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there is a cms regulation about in-house preparation radio pharmaceuticals and that is integrated into each of the accreditation standards so it it implies that a pharmacist or physician needs to oversee this issue now since the radiopharmaceuticals are meds that generally defers to the director of pharmacy in the hospital so you need to make sure that thats there now theres a new accreditation standard that has been incorporated this year that talks about the specific recording that the hospital is required to record all of the doses of radiopharmaceuticals and it has shown up in the joint commission medication management chapter so people have been questioning does that mean something that pharmacy needs to do differently than theyve done in the past and its not it needs to be done by the hospital and i can pretty much assure you that your nuclear medicine department is doing that already because its required by the nrc but you need to check from a comprehensive way of identify