Ill. Admin. Code tit. 32, § 370.120 - Additional Administrative Requirements
a) Every operator of a radiation installation
at which mammography services are provided shall ensure and have confirmed by
each mammography patient that the patient is provided with a pamphlet that is
orally reviewed with the patient and that contains the following:
1) How to perform breast
self-examination;
2) That early
detection of breast cancer is maximized through a combined approach, using
monthly breast self-examination, a thorough physical examination performed by a
physician, and mammography performed at recommended intervals;
3) That mammography is the most accurate
method for making an early detection of breast cancer, however, no diagnostic
tool is 100% effective;
4) If the
patient is self-referred and does not have a primary care physician, or if the
patient is unfamiliar with the breast examination procedures, that the patient
has received information regarding public health services where she can obtain
a breast examination and instructions. [420
ILCS 40/5(c) ]
b) Facility cleanliness.
1) The facility shall establish and implement
adequate protocols for maintaining darkroom, screen and view box
cleanliness.
2) The facility shall
document that all cleaning procedures are performed at the frequencies
specified in the protocols.
c) Infection control. Facilities shall
establish and comply with a system specifying procedures to be followed by the
facility for cleaning and disinfecting mammography equipment after contact with
blood or other potentially infectious materials. This system shall specify the
methods for documenting facility compliance with the infection control
procedures established and shall:
1) Comply
with the manufacturer's recommended procedures for the cleaning and
disinfection of the mammography equipment used in the facility; or
2) If adequate manufacturer's recommendations
are not available, comply with generally accepted guidance on infection
control, until such recommendations become available.
d) Mammographic procedure and techniques for
mammography of patients with breast implants.
1) Each facility shall have a procedure to
inquire whether or not the patient has breast implants prior to the actual
mammographic exam.
2) Except where
contraindicated, or unless modified by a physician's directions, patients with
breast implants undergoing mammography shall have mammographic views to
maximize the visualization of breast tissue.
e) Consumer complaint mechanism. Each
facility shall:
1) Establish a written and
documented system for collecting and resolving consumer complaints;
2) Maintain a record of each serious
complaint received by the facility for at least 3 years after the date the
complaint was received;
3) Provide
the consumer with adequate directions for filing serious complaints with the
facility's accreditation body if the facility is unable to resolve a serious
complaint to the consumer's satisfaction;
4) Report unresolved serious complaints to
the accreditation body in a manner and timeframe specified by the accreditation
body.
f) Clinical image
quality. Clinical images produced by any certified facility shall continue to
comply with the standards for clinical image quality established by that
facility's accreditation body.
Notes
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