Revisions 2005:
A Look At The Updated ICAVL Standards


from the July 2005 issue

As an accreditation organization, the ICAVL is expected to maintain a program that balances the changing needs of both the vascular ultrasound community and the general public by influencing the quality of patient care provided. The ICAVL Standards are the most important component of that commitment. Composed by physicians and technologists from the ICAVL's twelve sponsoring organizations, the Standards are intensely reviewed every two years by the ICAVL Board of Directors and revised as needed. The ICAVL is pleased to announce the release of the 2005 ICAVL Standards.

This article will provide an overview of the key revisions made to the 2005 ICAVL Standards. Upon opening these documents online, you will find that the edits made in conjunction with the release of this new version appear as highlighted text. However, when the documents are printed, the highlights will not appear in your permanent copy. For a minimal shipping and handling fee, the ICAVL will send a printed copy of the Standards to laboratories who have previously purchased the accreditation materials, yet are unable to obtain the documents online.

Following is a summary of the primary changes made within the 2005 ICAVL Standards:

Summary Of Revisions To Organization Standards

  • CME equivalents are now recognized for any medical or technical staff, including the medical and technical directors, who have successfully acquired an appropriate credential in vascular technology within the past three (3) years, or have joined the laboratory, as a new employee, within one year prior to the laboratory's application for accreditation.
  • Section 3, Physical Facilities, now includes a statement that all examinations must be performed in a setting providing both patient and technical staff safety, comfort and privacy. This is to recognize the importance of proper equipment and laboratory design to avoid any situations that may lead to repetitive stress injuries.
  • The final report must be typed. It will no longer be acceptable to provide handwritten final reports.
  • Any incidental findings during the course of the vascular exam must be reported.
  • Clarification regarding "timeliness" of reports is provided. The interpretation must be available within two (2) working days of the examination, unless awaiting additional clinical information. Available interpretation can be in the form of paper, digital storage or voice system.
  • A statement to assure compliance with HIPAA regulations is now included: All laboratory personnel must ascribe to professional principles of patient-physician confidentiality as legally required by federal, state, local or institutional policy or regulation.
  • Formal QA meetings are now required: A minimum of two vascular laboratory quality assurance conferences per year should be held to review the results of comparative studies, address discrepancies and to discuss difficult cases and laboratory issues.
  • A section relative to multiple sites and mobile services is now included within the Standards. The requirements for supervision of the laboratory sites by the Technical Director have been clarified and expanded to include the following options:

    A) The Technical Director works at each site two days each month; OR

    B) Every technical staff member from each of the satellite laboratories works at that main laboratory two days each month; OR

    C) An appropriately credentialed lead technologist is appointed at each satellite laboratory to report to the Technical Director. The lead technologist:

    a) supervises and assists others in performing examinations

    b) oversees day-to-day activities in the satellite laboratory

    c) communicates weekly with the Technical Director to maintain compliance with the testing standards.

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