Sample Documents (Nuclear/PET)

The IAC is pleased to include sample documents to assist facilities in providing quality care to their patients. These documents meet or exceed the requirements of the Standards, and they may be used to develop facility policies and reporting forms, whether your facility is seeking accreditation or simply working to standardize or improve current practices.

Please Note: The following documents are SAMPLES only. Protocols submitted with the application must be customized to reflect current practices of the facility.

Administrative Protocols

Clinical Protocols

NUCLEAR CARDIOLOGY

GENERAL NUCLEAR MEDICINE

PET, PET/CT & SPECT/CT

Competency Documentation

Patient Identification / Pregnancy & Breastfeeding

Quality Improvement / Quality Control

Quality Control Protocols

Quality Improvement

Appropriate Use Criteria (AUC)

Technical Quality Review

Interpretive Quality Review

Final Report Completeness and Timeliness

Radiation Safety

Reporting

CARDIAC REPORTING

GENERAL NUCLEAR MEDICINE REPORTING

PET REPORTING

PET-CT REPORTING

Sample Letters

  • 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.

Checklists