develop and implement policies in accordance with
standards of practice specific for the services provided, and consistent with chapter
61-05-01, including:
(1)
Handling, maintenance, and inspection of equipment.
(2)
Protection of patients and personnel from radiation hazards.
(3)
Testing of equipment for radiation hazards.
(4)
Maintenance of personnel radiation monitoring devices.
(5)
Preparation and administration of radio-pharmaceutical.
(6)
Documentation of receipt, storage, use, and disposal of radioactive materials.
2.
If the primary care hospital provides nuclear medicine services, the hospital shall comply with
nuclear medicine services requirements for general acute hospitals in this section.
3.
Specialized hospitals providing nuclear medicine services are subject to the nuclear medicine
services requirements for general acute hospitals in this section.