Nuclear medicine

Nuclear medicine services may be provided. If provided, the entity providing nuclear medicine services shall be licensed by the Nuclear Regulatory Commission. (1) Nuclear medicine procedures shall be under the supervision of a physician who is a member of the medical staff. (2) Nuclear medicine services shall be supervised by a qualified and trained nuclear medicine technologist. (3) There shall be a sufficient number of qualified technical and supportive staff to perform the procedures provided by nuclear medicine. (4) Personnel that provide nuclear medicine services shall have written authorization by the physician director to provide these services. (5) All radioactive materials shall be purchased, stored, and administered in accordance with the standards approved by the medical staff and shall be in compliance with local, state, and federal laws. A record of the receipt and disposition of all radiopharmaceuticals shall be maintained for a minimum of five (5) years. The dose of radiopharmaceuticals shall be reverified prior to patient administration. (6) Equipment shall be appropriate for the types of services offered and shall be maintained, tested, and calibrated as required by the manufacturer. (7) There shall be written policies and procedures for all services offered which shall additionally include the following: (A) Safety rules. (B) Steps to take in the event of an adverse reaction. (C) Clean up of spills. (8) The policy and procedure manual shall be reviewed annually and revised as necessary. (9) If diagnostic in-vitro laboratory testing is performed in this department, such testing shall conform to all conditions in 42 CFR part 493 (CLIA '88).