Oregon Administrative Rules › Chapter 811 - BOARD OF CHIROPRACTIC EXAMINERS › Division 30 - X-RAY › Section 811-030-0030 - X-Ray Departments, Equipment and Procedures

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All X-ray departments, equipment, and
			 procedures, including fluoroscopy, shall be in compliance with the current
			 rules and regulations of the Oregon Radiation Protection Services, including,
			 but not limited to: the physical design of the department, occupational
			 exposure, collimation, shielding, exposure charts.
(2) In addition:
(a) The patient shall be an adequate
			 candidate for the radiographic or fluoroscopic procedure employed;
(b) The radiographic field shall be
			 restricted to the area of clinical interest;
(c) Specialized views shall be used any time
			 the area of clinical interest is not clearly visualized on a standard
			 film;
(d) Every exposure, including
			 post-treatment exposures, and scanograms, shall have clinical justification
			 with adequate documentation consistent with the patient's case
			 history;
(e) The operator shall
			 maintain a record on each exposure of each patient containing the patient's
			 name, the date, the operator's name or initials, the type of exposure, and the
			 radiation factors of time, mA, kVp and target film distance, including those
			 exposures resulting in the necessity of repeat exposure for better diagnostic
			 information, such as patient motion or poor technical factors. For computerized
			 and automated systems, the recording of technique factors is not necessary as
			 long as the equipment is calibrated and maintained. OAR 333-106-0045  requires
			 the facility to determine the typical patient exposure for their most common
			 radiographic examinations, i.e. technique chart.
(f) Each film shall be properly identified by
			 date of exposure, location of X-ray department, patient's name or number,
			 patient's age, right or left marker, postural position marker, and indication
			 of the position of the patient;
(g)
			 The patient with tremors must be immobilized;
(h) The radiographs of a patient with an
			 antalgic posture may be taken in an upright position only if the patient is
			 adequately supported and immobilized to insure diagnostic quality. Otherwise,
			 the recumbent position shall be used;
(i) Upright or postural views shall not be
			 used for any patient whose size exceeds the capacity of the X-ray equipment.
			 Penetration must be adequate on all films;
(j) Sectional views shall be taken in
			 preference to a single 14 x 36 inch film if the patient's size or height
			 prevents diagnostic quality on a single 14 x 36 inch film;
(k) If two exposures are made on a single
			 film, the area of exposure shall be critically collimated to avoid double
			 exposure of the overlapping area;
(l) All views shall employ graduated
			 filtration or adequate devices to attenuate the primary beam for the purpose of
			 reducing unnecessary radiation and to improve film quality. Split screens,
			 gradient or graded screens, paper light barriers inside the cassette, or any
			 other attenuating device in the beam between the patient and the film shall not
			 be permitted, other than the grid controlling scattered radiation;
(m) A record of radiographic findings on
			 every set of radiographs reviewed shall be included in the patient's permanent
			 file; and
(n) Radiographs shall be
			 kept and available for review for a minimum of seven years or until a minor
			 becomes 18 years of age, whichever is longer.