RR#3 scene 2

RR#3 scene 2
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  • Philips X-ray systems
  • Days without anything breaking   -2
  • My full name is Thomas Michael and my date of birt....
  • PERFECT!!!! lets get started some foot X-rays!
  • Thomas can I get your last name & date of Birth?
  • Dupicate exams should raise a red flag. According to the article "US Technologists’ Radiation Exposure Perceptions and Practices "  Sixty-eight percent indicated they always alert the physicians of duplicate orders.
  • As our tech adjusts the technique for the patient, he sees the physician has order two exams of the same area. 
  • Well the doctor knows best! better do both.
  • It is important that the patient understands the risks vs. benefits of an X ray exam.
  • Is this exam dangerous?
  • Why of course not. The risks vs. benefits are worth it!
  • Thomas is otherwise healthy 25 year old with a long life ahead of him.
  • I want to make sure I capture the correct anatomy so centering and SID should be adjusted.
  • I do not want to shield off important anatomy so I have to repeat.
  • Better stay safe with the normal technique for an ankle.
  • Seeing as there is no body habitus chart our tech does not adjust his technique to suit a stick figure part. 
  • Our tech also does not apply shielding, has improper SID, centering is incorrect for the anatomy, and collimation is not used properly
  • 72" SID
  • ALARA moment: The risks versus benefit only works if the technologist is following correct protocol. 
  • While trying to save the patient dose, our tech is actually increasing dose to the patient.
  • I wanted to make sure I didn't have to repeat so I can save patient dose.
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