Safety for Patients and Staff During Medical Fluoroscopy

Effective January 1, 2019, The Center for Medicare and Medicaid Services (CMS) required annual training to assure that each user is competent to perform fluoroscopy procedures safely. Also the National Council on Radiation Protection and Measurements (NCRP) recommends that facilities should assure that all operators of fluoroscopy systems are trained and credentialed. All practitioners must understand the operation of the fluoroscopic safety controls of the radiation units they employ. Some fluoroscopy procedures have resulted in skin burns, hair loss and even cancer. Training of practitioners who use fluoroscopic equipment is essential in preventing or minimizing these risks. This training is critical because practitioners without formal training in fluoroscopy are using this modality more frequently.

This activity is an online slide set to be read and reviewed by the learner.

Target Audience

This CME activity is designed to meet the annual on-going educational requirements on the safe uses of fluoroscopy as mandated by the Joint Commission for all users of fluoroscopy systems, including physicians, non-physicians, and ancillary personnel. This program might also fulfill or supplement requirements on education in fluoroscopy as specified by state, local or other accrediting authorities.

Learning Objectives

At the conclusion of this activity, the participant should be able to:

  • Summarize the Golden Rule of fluoroscopy and ten radiation dose reduction techniques
  • Apply safe practices for operation of fluoroscopy equipment on patients of every age
  • Define several terms for radiation "dose" and apply them to patient safety in fluoroscopy
  • Incorporate the "Pause and Pulse" plan of the Image Gently Campaign and the recommendations of the Image Wisely Organization for radiation dose management in clinical practice
  • Monitor air kerma and implement a quality control program for radiation management according to TJC requirements
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Participation
Course opens: 
Course expires: 

Benjamin R. Archer, Ph.D., - Contributor
Professor of Radiology
Baylor College of Medicine
Disclosure: Intellectual Property - Partners in Radiation Management, Co. Ltd.

Eric M. Rohren, M.D., Ph.D. - Peer Reviewer
Chair and Professor of Radiology
Baylor College of Medicine
Disclosure: Nothing to disclose.

Louis K. Wagner, Ph.D. - Contributor
Professor of Radiology, Retired
The University of Texas Health Science Center at Houston
Disclosure: Intellectual Property - Partners in Radiation Management, Co. Ltd.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Participation
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