Performing X-ray studies

Performing X-ray Studies

X-ray is one of the most common imaging modalities in any healthcare facility. It uses ionizing radiation to create images of internal structures, particularly bones, lungs, and chest organs. Once the study is performed, results must be documented in the system.

Before you start

• The patient must have an active X-ray order in the system (created by the ordering physician).
• You must be a certified radiologic technologist or trained imaging staff.
• Ensure the X-ray equipment is calibrated and safe to use.
• Confirm radiation safety protocols are in place (lead aprons, time/distance measures for staff).
• The patient should understand what to expect and any preparation (e.g., removal of metal objects).
• Know which anatomical region or view the order specifies.

Steps

1. Navigate to the Diagnostics & Laboratory section and locate the pending X-ray order. Open in Usystems

2. Verify the patient identity using two identifiers (name and ID or date of birth) before beginning the study.

3. Position the patient appropriately for the ordered view (e.g., posteroanterior for chest, anteroposterior for extremities). Provide positioning aids and comfort as needed.

4. Confirm the anatomical region you are imaging matches the order (e.g., "right ankle" vs. "left ankle").

5. Perform the exposure: follow your facility's radiation protocols and take the radiograph. Protect yourself and other staff from unnecessary radiation.

6. Assess image quality immediately while the patient is still positioned. Retake if needed to ensure diagnostic quality.

7. Once you have acceptable images, document the study in the system:

   • Mark the study as Complete or Performed.
   • Note the date and time of the study.
   • Specify which views or projections were obtained (e.g., "PA and lateral chest").
   • Add any notes about patient cooperation, positioning difficulty, or technical notes.

8. Save the record. The system typically routes the images and study information to a radiologist or physician for interpretation.

What happens next

• Images are stored in the imaging system (PACS) and linked to the patient's record.
• A radiologist or physician reviews the images and writes an interpretation report.
• The interpretation is added to the patient's diagnostic results.
• The ordering physician is notified that results are ready.

Tips & common mistakes

• Quality is critical: a retake is far better than sending a non-diagnostic image to the radiologist; this saves the patient time and reduces radiation exposure from a second imaging study later.
• Document positioning and views precisely: this helps the radiologist correlate findings with anatomy.
• Patient safety first: always use shielding and minimize exposure, especially for pediatric or pregnant patients.
• Follow facility protocol: every facility has specific procedures for patient positioning, image retention, and data handling; familiarize yourself with your local protocol.