[Intl_DxMedPhys] EXT MSG Re: Requirement for dose monitoring

[Lemieux, Bryan P.]

Your state may still have a requirement for dose documentation, possibly in terms of at least fluoro time.

Also, while JC removed some things, they still have a Sentinel Event for patient burns (which includes radiation burns).  I would be very interested if anyone has a way to effectively and proactively identify, investigate and intervene in possible patient radiation burns that is not tied to dose monitoring………

Its also tied to some quality measures.

Bryan Lemieux MS CHP DABMP
Associate Chief for Radiation Safety
Radiation Safety Officer
UK HealthCare
From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+bryan.lemieux=uky.edu at lists.osu.edu> On Behalf Of Johnson, Loretta M via Intl_dxmedphys_wd_osu_list
Sent: Monday, August 24, 2026 9:52 AM
To: Stephanie M. Leon <Stephanie.M.Leon at hitchcock.org>; intl_dxmedphys_wd_osu_list at lists.osu.edu
Subject: Re: [Intl_DxMedPhys] EXT MSG Re: Requirement for dose monitoring

CAUTION: External Sender

Is your radiation safety officer going to allow them to opt out of dose monitoring? Peace, Loretta Loretta Johnson, Ph. D. , DABR, FAAPM | Associate Professor Division of Imaging Physics Department of Radiology | Heersink School of Medicine UAB
Is your radiation safety officer going to allow them to opt out of dose monitoring?

Peace,
Loretta

Loretta Johnson, Ph.D., DABR, FAAPM | Associate Professor
Division of Imaging Physics
Department of Radiology | Heersink School of Medicine
UAB | The University of Alabama at Birmingham
GSB Suite #301 | 619 19th Street South | Birmingham, AL 35249
P: 205.934.7592 | lorettajohnson at uabmc.edu<mailto:lorettajohnson at uabmc.edu>

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Reply-To: "Stephanie M. Leon" <Stephanie.M.Leon at hitchcock.org<mailto:Stephanie.M.Leon at hitchcock.org>>
Date: Tuesday, August 11, 2026 at 2:21 PM
To: Dxmedphys new list <intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu>>
Subject: EXT MSG Re: [Intl_DxMedPhys] Requirement for dose monitoring

Thanks to all who responded already! I was not imagining that there used to be a relevant TJC requirement. However, it is gone now. Stephanie M. Leon, PhD, DABR, DABSNM Chief of Diagnostic Medical Physics Associate Professor of Radiology Tel
Thanks to all who responded already! I was not imagining that there used to be a relevant TJC requirement. However, it is gone now.


Stephanie M. Leon, PhD, DABR, DABSNM
Chief of Diagnostic Medical Physics
Associate Professor of Radiology



Tel (603) 650-3796
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From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu>> On Behalf Of Stephanie M. Leon via Intl_dxmedphys_wd_osu_list
Sent: Tuesday, August 11, 2026 2:42 PM
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Subject: [Intl_DxMedPhys] Requirement for dose monitoring **EXTERNAL**

Hi all, I am trying to find in the current TJC standards any requirement for patient radiation dose monitoring for fluoroscopy. Am I missing it? Or is there a relevant non-TJC requirement? Our cath lab wants to opt out of our dose monitoring
Hi all, I am trying to find in the current TJC standards any requirement for patient radiation dose monitoring for fluoroscopy. Am I missing it? Or is there a relevant non-TJC requirement? Our cath lab wants to opt out of our dose monitoring
Hi all,

I am trying to find in the current TJC standards any requirement for patient radiation dose monitoring for fluoroscopy. Am I missing it? Or is there a relevant non-TJC requirement? Our cath lab wants to opt out of our dose monitoring program, and I am looking for any accreditation-related reason why they can’t (our state regs do not require it).



Stephanie M. Leon, PhD, DABR, DABSNM
Chief of Diagnostic Medical Physics
Associate Professor of Radiology
Tel (603) 650-3796
Dartmouth-Health.org<https://urldefense.com/v3/__http:/Dartmouth-Health.org__;!!NoSwA-eRAg!ADcCl68OJkbTYrpBcJWbdN0QvZLTKoxmyLXo7HFBGr6jJOOC8jno2gtBrDZVcr590IbKEZJ--nwqMSQ1Tk4F4Qsbsk-RFLnqnNlX6Q$>
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