QUANUM UK Documentation - British Nuclear Medicine Society

QUANUM UK Documentation

QUANUM UK Documentation

Review by BNMS 2020 in order to anglicise the basic IAEA document and ensure that it is suitable for auditing UK nuclear medicine departments. The full EANM document can be found at:

https://www-pub.iaea.org/MTCD/Publications/PDF/Pub1683Web-68161172.pdf

UK Audit questionnaire:
Standards
A Required by legislation. Any failure is regarded as serious and urgent corrective action is required
B Not compulsory but are expected to be reached by every department. Any failure would be expected to result in corrective action being recommended.
C Standards are desirable but not essential. Corrective action may improve the overall function of the department.

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1 Management and human resources - Strategies and Policies
1.1.1 Is the nuclear medicine service guided by specific objectives developed at the national level? *Class B	Yes No
1.1.1 Comments
1.1.1 Evidence
1.1.2 Is the nm service guided by specific objectives developed by the hospital management? *Class B	Yes No
1.1.2 Comments
1.1.2 Evidence
1.1.3 Is there adequate coordination with radiology, oncology and other key users of the service? *Class C Give examples	Yes No
1.1.3 Comments
1.1.3 Evidence
1.1.4 Has the nuclear medicine organisation an up to date written organisational chart? *Class B	Yes No
1.1.4 If yes, please attach a copy
1.1.4 Comments
1.1.4 Evidence
1.1.5 Does the org. chart indicate lines of comms and professional and admin line mgmt in the dept? *Class B	Yes No
1.1.5 Comments
1.1.5 Evidence
1.1.6 Is the range of specific nuclear medicine diagnostic imaging and therapeutic services... *Class B - Is the range of specific nuclear medicine diagnostic imaging and therapeutic services appropriate to the size and scope of the hospital’s clinical service?	Yes No
1.1.6 Comments
1.1.6 Evidence
1.1.7 Do the objectives of the nuclear medicine service include the provision of services for... *Class B - Do the objectives of the nuclear medicine service include the provision of services for urgent requests?	Yes No
1.1.7 If yes, please include schedule.
1.1.7 If no, explain why?
1.1.7 Comments
1.1.7 Evidence
1.1.8 Do the objectives of the nuclear medicine service include the provision and maintenance of... *Class A - Do the objectives of the nuclear medicine service include the provision and maintenance of high quality clinical care through clinical audit and quality control? PROVIDE RECENT EXAMPLES	Yes No
1.1.8 Comments
1.1.8 Evidence
1.1.9 Does the department have a business plan? *Class B Please have this available on audit day. It will be treated with upmost confidence	Yes No
1.1.9 Comments
1.1.9 Evidence
1.1.10 Does the department have a resilience plan in case of major incident affecting delivery... *Does the department have a resilience plan in case of major incident affecting delivery of services? If so, please provide	Yes No
1.1.10 Comments
1.1.10 Evidence
1.1.11 Does the department have a strategy regarding new developments in radionuclide diagnosis... *Class B - Does the department have a strategy regarding new developments in radionuclide diagnosis and treatment?	Yes No
1.1.11 Comments
1.1.11 Evidence
1.1.12 If the hospital/Trust itself does not provide a full range of nuclear medicine services.... *Class B - If the hospital/Trust itself does not provide a full range of nuclear medicine services, does the department have a strategy/policy to recommend/ facilitate access to diagnostic investigations, as required for adequate patient care elsewhere?	Yes No
1.1.12 If yes, please provide that policy
1.1.12 If no, please provide justification for not having a policy
1.1.12 If patients are not scanned/treated on site what are the arrangements for a timely...If patients are not scanned/treated on site what are the arrangements for a timely referral including details of where patients may be referred
1.1.12 Comments
1.1.12 Evidence
1.1.13 Where satellite services are provided (e.g. technical, scientific and clinical support for... *Class B Where satellite services are provided (e.g. technical, scientific and clinical support for other hospitals/Trusts), is the responsibility for the provision of those services clearly defined?	Yes No
1.1.13 Comments
1.1.13 Evidence

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