Fluoroscopy Safety Survey

First, complete the CME survey questions 1-4 below.

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* 1. Will this report impact your practice or job?

Yes

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* 2. If yes, what changes do you intend to make based on the information in this report?

If no, explain why the information will not impact your job.

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* 3. How has reviewing this report enhanced your medical knowledge and competence?

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* 4. Describe the perceived impact on patient and public health the information in this report might have.

Next, complete the five multiple choice technical questions below.

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* 5. This “Fluoroscopy Safety” directive:

Defines safety standards for the use of fluoroscopic imaging equipment for
diagnostic and interventional procedures.

Promotes standards to minimize the occurrence of radiation injuries.

Provides guidelines to minimize the risk of cancer.

Ensures uniform safety standards throughout medical facilities where fluoroscopy is utilized.

All of the above.

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* 6. The US Occupational Safety and Health Administration (OSHA) regulates the
safety of employees from radiation from machine sources at federal facilities.

True

False

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* 7. Examples of supervisory levels for fluoroscopy procedures includes which of the below:

Personal supervision

Direct supervision

General supervision

All of the above.

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* 8. Initial radiation safety training is mandatory for all who operate or supervise the operation of a fluoroscope and must include which of the following:

Didactic training

Hands-on training

Preceptor training

Radiation safety training

All of the above.

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* 9. Which of the following are considerations for pregnant women undergoing a
fluoroscopy procedure:

Signs must be posted in suitable locations asking patients to notify staff if they are pregnant.

Precautionary procedures to determine whether a female patient of childbearing age may be pregnant must be mandatory and defined in local policy.

For procedures that are expected to deliver >50mGy doses to a conceptus/fetus/embryo, a pregnancy test must be obtained (in most situations) within 72 hours prior to the commencement of the procedure excluding medical emergencies.

If the patient is pregnant, a physician knowledgeable in the risk from the radiation exposure must counsel the patient on the risks of radiation and decide with the patient whether to proceed with the examination.

All of the above.

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* 10. Enter your name and contact info for CME Credit.

Full Name

License or NPI Number

City

State

Email Address

Fluoroscopy Safety

Question Title

* 1. Will this report impact your practice or job?

Question Title

* 2. If yes, what changes do you intend to make based on the information in this report?If no, explain why the information will not impact your job.

Question Title

* 3. How has reviewing this report enhanced your medical knowledge and competence?

Question Title

* 4. Describe the perceived impact on patient and public health the information in this report might have.

Question Title

* 5. This “Fluoroscopy Safety” directive:

Question Title

* 6. The US Occupational Safety and Health Administration (OSHA) regulates thesafety of employees from radiation from machine sources at federal facilities.

Question Title

* 7. Examples of supervisory levels for fluoroscopy procedures includes which of the below:

Question Title

* 8. Initial radiation safety training is mandatory for all who operate or supervise the operation of a fluoroscope and must include which of the following:

Question Title

* 9. Which of the following are considerations for pregnant women undergoing afluoroscopy procedure:

Question Title

* 10. Enter your name and contact info for CME Credit.

* 2. If yes, what changes do you intend to make based on the information in this report?

If no, explain why the information will not impact your job.

* 6. The US Occupational Safety and Health Administration (OSHA) regulates the
safety of employees from radiation from machine sources at federal facilities.

* 9. Which of the following are considerations for pregnant women undergoing a
fluoroscopy procedure: