Sample Documents (Vein Center)
The IAC is pleased to include a series of sample and guidance documents to assist facilities in providing quality care to their patients. These documents may be used as a guide in developing facility policies, whether your facility is seeking accreditation or reaccreditation or simply working to standardize or improve current practices.
- IAC Vein Center Accreditation Checklist (738KB) (Updated 4-2021)
- Fluoro Quality Assurance Guide (65KB)
- Case Study Checklist (37KB)
- Vein Center Procedure Complications List (18KB)
- Vein Center Site Visitor Checklist (86KB)
- IAC Quality Improvement (QI) Self-Assessment Tool
Created to help your facility employ and document continuous process improvement, this free tool provides a mechanism for facilities to meet the quality measures required by the Standards.
- Sample QI Policy (41KB)
- Vein Center Sample Meeting Minutes (62KB)
- Vein Center Meeting Minute Template (56KB)
- Patient Complaint Policy (27KB)
- Patient Confidentiality Policy (61KB)
- Primary Source Verification Policy (37KB)
- Ergonomics Policy (89KB)
- Medical Director Attestation for Consultant Use [SAMPLE] (58KB)
*Facilities are required to attach a letter from the facility's Medical Director (on the facility's letterhead) providing the consultants permission to complete the application for accreditation on the facility's behalf.
- Endovenous Thermal Ablation Protocol and Guidelines (128KB) NEW!
- Sclerotherapy Protocol and Guidelines (87KB) NEW!
- Protocol for Performing Lower Extremity Reflux Examinations for Venous Insufficiency (97KB)