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Versant Medical Physics and Radiation Safety

Virtual Fluoroscopy Course

Combine the fluoroscopy safety training you need with the convenience and flexibility of online classes. Available in 2, 4, and 10-hour convenient and affordable course options, eligible users can earn up to 10 MPCEC.

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Course Description

Fluoroscopy is an imaging technique that uses x-rays to obtain real-time images used to guide procedures in the medical setting. Training for this technique is important for operators and a requirement in several states. Our 2, 4, and 10-hour online training courses are designed to meet these requirements. Designed by board certified Imaging Physicists, these courses combine the safety training you and your staff need with the convenience and flexibility of online classes. Additionally, physicists are available to answer questions that you may have while taking this on-line training. Topics for these presentations include the optimization of techniques for better images while lowering dose, patient and staff protection, dose quantities, biological effects and safety culture. Course quizzes may only be taken once per 24-hour period. Eligible users can earn up to 10 MPCEC upon completion of the course.

Course Requirements

1. Complete all of the chapter lectures associated with each module.

2. Complete the chapter quiz at the end of each chapter. 80% or higher on each chapter quiz must be achieved for successful completion.

3. Complete the course evaluation at the end of the last module.

Please note: you must successfully complete each module before the subsequent module is available to you.

FLUORO COURSE RECOMMENDATIONS BY STATE

Available Courses

2 hr

$115

4 hr

$150

10 hr

$275

For more information, contact our Support team.

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Fluoroscopy Training State Recommendations

Alaska

Alaska Administrative Code Title 7 Chapter 18

7 AAC 18.420 Instruction of medical radiation device operators.

(c) an operator of medical fluoroscopic equipment must receive a minimum of 10 hours of instruction in the safe operation of the fluoroscope.

Our 10-hour fluoro course meets the requirements for the Alaska Administrative Code Title 7 Chapter 18.420 regulations.

California

Title 17, California Code of Regulations

30450 – A RT fluoroscopy permit is required for and RT who exposes a patient to X-ray in a fluoro mode, positions the patient, positions the fluoro equipment, or selects exposure factors.

30451 – To be eligible for a radiologic technologist fluoroscopy permit an applicant shall be a certified diagnostic RT, submit an acceptable application, and pass department approved exam in fluoroscopy radiation protection and safety and the use of fluoroscopy and ancillary equipment.

30456.4- Fluoroscopy coursework shall include: Coursework comprising no less than 40 hours of instruction that fully covers the subject matter in the didactic content section of the “Fluoroscopy Educational Framework for the Physician Assistant” published by the American Society of Radiologic Technologists and dated December 2009, which is hereby incorporated by reference. The coursework shall be obtained through a department approved diagnostic radiologic technology school or a radiologic technologist fluoroscopy permit school.

30456.6 – A PA must earn no less than 10 approved CECs in 2 years with at least 4 of the credits addressing radiation safety for the clinical uses of fluoroscopy.

Our 4-hour fluoro course meets the requirements for the California Code of Regulations Title 17 for RT fluoroscopy permit holders as continuing education as well as for the minimum PA operator required CECs.

Our 10-hour fluoro course meets the requirements for the California Code of Regulations Title 17 for all PA operator required CECs.

Colorado

Code of Colorado Regulations Part 2 (6 CCR 1007-1 Part 02)

2.6 Facility Registrant responsibilities.

1.5 – For fluoroscopy equipment used in examination of a living human, “adequately trained” shall mean that, in addition to meeting all applicable requirements in 2.6.1.1 through 2.6.1.4, each individual who either supervises a fluoroscopy procedure or operates a fluoroscopy imaging system shall have adequate training in its safe operation. This training shall be documented and include the following:

(1) Fundamental principles of radiation protection;

(2) Biological effects of ionizing radiation;

(3) Safe operation of fluoroscopy equipment for each mode of operation to be used;

(4) Dose reduction techniques for fluoroscopy; and

(5) Applicable radiation regulations.

Our 10-hour fluoro course meets the requirements for the 6 CCR 1007-1 Part 02.6.1.5 regulations.

Maryland

COMAR 26.12.01.01 (Control of Ionizing Radiation)

F.5 Fluoroscopic X-ray Systems Except for Computed Tomography X-ray Systems.

(n) only a licensed practitioner of the healing arts or a radiological technologist be allowed to energize fluoroscopic x-ray systems. All persons energizing these systems shall have completed at least 4 hours of training prior to clinical use of a fluoroscopy system.

Training includes: biological effects of x-ray; principles of radiation protections; factors affecting fluoroscopic outputs; dose reduction techniques; principles and operation of the specific fluoroscopic x-ray system(s) to be used; fluoroscopic and fluorographic outputs of each mode of operation on the system(s) to be used; applicable requirements of these regulations.

Must maintain a minimum of 1 hour of in-service training or continuing medical education training for all users who energize fluoroscopic equipment every 24 months in fluoroscopic radiation safety and patient dose management.

Our 4-hour fluoro course meets the requirements for the COMAR 26.12.01.01 F.5 regulations.

Massachusetts

105 CMR 120 (The Control of Radiation)

405(k) – Operator Qualifications.

(1) The Registrant of a facility shall ensure that only the following health care providers shall be allowed to operate fluoroscopic x-ray systems:

(a) Licensed physicians who are board-certified in radiology;

(b) Licensed physicians who are not board-certified in radiology provided that they have been trained in the following subjects:

      1. Principles and operation of the fluoroscopic x-ray system;
      2. Biological effects of x-ray;
      3. Principles of radiation protection;
      4. Fluoroscopic outputs;
      5. High level control options;
      6. Dose reduction techniques for fluoroscopic x-ray systems; and
      7. Application requirements of 105 CMR 120.000.

(c) Radiologic technologists who are licensed in accordance with 105 CMR 125.000 and have been trained in the safe use of fluoroscopic x-ray systems; and (d) Physician assistants who are licensed in accordance with M.G.L. c. 112, § 9I, and 263 CMR 3.00: Registration of Individual Physician Assistants, and who meet the requirements of 105 CMR 120.405(K)(2).

(6) The Registrant of the facility shall ensure that all physicians who are not board certified in radiology and who perform fluoroscopic procedures complete two hours of training in Radiation Safety/Radiation Protection on an annual basis, and that all physicians who are not board certified in radiology who supervise the performance of fluoroscopic procedures complete a total of four hours of Radiation Safety/Radiation Protection training on an annual basis.

Our 10-hour fluoro course meets the requirements for the 105 CMR 120.405 regulations.

North Dakota

North Dakota Century Code Chapter 43-62

43-62-14 License Requirements.

Effective August 1, 2019 an individual licensed or permitted as a fluoroscopy technologist by the North Dakota board of medicine who is in good standing on that date, automatically becomes licensed as a fluoroscopy technologist by the North Dakota medical imaging and radiation therapy board. To qualify for biennial license renewal, a fluoroscopy technologist shall submit to the board with radiography license renewal:

      1. Evidence of completion of at least six hours of continuing education on fluoroscopy safety and relevant radiation protection; and
      2. A copy of an agreement with a primary supervising physician

Our 10-hour fluoro course meets the requirements for the North Dakota Century Code 43-62-14 regulations.


Oregon

Oregon Secretary of State Chapter 333, Division 106

333-106-0205 Fluoroscopic X-ray Systems Requirements: Activation of the Fluoroscopic Tube.

Non-radiologist must complete a training program from an authority approved resource or have been operating fluoroscopic equipment prior to 04/11/2005.

Physician assistants who have a fluoroscopy permit from the Oregon Board of Medical Imaging R.P.A.s or R.R.A.s who are licensed by the OBMI.


Pennsylvania

Commonwealth of Pennsylvania, Environmental Protection Standards, Title 25, Section 221

221.16 Training, Competency and Continuing Education.

Individuals who operate X-ray equipment complete continuing education including biological effects of radiation, quality assurance and quality control, and radiation safety, including concepts form minimizing patient and occupational dose and emerging technologies:

      • Individuals performing low-risk procedures shall complete continuing education every 4 years
      • Individuals performing high-risk procedures shall complete continuing education every 2 years

Our 10-hour fluoro course meets the requirements for the Commonwealth of Pennsylvania, Environmental Protection Standards, Title 25, Section 221.16 regulations.

Rhode Island

216-RICR-40-20-4 (Diagnostic X-rays and Associated Imaging Systems in the Healing Arts)

4.3.3 Individuals Operating X-ray Systems for Healing Arts Use.

All individuals operating fluoroscopic X-ray systems shall have completed at least the following training before using fluoroscopy independently:

      1. Biological effects of X-ray;
      2. Principles of radiation protection;
      3. Factors affecting fluoroscopic outputs;
      4. Dose reduction techniques for fluoroscopic X-ray systems;
      5. Principles and operation of the specific fluoroscopic X-ray system(s) to be used;
      6. Fluoroscopic and fluorographic outputs of each mode of operation on the system(s) to be used clinically; and
      7. Applicable requirements of this Subchapter.
      8. The registrant shall either provide in-service training for all operators of fluoroscopic x-ray systems used for high dose, high risk procedures, as defined in § 4.5.13 (fluoroscopically-guided interventional procedures) of this Part, at intervals not to exceed twenty-four (24) months or require evidence of continuing medical education, in fluoroscopic radiation safety and patient dose management at intervals not to exceed twenty-four (24) months.

4.5.3 B. The operation of mobile or portable fluoroscopic x-ray systems, for positioning purposes only, by radiologic technologists shall be performed under the direct supervision of a licensed practitioner of the healing arts who meets the requirements of § 4.3.3(C) of this Part.

      1. Radiologic technology students shall not be allowed to operate fluoroscopic x-ray systems unless in the physical presence of a licensed practitioner of the healing arts and a radiologic technologist, as specified in § 4.3.3(C) of this Part.

Our 10-hour fluoro course meets the requirements for the 216-RICR-40-20-4.3.3 regulations.

Wisconsin

DHS Chapter 157 (Radiation Protection)

157.76 (11) Equipment Operations.

(a) The registrant shall ensure that only a licensed practitioner or a radiologic technologist who is trained in the safe use of fluoroscopic x-ray systems is allowed to operate these systems. All fluoroscopic x-ray images shall be viewed, directly or indirectly, and interpreted by a licensed practitioner.

(b) The use of fluoroscopic x-ray systems by radiologic technologists shall be performed under the supervision of a licensed practitioner for the purpose of localization to obtain images for diagnostic purposes.

(c) Radiologic technology students may not operate fluoroscopic x-ray systems except under the direct supervision of a licensed practitioner or radiologic technologist.

(d) Fluoroscopic x-ray systems may not be used as a positioning tool for general purpose radiographic examinations.

(e) The registrant shall require the operator of a fluoroscopic x-ray system to meet either of the following requirements:

      1. Is certified by the American Board of Radiology or board eligible.
      2. Has completed training to include the following:
      3. Principles and operation of the fluoroscopic x-ray system.
      4. Biological effects of x-ray.
      5. Principles of radiation protection.
      6. Fluoroscopic outputs.
      7. High level control options.
      8. Dose reduction techniques for fluoroscopic x-ray systems.

Our 10-hour fluoro course meets the requirements for the DHS 157.76 regulations.

2 hr Fluoroscopy Course

INSTRUCTORS
Sandy Konerth MS, DABR, DABMP
Manuel Arreola, PhD, DABR

CONTACT
Participants complete the Fluoroscopy course by viewing lecture videos and completing assessments to test understanding. Participants with questions may contact the Instructors by using the course page to Ask an Instructor! Instructors will respond via the messaging client or email.

COURSE DESCRIPTION
This is a 2-module online training course to introduce the participant to the modern fluoroscopy system and its components. The learning objectives for this course include learning the process of x-ray production, a comparison of fluoroscopy imaging characteristics to traditional radiography and the functions and benefits of modern fluoroscopy. Participates will also be introduced to the protection of personnel including a background in x-ray interactions in matter, occupational radiation dose and regulations, and by defining radiation safety standards.

COURSE CONTENT
Chapter 1 – Basics of Fluoroscopy
Chapter 2 – Protection of Personnel

COURSE REQUIREMENTS
1. Complete all of the chapter lectures associated with each module

2. Complete the chapter quiz at the end of each chapter. 80% or higher on each chapter quiz must be achieved for successful completion

3. Complete the course evaluation at the end of the last module Please note: you must successfully complete each module before the subsequent module is available to you.

REGISTER HERE

4hr Fluoroscopy Course

INSTRUCTORS
Sandy Konerth, MS, DABR, DABMP
Manuel Arreola, PhD, DABR

CONTACT
Participants complete the Fluoroscopy course by viewing lecture videos and completing assessments to test understanding. Participants with questions may contact the Instructors by using the course page to Ask an Instructor! Instructors will respond via the messaging client or email.

COURSE DESCRIPTION
This 4-module online training course includes all the material from the 2-hour fluoroscopy course and introduces the participant to a more detailed collimation and filtration discussion and patient protection. The participant will review further detail of the production of x-rays and what contributes to their energy and intensity characteristics, as well as how filtration can be used and the effects of filtration on the image and the dose to the patient. This course will also give more detail about the stochastic and non-stochastic effects of radiation, the impact of filtration and pulsed fluoroscopy, as well as peak skin dose calculations.

COURSE CONTENT
Chapter 1 – Basics of Fluoroscopy
Chapter 2 – Collimation and Filtration of the X-Ray Beam
Chapter 3 – Protection of Personnel
Chapter 4 – Protection of the Patient in Fluoroscopy

COURSE REQUIREMENTS
1. Complete all of the chapter lectures associated with each module

2. Complete the chapter quiz at the end of each chapter. 80% or higher on each chapter quiz must be achieved for successful completion

3. Complete the course evaluation at the end of the last module Please note: you must successfully complete each module before the subsequent module is available to you.

REGISTER HERE

10hr Fluoroscopy Course

INSTRUCTORS
Sandy Konerth, MS, DABR, DABMP
Manuel Arreola, PhD, DABR

CONTACT
Participants complete the Fluoroscopy course by viewing lecture videos and completing assessments to test understanding. Participants with questions may contact the Instructors by using the course page to Ask an Instructor! Instructors will respond via the messaging client or email.

COURSE DESCRIPTION
This 10-module online training course is a comprehensive educational course to educate the participant on all aspects of fluoroscopy. This training will give details on x-ray production, the fluoroscopy system, personnel protection, patient protection, regulations, and radiation safety culture.  Components of the x-ray tube and input parameters will be discussed in detail along with filtration, pulsed mode, and the ABC to describe the effect each of these will have on the image and patient dose. Radiation safety standards are discussed along with biological effects and regulatory occupational dose limits to keep all workers and patients safe. Also included, is a module about radiation safety culture in healthcare, why it is important, and how to help implement it.

COURSE CONTENT
Chapter 1 – Basic Concepts of X-Ray Production
Chapter 2 – Collimation and Filtration of the X-Ray Beam
Chapter 3 – Dose Quantities and Biological Effects
Chapter 4 – Basics of Fluoroscopy
Chapter 5 – Basic Operation of Fluoroscopy Systems
Chapter 6 – Vascular and Interventional Systems
Chapter 7 – Protection of the Patient in Fluoroscopy
Chapter 8 – Protection of Personnel
Chapter 9 – Regulations
Chapter 10 – Overview of Radiation Safety
Chapter 11 – Radiation Safety Culture in Healthcare

COURSE REQUIREMENTS
1. Complete all of the chapter lectures associated with each module

2. Complete the chapter quiz at the end of each chapter. 80% or higher on each chapter quiz must be achieved for successful completion

3. Complete the course evaluation at the end of the last module Please note: you must successfully complete each module before the subsequent module is available to you.

register here

Permits

THE PERMISSION SYSTEM FOR INVENTORY TRACKING, MACHINE MANAGEMENT & EQUIPMENT CATALOG MODULES

Permit Profile

Each permit has a dedicated profile of information that includes authorized personnel, radioactive material, machines, and devices. Permit conditions, completed audits, and forms are also found on this profile.

Authorized Condition Database

Create and view authorized conditions included on permits. Previously created authorized conditions are listed with their code, category, and description.

Permit Enforcement

Information specified on a permit not only serves as a record of that permit, but also controls what can be added to other modules. The location, owner and type of radioactive materials, machines, and equipment can be enforced by permits.

Permit Audits

Perform permit audits, mail the results to relevant personnel, and track responses to non-compliances.

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