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The IAC Standards and Guidelines
for Nuclear/PET Accreditation

 

Click here for a printer-friendly PDF of the Nuclear/PET Standards

Part A:
Organization

Section 6A: Multiple Sites (Fixed and/or Mobile)

STANDARD – Multiple Sites

 

6.1A         When procedures are performed at more than one physical facility, the facility may be eligible to apply for a single accreditation as a multiple site facility if the following criteria are met:

 

6.1.1A         All facilities have the same Medical Director and Technical Director.

 

6.1.2A         Identical clinical, administrative and radiation safety procedures are used at all sites (with variance only for differences in equipment and physical facilities).

 

6.1.3A         The Quality Improvement (QI) Program must include all sites.

 

6.1.4A         Staff at all sites must be included in periodic staff meetings (e.g., for education, QA, etc.).

 

6.1.5A         The Medical and Technical Director must assure that they have adequate contact and supervision with each site including periodic observation of operations.

Comment: Supervision by the Technical Director may be accomplished by one or more of the following:

 

6.1.5.1A        The Technical Director works at each site two days each month.

 

6.1.5.2A        Every technical staff member from each multisite(s) works at the main facility two days each month.

 

6.1.5.3A        An appropriately credentialed lead technologist is appointed at each multi-site to report to the Technical Director. The lead technologist:

 

i.            Supervises and assists others in performing examinations.

ii.          Oversees day-to-day activities at the multisite.

iii.         Communicates weekly with the Technical Director to maintain compliance with the testing Standard.

 

Section 6A: Multiple Sites (Fixed and/or Mobile)
Guidelines

 

Facilities needing complete details on adding a multiple site should review the current IAC Policies and Procedures available on the IAC website at www.intersocietal.org/iac/legal/policies-procedures.htm.