| Question 1: The annual tests required by the Joint Commission on equipment classified as fluoroscopy can be found in the Patient Care Chapter. |
| Reference: | The fluoroscopy equipment tests required by the Joint Commission can be found in the Environment of Care Chapter (Standard EC.02.04.03 EP 34). |
| Choice A: | True |
| Choice B: | False |
| Question 2: The Joint Commission defines annual as one year from the date of the last event plus or minus: |
| Reference: | The Joint Commission defines annually as one year from the last event plus or minus 30 days. (Hospital Accreditation Program (HAP) Manual Glossary) |
| Choice A: | 60 days |
| Choice B: | 45 days |
| Choice C: | 30 days |
| Choice D: | 15 days |
| Question 3: The individual designated as the radiation safety officer by TJC standard LD.04.01.05 EP 25 must meet the qualifications outlines for the RSO by the Nuclear Regulatory Commission. |
| Reference: | The organization determines the qualifications of the individual serving as radiation safety officer. (TJC HAP Standard LD.04.01.05 EP 25) |
| Choice A: | True |
| Choice B: | False |
| Question 4: California licensure that permits individuals to operate a diagnostic CT unit meets the Joint Commission diagnostic CT technologist qualifications. |
| Reference: | HAP HR.01.01.01EP 32 includes state licensure with documented training in the means for qualification in order to provide diagnostic CT exams. |
| Choice A: | True |
| Choice B: | False |
| Question 5: The Joint Commission specifies the number of CEUs that are to be completed for CT, MRI and Fluoroscopic annual and ongoing education. |
| Reference: | While the content that needs to be included in the education is described, the tool, methods and length of the training is determined by the organization. (HAP: HR.01.05.03 EPs 14, 15 and 25) |
| Choice A: | True |
| Choice B: | False |
| Question 6: Standard EC.02.02.01 EP 17 requires that staff dosimetry monitoring be reviewed at least _______ to assess if staff exposures are ALARA and below regulatory limits. |
| Reference: | HAP EC.02.02.01 EP 17 For organizations that provides computed tomography (CT), positron emission tomography (PET), nuclear medicine services (NM) or fluoroscopy: The results of staff dosimetry monitoring are reviewed at least quarterly by the radiation safety officer, diagnostic medical physicist, or health physicist to assess whether staff radiation exposure levels are “As Low As Reasonably Achievable†(ALARA) and below regulatory limits. |
| Choice A: | Monthly |
| Choice B: | Quarterly |
| Choice C: | Semi-Annually |
| Choice D: | Annually |
