This course covers topics including the goals of the Image Gently and Image Wisely campaigns, general operational principles of fluoroscopy, and common misconceptions about shielding. Participants will learn how to discuss radiation dose with patients, understand key concepts such as Effective Dose, Absorbed Dose, and Air Kerma, and recognize dose thresholds and the risks of skin injury. The course also explains what constitutes a Sentinel Event, the importance of monitoring and protection, how equipment positioning impacts dose, and strategies for managing high-dose procedures, including the use of Procedure Alert Levels and Notification Levels. This training is essential for ensuring compliance with safety standards and protecting both patients and staff in fluoroscopic environments.
*We are located in Houston, Texas, and all webinars are hosted in Central Time. You will receive the webinar link via email from Zoom one day before your class, as well as one hour before it begins.
Course Topics:
100 minutes – Fluoroscopic Safety for Medical and Ancillary Personnel
- The Joint Commission HRS Standard HR.01.05.03
- Who are ancillary personnel that must be trained?
- Image Gently and Image Wisely campaigns
- Necessity of Training
- General Operational Principles of Fluoroscopy
- Perceptions and Misconceptions By Non-Radiologic Personnel About Shielding
- What is Dose?: Defining Effective Dose, Absorbed Dose, Air Kerma
- Dose Thresholds and Deterministic Risks to Skin
- Sentinel Events
- Protection and Monitoring
- Effects of Moving the Table and Image Receptor
- Changing Pulse, Frame Refresher and Other Image Factors
- Strategies for High CAK procedures
- Procedure Alert Levels/Notification Levels
Course Objectives
At the conclusion of this course, the participants should be able to:
1. Give examples of who at your facility would be considered ancillary personnel
2. Understand how to discuss dose with your patient
3. Define Cumulative Air Kerma?
4. Describe what constitutes a Sentinel Event
5. Discuss the effect of having the table too close to the X-ray source.
6. Give an Example of when to define Procedure Alert Levels.
This program provides AHRA Category A continuing education credit for radiologic technologists recognized by the ARRT and various licensure states. You must attend the entire program to receive your certificate of completion.
This live, instructor-directed course meets the Texas Medical Board requirements for all registered Medical Radiologic Technologists. Please refer to the TMB website for more information.
Louis Wagner Ph.D., DABR, FAAPM, FACR
Recently retired Professor of Radiology, University of Texas Medical Schoolrnand Chief Physicist, Dept. of Diagnostic and Interventional Imaging Houston, Texas.rnrnDr. Wagner received is B.S. degree in Physics from Xavier University, Cincinnati, Ohio in 1971. In 1976 he completed his Ph.D. in Experimental Nuclear Physics from Florida State University, Tallahassee, Florida. He performed his postgraduate training at Memorial-Sloan Kettering National Cancer Center in New York. He was a Tenured Professor of Radiological Sciences at the University of Texas-Houston Medical School, retired in 2018, Houston. He is board certified in diagnostic radiological physics by the American Board of Radiology. He was honored as a Fellow of the American Association of Physicists in Medicine in 1995 and as a Fellow of the American College of Radiology in 1996.
