Structure department staffing for quality care delivery and employee satisfaction.
Recruitment and staffing programs
Effective interviewing techniques and procedures
Conduct process for departmental strategic planning per institutional mission.
Demand forecasting through market research
Implementation of measurable goals and objectives
Advocate for quality patient care and assist patients in dealing with system complexities.
Customer satisfaction methodologies
Implementation of continuous quality improvement methods to enhance customer satisfaction
Development and implementation of medical protocols to adhere to accepted standards of care
Patient management coordination
Understand the reciprocal impact of personal professional practice, health care teams, and the health care organization on the community and society.
Identify ways in which an NMAA may interact with health-care professionals, health administrators, and community groups to positively impact the health and well being of one’s community.
Gather information (e.g. demographics and socio-cultural beliefs) about the community in which one works and practices that affect health and disease.
Participate in interdisciplinary team discussions, demonstrating the ability to accept, consider and respect the opinions of the other team members, while contributing an appropriate level of expertise to patient care.
Committees internal to the institution
Interdepartmental projects or reports’
Interdisciplinary team discussions
Interdisciplinary quality improvement projects
Describe the major legal mechanisms for oversight and regulation of medical practice, including those related to licensure and discipline, negligence, malpractice, risk management, doctor-patient relationships, confidentiality, and patient’s rights.
This content is designed to enhance the nuclear medicine advanced associate’s (NMAA) knowledge of pharmaceuticals commonly used by and given to nuclear medicine patients. The content addresses the intent of the drug and its effect on diseases, conditions and physiology. After learning this content and possessing the appropriate clinical skills, the NMAA will analyze the patient’s current condition with regards to medications and other therapies and determine the significance to the nuclear medicine procedure. He or she will suggest the appropriate action plan for the procedure for the specific patient. The NMAA will be responsible for the delivery and documentation of procedure-related pharmaceuticals and for patient assessment and monitoring before, during and after the procedure and drug administration. It is essential the NMAA have a clear understanding of the laws and policies related to pharmaceuticals in his or her practice setting.
Conventional Medication Competencies
1. Identify key drug laws impacting consumer safety.
2. Identify the five schedules of controlled substances and cite a drug example of each.
3. Identify the role of the Food and Drug Administration (FDA) and Drug Enforcement Administration (DEA) in the regulation and control of consumer drugs.
4. Explain strategies for health care workers involved in dispensing medications to comply with the restrictions of drug laws.
5. Identify common abbreviations and symbols used for medication orders.
6. Differentiate among drug names (generic, chemical, trade, official).
7. Explain the restrictions of drug sales implied by the designation of: over the counter, legend drug and controlled substance.
8. Research drug reference information from standard pharmacological resources.
9. Describe the biological processing of drugs in the body.
10. List common variables affecting drug action within the body.
11. Describe common unexpected responses to drugs.
12. Describe the purposes for and principles of clinical drug trials.
13. Accurately perform calculations for drug dose delivery.
14. Describe various forms of drug preparations and supplies.
15. Incorporate the principles of responsible drug administration in the patient care setting to prevent medication error.
16. Use proper medical techniques of drug administration for common routes of delivery.
17. Describe dose modifiers for pediatric and geriatric patients.
18. Identify factors that may lead to cumulative effects in the elderly.
19. List the categories of drugs that frequently cause adverse side effects in older adults.
20. Identify guidelines and competencies for sedation and analgesia according to Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirements.
21. Describe the side effects and cautions with preoperative medications.
22. Describe the methods for administering local anesthetics.
23. Describe the goals and desired effects of conscious sedation.
24. Describe the undesirable effects of conscious sedation.
25. Perform assessments of the patient and patient’s records prior to and during examinations requiring the use of conscious sedation.
26. Participate in patient management during examinations that require the use of conscious sedation.
27. Identify drugs for sedation and analgesia.
28. Recognize the side effects, contraindications and interactions common to each category of anti-infectives.
29. List the side effects common to antineoplastic agents.
30. Explain precautions in caring for patients receiving radioactive isotopes.
31. Demonstrate an awareness of the clinical side effects of major analgesics, sedatives and hypnotics.
32. Recognize common seizure disorder medications.
33. Recognize the side effects, contraindications and interactions for psychotropic medications in common use.
34. Identify the uses, side effects, cautions and interactions associated with the use of diuretics.
35. Describe the side effects, contraindications and interactions of antacids, antiulcer agents, antidiarrheal, antiflatulents, cathartics and laxatives and antiemetics.
36. Describe conditions that may be treated with corticosteroids.
37. List potential side effects of long-term steroid therapy.
38. Identify diabetes medications.
39. Identify the symptoms of hyperglycemia and hypoglycemia, and appropriate interventions.
40. Identify the use, side effects and precautions associated with estrogens and progestins.
41. Identify types of antiarrhythmics and the side effects.
42. Identify types of antihypertensives and the side effects.
43. Identify types of coronary vasodilators and the side effects.
44. Compare and contrast heparin and coumarin derivatives in terms of administration, action and antidotes.
45. Describe the uses of and precautions necessary with oxygen therapy.
46. Identify the uses, side effects and contraindications for bronchodilators and antitussives.
47. Describe the action and uses of antihistamines and decongestants.
48. Identify commonly used skeletal muscle relaxants and the side effects.
49. Describe medications used for osteoporosis therapy.
Conventional Medication Curriculum Content I. Consumer Safety and Drug Regulations
A. Drug laws
1. 1906 Pure Food and Drug Act
a. Drug standards
2. 1938 Federal Food, Drug, and Cosmetic Act
B. 1970 Controlled Substances Act
1. Five schedules of controlled substances
C. Role of the FDA
D. Role of the DEA
E. Health care workers and the law
F. Implication of USP Chapter <797> Pharmaceutical Compounding
II. Abbreviations and Systems of Measurement
Content imparts an understanding of contrast media used during common diagnostic procedures. Topics include an overview of the chemical makeup and physical properties of select contrast agents, selection of contrast agents for given exams, patient risk factors, premedication strategies, indicators/symptoms of a patient contrast media reaction and recommendations for care and treatment of patients experiencing an adverse reaction to a given contrast agent.
Contrast Media Competencies
1. Discuss the rationale for the use of contrast media.
2. Differentiate between negative and positive contrast agents.
3. Identify the physical properties of select contrast agents.
4. Describe the structural differences and characteristics of low and high osmolar injectable contrast media.
5. Identify the desired contrast agent employed for select exams.
6. Discuss the resources used to identify patients at risk of an adverse reaction to contrast media used to perform a given diagnostic procedure.
7. Identify patient indicators for altering the selection of contrast media used to perform a given procedure.
8. Recite the patient preparation necessary for various contrast and special studies.
9. Identify the strategies employed when faced with patients with a known history of a previous allergic reaction.
10. Recognize the indicators/symptoms associated with a patient experiencing a mild, moderate or severe reaction to contrast media.
11. Implement strategies for treating a patient experiencing an adverse reaction to contrast media.
12. Discuss patient counseling and recommended follow-up care for patients undergoing a procedure requiring the use of contrast media.