Radiation Control, X-ray Unit
Minnesota Department of Health
625 Robert Street North
PO Box 64975
St. Paul, Minnesota 5516...
Nationwide Evaluation of X-ray
Trends (NEXT)
The Minnesota Department of Health (MDH) is
proud to be a member of the Natio...
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August 2010 X-ray Bulletin


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August 2010 X-ray Bulletin

  1. 1. Radiation Control, X-ray Unit Minnesota Department of Health 625 Robert Street North PO Box 64975 St. Paul, Minnesota 55164-0975Protecting, Maintaining and Improving the Health of All Minnesotans Phone: 651.201.4545 Fax: 651.201.4606 Website: www.health.state.mn.us/xray AUGUST 2010 Email: health.xray@state.mn.us MDH X-ray Unit magnets The MDH X-ray Unit created magnets for all registered facilities to help facilitate communication between our registrants and MDH. Please write your facility registration number on the magnet, as we refer to this number to answer your questions. If you did not receive your magnet yet, please give us a call. X-ray Focus Donate X-ray Equipment Your phone and email frequently asked questions There are many ways to dispose of old or unused x-ray equipment, such as selling, recycling, or donating it. If you are interested in donating it to aWhen do we dispose of our facilities nonprofit organization, we’ve created a list below of x-ray film? organizations that we are aware of. We hear this question a lot, so we know there is some confusion among registrants as to when to  Project C.U.R.E. dispose of their x-ray film. Here are some general http://www.projectcure.org/give-supplies/ rules based on the type of film: supplies-needed  AmeriCaresPatient Films: Patient films should be disposed of http://www.americares.org/howtohelp/as directed by your facilities medical records corporations/retention policy. For hospital films, please refer to Minnesota Statute 145.32. The statute states to  Medical Bridges keep films for seven years, or in the case of a http://www.medicalbridges.org/?q=donate minor, the age of majority (18) plus seven years.  Global Health Ministries Quality control films: Quality control films are http://www.ghm.org/howtohelp/supplies.html films done daily to check the processor. They need  Samaritan’s Purseto be retained for 60 days and the quality control http://www.samaritanspurse.org/index.php/charts (paper) need to be kept from inspection to WMM/Donating_Materials/inspection. This list does not include all organizations that accept Screen contact, speed match, fog tests and any lead donations of x-ray equipment, nor does it constitute an endorsement or recommendation of any individualapron check films: These types of film are kept organization by MDH.from inspection to inspection. If you’ve gone digital: Please notify the X-ray Unit via mail or email that your facility has gone digital. Your facility can discard quality control, Chapter 4732 is available at the Minnesota screen contact, speed match and fog films, but Bookstore. Call 651.297.3000 or 1.800.657.3757 must retain the lead apron check films from or order online at www.comm.media.state.mn.us/ inspection to inspection. bookstore/bookstore.asp
  2. 2. Nationwide Evaluation of X-ray Trends (NEXT) The Minnesota Department of Health (MDH) is proud to be a member of the Nationwide Evaluation of X-ray Trends (NEXT) program, which consists of a partnership between the Conference of Radiation Control Program Directors (CRCPD), the FDA and the Center for Devices and Radiological Health (CDRH), with financial support from the American College of Radiology (ACR). Its purpose since 1998, is to characterize the radiation doses patients receive during diagnostic x-ray examinations. The NEXT survey program selects a particular radiological examination for study and captures radiation exposure data from a nationally representative sample of the US clinical facilities. The recently completed survey looked at cardiac catheterization labs. MDH would like to thank all the facilities that were randomly selected for participating in this study. The CRCPD will collect the data from all 50 states and provide a brief snapshot of the state-of-practice to both the radiation protection specialist and to the practicing radiological community. Clinical facilities can compare findings at their site for patient exposure and clinical quality indicators with statistical findings representing the US practicing community. To learn more about NEXT, please visit the CRCPD website at http://www.crcpd.org/NEXT.aspx. Subversion of Examination Bill The Minnesota Legislature passed a subversion of examination bill that became effective April 1, 2010. This act identifies what constitutes wrongful behavior by an examinee of a licensing or certifying examination. Since ARRT is based in Minnesota, anyone signing an agreement of candidates for certification or an application for renewal of registration or reinstatement of registration will be bound by the new statute. This information was distributed to RT’s in the Spring Annual Report to Radiologic Technologists, and applies to those taking the Limited Scope Exam as well. For more information, visit the Minnesota Office of the Revisor of Statutes, Minnesota Statutes, chapter 604 at https://www.revisor.mn.gov/ laws/id=202&doctype=chapter&year=2010&type=0 Inspector’s Corner CRCPD CT Brain Perfusion The CRCPD has a number of committees that look at procedures used by facilities. The CT Brain Perfusion committee (H-39) is currently working with facilities nationwide to examine their Brain Perfusion protocols. Minnesota has an inspector on this committee, which will use a survey that asks detailed questions regarding the specifics of a facility’s CT brain perfusion protocols and practices. A number of Minnesota hospitals have signed up for this study. If you have not been contacted and would like to be a part of this study, please contact Teresa Purrington at teresa.purrington@state.mn.us or 651-201-4519. Common Inspection Fines MDH is often asked about what fines are the most common during an inspection. There are very strict guidelines regarding Administrative Penalties. The top offenders are:  Repeat Violations: If a facility was cited on their last inspection and is cited again on their current inspection, the facility may be fined.  Equipment Performance Evaluations (EPE) of X-ray equipment: EPE needs to be done at intervals not to exceed 24 months. Preventative maintenance that is done by the manufacturer cannot be deemed equivalent unless the requirements of 4732.1100 are met.  Calibrations of sensitometers/densitometers: These are to be done at intervals not to exceed 24 months.  Registration: If a facility is not registered, they can be fined or if a facility is registered with MDH, but paid registration that did not include all of their tubes, they may be fined.  Quality Control/Quality Assurance Program in Place: It is important for facilities to maintain their program according to the rules of 4732 or the manufacturer’s specifications.  Operator issues: Violations cited for operators have included unqualified operators performing radiographic procedures, operators taking x-rays without a valid x-ray order, and operators taking x-rays for modules or exams they have not passed.