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List two things the R.T can do before bringing the patient in the room to ensure good radiation protection practices
properly ID the patient
check the dr.’s orders
lay out the lead shield so it’s not forgotten
List three things the R.T. can do while the patient is in the room to ensure good radiation protection practices for the patient
Collimate
Use lead shielding
minimize repeats (get it right the first time!)
Use high kVp/ low mAs when possible
take an accurate hx (make sure the hx matches the exam)
follow protocol (don’t take extra images unless necessary)
List two things the R.T. can do while the patient is in the room to ensure good radiation protection for themselves
wear a dosimeter
increase their distance from the x-ray source
limit the time spent in the room during the exposure
wear lead shielding when in the exam room
minimize repeats
do not hold the patient
stay behind the control panel barrier when exposing
List three possibilities that an x-ray photon can undergo when it interacts with matter
Complete penetration without interaction
Complete absorption (photoelectric interaction)
Scattering (Compton or classical interaction)
List two forms of inherent filtration
Glass in the tube
oil around the tube
List the two by products of the compton interaction
Recoil electron and compton scattered photon
Coherent scattering
occurs when a low energy photon interacts with an atom but doesn’t ionize it. The electrons are raised to a higher energy and thus vibrate. As the electrons settle back to their appropriate binding energies, a secondary photon is released with an energy that equals that of the incoming photon
Photoelectric interaction
occurs when an incoming photon possesses just enough energy to ionize the inner shell of the atom with which it interacts. The incoming photon uses all of its energy in the ionization process and is thus completely absorbed
Compton Scattering
occurs when an incoming x-ray photon interacts with an outer shell electron and ionizes the atom. Thus, part of the energy of the incident photon is absorbed and part of it is released as a secondary photon, usually traveling in a different direction than the incident photon and with less energy
Characteristic radiation
occurs when an electron from an outer shell drops to fill a vacancy in an inner shell
Auger effect
occurs in place of characteristic radiation emission. Instead, the energy left over after the outer shell electron fills the vacancy in the inner shell is transferred to another electron of a nearby atom, thus ejecting the electron