Hospital Radiology Requirements

(1) Each hospital must provide x-ray facilities for complete diagnostic service consistent with services rendered by the hospital or must have diagnostic x-ray services available by contract MINIMUM PROGRAM REQUIREMENTS FOR CHAPTER 0940-05-16 MENTAL HEALTH HOSPITAL FACILITIES (2) If x-ray facilities are provided directly by the facility, the facility must assure the following: (a) X-ray personnel must be qualified by education, training and experience for the type of service rendered and must be certified as required by chapter 0880-5 of the Rules of the Tennessee Board of Medical Examiners; (b) All x-ray equipment must be registered with the Tennessee Division of Radiological Health; (c) A written and signed report on each x-ray and therapy treatment must be made a part of the patient’s record; (d) Equipment must include radiographic and fluoroscopic equipment with adequate facilities for the developing and reading of x-ray film; (e) X-rays must be retained for four (4) years and may be retired thereafter provided that a signed interpretation by a radiologists is maintained in the patient’s medical record under T.C.A. § 68-11-305; and (f) Patients, employees and the general public must be provided protection from radiation in accordance with “State Regulations for Protection Against Radiation.” All radiation producing machines must be registered and all radioactive material must be licensed by the Division of Radiological Health.