[Intl_DxMedPhys] Tech - less cath labs

[Nicole Ranger]

I was approached about this from a Cath Lab Manager and as then RSO at my former institution, I managed to dissuade him.  We had just implemented a model fluoroscopy radiation safety program and I was concerned we would backslide.
This is an example of where we can advocate for more restrictive regulations if we really think it requires an individual with X-Ray tech training to operate a Fluoro unit.  I do.  Even our well-trained X-Ray techs had some gaps in their understanding of fluoro radiation safety prior to implementing annual training.  

Nicole


Sent from my iPhone

> On May 22, 2026, at 10:45 AM, Douglas Pfeiffer via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu> wrote:
> 
>  Ours are all RCIS, and that has worked ok. We also have very rad safety-conscious cardiologists, which makes a huge difference.
> 
> Doug
> -------------
> Sent from my iPhone - please excuse any typos that slip through!
> 
>>> On May 22, 2026, at 6:51 AM, Bob Kobistek via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu> wrote:
>>> 
>> 
>> Hi folks.
>>  
>> One of my sites is planning to eliminate X-ray technologists from their cath lab staff, which necessitates having the cardiologists press all the buttons. At this site, I am the IRRP (In the Ohio language, a person like the RSO, but for radiation-generating equipment and not RAM). Given that I have this responsibility, I’m concerned about cardiologists getting lazy and having the nurses press buttons, thereby resulting in a Level 1 violation. Have any of you ever worked with a cath lab that had no techs? If so, how’d that work out?
>>  
>> Thanks
>>  
>>  
>> Robert J. Kobistek, MS, FACR, DABR, MRSE(MRSC™)
>> Medical Physicist
>> RJK Medical Physics, Inc.
>> 440-463-7879
>>  
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