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Nuclear
Medicine
Audit includes:
Quarterly review of nuclear medicine program in accordance with NRC, Agreement State
regulations, radioactive materials conditions, and applicable accreditation body standards
and guidelines(JCAHO,ACR, ACRP)
Spot checks of required records
Observations of clinical practices
Radiation safety surveys
Perform radioactive sealed source leak tests on applicable sources at the required intervals
Perform annual dose calibrator accuracy test
QC tests of applicable counters/scalers
Image quality evaluation of gamma cameras including annual SPECT evaluation with Jaszczak
phantom
Radiation Safety Committee meeting attendance when coordinated with scheduled visit.
Survey reports include:
Exit review with key personnel (when available)
Report of findings and recommendations in consise and timely manner
Certificates of results provided to meet regulatory and licensing require ments
Guidance documents provided to assist with record-keeping process and development of policies and
procedures
Use forms available
Other services:
Review of polices and procedures
Assistance with annual review of Radiation Protection Program
Review of personnel dosimetry records
Assistance with quarterly and annual ALARA reviews
Assist with radioactive materials license renewal applications and amendments
Available for regulatory and licensing consultation
Fetal dose estimates provided
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