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The thing about nuc med is you have to be very careful with what you are doing. You are working with a radioactive material. Regulations are different from state to state depending on if you are an agreement state or governed by the NRC. There is a lot of paperwork involved and specific rules to follow. Every I must be dotted and every T must be crossed. You can be inspected at any time without warning. If you are part of a hospital you can also be inspected by Joint Commission and who knows who else depending on the hospital.
Also to consider is all equipment has to be maintained regularly. There are even regs for this.
As a tech you are required to be certified and keep up your certification with continuing ed credits and such (I think).
First and foremost is patient safety. One wrong injection could be fatal.