Tag Archives: IEMA

Authorized Operation of Fluoroscopic Machines for Medical Use

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Thanks to Julie Kralis, Director of Imaging Services at Sherman Hospital in Elgin, IL for the following article concerning fines imposed by IEMA on two nurses and a registrant for unauthorized use of fluoroscopic machines.

32 Ill. Adm. Code Part 360.30 “General Requirements and Administrative Controls” Section a) 3) states that the registrant shall,

Verify that each individual required to be accredited by 32 Ill. Adm. Code 401 to apply x-rays for either diagnostic or therapeutic purposes is properly accredited with the Agency prior to allowing the individual to apply medical radiation procedures on human beings;

360.30 a) 4) continues,

[The registrant shall] permit operation of the x-ray systems only by individuals who are licensed in accordance with State law (see Section 360.10(a) of this Part), or who are accredited by the Agency pursuant to 32 Ill. Adm. Code 401 or who are exempt from such requirements in accordance with the provisions of 32 Ill. Adm. Code 401.

Be sure to check out our previous article on the requirement for licensed radiographic technologist participation during fluoroscopic procedures.

Retention of Records

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IEMA Instructional Set 52.2 Appendix A describes the retention of documents for permanent nuclear medicine job sites.  For radiographic installations, the requirements for record retention are found in 32 Ill. Adm. Code Part 360.

One of the items not listed in Part 360, however, is the requirement for CT QA record retention.  Based on a discussion with a senior IEMA CT inspector, the minimum retention period for CT QA testing records is one year, or for the period since the last inspection, whichever is longer.

IEMA further recommends that facilities keep all of the previous year’s data while the facility’s technologists collect the current year’s data.  This would help prevent inadvertent disposal of records, and provide some overlap to ensure that there is no gap in the CT QA history.