Hospital accreditation and medication management

Compliance. Collaboration. Confidence.

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Are radiopharmaceuticals included on your hospital formulary?

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Are radiopharmaceuticals medications?

Traditionally, hospital pharmacy and nuclear medicine departments have had minimal interaction. However this changed in 2004 when The Joint Commission defined radiopharmaceuticals as medications. While this expanded definition is not new, institutions have recently begun to focus more on radiopharmaceuticals to adopt processes that help to ensure compliance with applicable medication management standards. In addition, a new role in nuclear medicine is emerging for the director of pharmacy.

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Resources for medication management in nuclear medicine:

Insights on the compliance process:
Awareness, understanding and collaboration are critical to ensure compliance with medication management standards in the nuclear medicine department. Understanding the reasons for the changing roles is critical for success.

FAQs - Formulary (PDF)
FAQs - Medication Use Cycle (PDF)
A Collaborative Approach to Radiopharmaceutical Management (PDF)
Published in PP&P magazine, September 2011; Authored by Trent A. Beach, PharmD, MBA, MHA, FASHP
Tips for Managing Radiopharmaceuticals (PDF)
Published in PP&P magazine, March 2013; Authored by Patricia C. Kienle, RPh, MPA and FASHP and Richard L. Green, RPh BCNP
Ensuring the Safety and Security of Radiopharmaceuticals (PDF)
Published in: Joint Commission Perspectives®, July 2012, Volume 32, Issue 7 Authored by: George Mills, MBA, FASHE, CEM, CHFM, CHSP, director Department of Engineering, The Joint Commission
Nuclear medicine medication security template (NEW)
A standard operating procedure (SOP) template for nuclear medicine medication security that you can customize to help ensure the secure delivery of radiopharmaceuticals to your hot lab and comply with TJC requirements