ICANL
The
Application
Purchase
application CD version 2.0
($200)
Purchase
Standards and Application
CDs ($200)
Purchase
Getting Started Workshop
CD ($15)
Applications
received January 1, April 1, July 1, and October 1
The
Standards
The
Standards (previously known
as the Essentials and Standards)
for nuclear laboratories are divided into two parts
Nuclear
Medicine (includes PET)
Nuclear
Cardiology
Nuclear
Medicine Part I - Structure and Organization
Section
1 Personnel and Supervision
Section
2 Ancillary Personnel
Section
3 Physical Facilities
Section
4 Equipment and Instrumentation
Section
5 Volume of Clinical Procedures
Definition
of a Nuclear Medicine Facility
A
nuclear medicine facility consists of at least one nuclear imaging camera, a
qualified physician and a nuclear medicine technologist. Each facility must have
a Medical Director and Technical Director. It may be a single site, a
conglomerate of sites, a mobile facility or a combination of the above, meeting
the organizational structures defined in this document. There may be additional
physicians, nuclear medicine technologists, and other professional and/or
technical personnel. When more than
one technical member is employed, a Technical Director (e.g. chief technologist)
is responsible for supervision of the technical staff.
The facility must be in compliance with the Nuclear Regulatory Commission (NRC) regulations or, in Agreement States, with State regulations for medical diagnostic and therapeutic (if applicable) use of radioisotopes.
The following are the specific areas of Nuclear Medicine for which accreditation may be obtained.
gastrointestinal
system imaging
central nervous system imaging
endocrine system imaging
endocrine system non-imaging (e.g. radioiodine
uptake)
skeletal system imaging
genitourinary system imaging
pulmonary system imaging
infection
imaging
tumor imaging
hematopoietic, reticulendothelial and lymphatic
imaging
nuclear cardiology imaging
myocardial perfusion imaging
equilibrium radionuclide angiography
other cardiovascular imaging
nuclear medicine therapy
The following are the specific areas of PET for which accreditation
may be obtained:
oncologic imaging
neurologic imaging
cardiac imaging
Medical Director
Responsible for all nuclear medicine
services including quality
control, radiation safety, and the quality and appropriateness of care provided.
Licensed physician and authorized user
by NRC or State
1.1.3
Continuing Education Requirements
A.The Medical Director must obtain at least 15 hours of AMA Category
I continuing medical education (CME) credits, relevant to nuclear medicine,
every three years. This requirement is mandatory effective January 1, 2004.
B.Documentation of CME credits must be kept on file and available for inspection.
Training and Experience- Must meet a least one of the following criteria
Board Certified (or Board eligible but within 2 years of finishing training) in nuclear medicine
Board Certified (or Board eligible but within 2 years of finishing training) in radiology with special competence in nuclear medicine
Board Certified (or Board eligible but within 2 years of finishing training) in radiology with at least 4 months of nuclear medicine training with interpretation of at least 800 nuclear procedures.
Board Certified (or Board eligible but within 2 years of finishing training) in any other medical specialty recognized by the American Board of Medical Specialties or American Osteopathic Association and at least one year of nuclear medicine practice experience with independent interpretation of at least 1000 general nuclear medicine procedures and/or, if performing nuclear medicine therapies, independent performance of at least 20 nuclear medicine therapies.
Ten years of nuclear medicine practice experience with independent interpretation of at least 1000 general nuclear medicine procedures and/or, if performing nuclear medicine therapies, independent performance of at least 20 nuclear medicine therapies.
Technical Director
Nuclear Medicine technologist with RT(N),
CNMT, and/or state license
Minimum of 3 years clinical experience
Current basic life support
(BLS)
certification
Responsibilities - day-to-day
operations, delegates
responsibilities to other technologists and staff.
Obtain 15 hours of CE every 3 years, and
should include at least 3 hrs.
in imaging, quality control/ instrumentation, and radiopharmaceuticals. CE hours
approved (VOICE, ARRT-Category A, ASRT, AMA Category I). Documentation of CE on file!
Nuclear Medicine technologists same training
and CE requirements as Technical Director, except no experience requirement.
Interpreting physicians same
training, experience, and CME
as Medical Director.
Direct Patient Care personnel - have BLS
training.
There should be ACLS (Advanced Cardiac Life Support) certified personnel
on site during cardiac stress procedures.
Ancillary personnel necessary for
effective patient care and
include Clerical, and administrative assistants, Physicist or consulting
physicist, radiopharmacist, computer support, and other staff.
Equipment and Instrumentation:
Equipment and instrumentation used in the nuclear medicine
facility must be in good working condition, routinely
inspected for safety, properly functioning and records kept
on file. It should include the following:
Dose calibrator or decay correction calculation system, as appropriate for the site.
Imaging/ counting equipment
Radiation monitoring devices including:
portable survey meter (required)
removable contamination counting equipment (as applicable)
fixed
area survey meter for dose
preparation/storage areas (as applicable)
Resuscitation equipment and supplies (appropriate to the types of procedures being performed)
Exercise equipment (as applicable)
ECG equipment (as applicable)
Ancillary monitoring equipment (as applicable)
Infusion pumps/automated injectors (as applicable)
glucometers (as applicable)
