1224.18 Radiological/Diagnostic Imaging Service Space
Space and equipment shall be provided to accommodate all required elements, and any additional imaging modalities included in the service space, as required in this section. If interventional or image-guided procedures are performed in the imaging services area, additional provisions shall be as described in Section 1224.28 Supplemental Surgery and other Special Procedure Services. If nuclear medicine is provided in the imaging services area, spaces shall also comply with the requirements described in Section 1224.34 Nuclear Medicine.
Hospital shall provide a minimum of:
- One fluoroscopy room, which can also provide x-ray examination services.
- Space for processing images.
- A toilet room shall adjoin and be directly accessible to each fluoroscopy room. In addition to the fluoroscopy toilet rooms, common patient toilet room facilities shall be located in the radiological/diagnostic imaging service space.
- An office or other suitable area for viewing and reporting radiographic examination.
- Storage spaces for all image equipment, supplies and copies of reports.
- Handwashing stations located within the unit.
- Dressing room facilities.
A certified physicist or other qualified expert shall specify the type, location, and amount of radiation protection to be installed in accordance with the final approved department layout and equipment selections. Where protected alcoves with view windows are required, a minimum of 1'-6"(0.45 meter) between the view window and the outside partition edge shall be provided. Radiation protection requirements shall be incorporated into the construction documents and comply with Chapter 31C and the requirements of California Radiation Control Regulations, California Code of Regulations, Title 17, Division 1, Chapter 5, and Subchapter 4.
- A control room with a view window to permit full view of the patient.
- A scrub sink located outside the staff entry to the procedure room.
- Patient holding area shall accommodate at least one patient gurney with a minimum of 3-foot (914 mm) clearance on the long side.
- Storage for portable equipment and catheters shall be provided.
If provided, CT space shall accommodate the following:
If provided, CT scan spaces shall accommodate the equipment with a minimum of 3 feet (914 mm) on all sides of the equipment, together with the following:
If provided, the MRI room shall accommodate the equipment with a minimum of 3 feet (914 mm) on all sides of the equipment, together with the following:
- A control room shall be provided with full view of the patient in the MRI scanner. The control console shall be positioned so the operator has a full view of the approach and entrance to the MRI scanner room.
- An anteroom or area visible from the control room shall be located outside the MRI scanner room so that patients, health care personnel, and other employees must pass through it before entering the scanning area and control room. The room or area shall be outside the restricted areas of the MRI's magnetic field.
- A computer room shall be provided.
Wall, floor, and ceiling assemblies shall accommodate the installation of required radio frequency (RF)-shielded assemblies. All doors, windows, and penetrations into the RF-shielded enclosure shall be RF-shielded. As well as RF shielding, individual sites may also require magnetic shielding on some or all surfaces to contain portions of the magnetic field not contained by the RF shield.
Where superconducting MRI scanners are installed, an insulated cryogen quench exhaust pipe as well as room exhaust and pressure equalization shall be provided to protect occupants in the event of a cryogen breach.
If provided, the intraoperative magnetic resonance imaging (iMRI) suite shall comply with Section 1224.28.5.
The following spaces are common to the imaging service area and are minimum requirements unless stated otherwise:
Provision shall be made for locked storage of medications and drugs.