The document outlines guidelines for RN ordering of x-rays for patients with extremity trauma in the emergency department. It provides specific criteria for when x-rays are indicated for different body areas, such as the presence of deformity, instability, or severe pain. RNs can order x-rays independently for toes/fingers, feet, ankles, lower legs, knees, hands, wrists, and forearms when certain signs and symptoms are present. The x-ray requisition must include information on the body part, clinical indication, history, signs and symptoms, and attending physician.