Nuclear Medicine On-Call procedure for MSBI, MSB, MSWEST AND MSM

1. A resident On-Call determines that the requested procedure is indicated.
2. A resident On-Call, or a secretary/On-Call tech manager if available, calls Nuclear Medicine technologist On-Call to come in for the study.
• For MSBI, MSB and MSM call Agency Technologist.
• For MS WEST call RH technologists, Igor or Emilia, first. If they are not available then call Agency technologist.
3. After the study is done the NM technologist sends the images to PACS/remote PACS.
4. NM technologist notifies the resident On-Call by phone. The NM Technologist stands by while the resident consulting with an attending On-Call.
5. The On-Call resident calls an attending On-Call to discuss the case.
6. The resident On-Call calls the NM technologist informing her/him that the study is done or additional images are necessary.
7. The NM technologist completes the study in IDX.
8. The On-Call resident dictates the case.

• Credentialing process administered by the Nuclear Regulatory Commission (NRC) that states that you can oversee the safe and effective medical use of radionuclides in nuclear medicine.  
• This is very helpful when you are looking for a job, even if you are not reading nuclear medicine studies yourself, as an authorized user needs to be present whenever radionuclides are used at your institution or practice.
• ABR authorized user forms are signed by PD and Dr. Heiba after completing the required hours of training classes and experience in addition to RAI treatment. The RAI treatment experience include a minimum of 3 cases of <33 mCi and 3 cases of > 33 mCi. Residents also have to actively participate in the consultations of hyperthyroid cases (3 cases) and thyroid CA cases (3 cases) in order to get the basic experience in RAI treatment.