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The Direct Patient Care Personnel section was expanded for clarity:
STANDARD - Direct Patient
Care Personnel
A1.5 All personnel involved
in direct patient care should have current BLS (Basic Life
Support) certification. While physician presence during stress
testing is not required, the facility must assure that
appropriate staff is present based upon the types of procedures
being performed and the patients' risks of adverse events.
A1.5.1 Basic Life Support
- All personnel, including physicians, directly supervising
stress procedures must have appropriate training/experience
and must be certified in basic life support.
A1.5.2 Advanced Cardiac
Life Support - There must be ACLS certified personnel on site
during cardiac stress procedures.
A1.5.3 Stress testing oversight
- There must be a system in place for the assurance of the
proper administration, including timing, of radiopharmaceuticals
relative to the performance of stress testing. If the personnel
who conduct stress testing for nuclear imaging procedures
are not under the supervision of the Medical Director (e.g.,
if the stress testing is done by staff in or from another
department), there must be a policy in place that assures
the proper administration of radiopharmaceuticals (especially
timing).
A new staff category for Nuclear Medicine Assistants
is now included to define individuals who possess the expertise
to perform duties in the nuclear medicine laboratory, yet are
not credentialed:
STANDARD - Nuclear Medicine
Assistants
A1.7 All personnel who
assist nuclear medicine technologists with direct patient
care must have documented training, experience, and competency
consistent with their duties. These duties must be acceptable
under local, state, and federal law/regulations.
A1.7.1 If the nuclear medicine
assistant is performing duties that are typically performed
only by a certified/licensed nuclear medicine technologist
(such as radiopharmaceutical preparation or administration,
patient positioning, image acquisition or processing), there
must be a certified/licensed nuclear medicine technologist
identified, in writing, as the assistant's supervising technologist.
The supervising technologist is responsible for the assistant's
actions.
A1.7.2 There must be a
certified/licensed nuclear medicine technologist immediately
available in the laboratory during nuclear medicine patient
care (may be the individual assistant's supervising technologist
or another certified/licensed nuclear medicine technologist
to whom this oversight responsibility has been delegated).
A1.7.3 A nuclear medicine
assistant may not perform therapeutic nuclear medicine procedures.
A section relative to multiple sites and mobile
services is now included within the Standards as Section
A6.
PART B: PROCEDURES AND PROTOCOLS
There were no major revisions made within Part
B: Procedures and Protocols, although there were several
changes made to improve organization and clarity.
PART C: QUALITY IMPROVEMENT
In formulating their quality improvement programs,
laboratories are now required to include at least one measure
from each of the three defined categories: Administrative Quality,
Technical Quality, and Physician Performance.
SECTION C2 - QUALITY IMPROVEMENT
MEASURES
C2.1 The quality improvement
program must include at least one measure from each of the
following three areas (note that some measures may assess
multiple areas, depending on the design of the measure):
C2.1.1 Administrative Quality:
to assess and improve the administrative quality of the facility's
operation.
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