Training designed to meet the new Joint Commission (TJC) fluoroscopy imaging standards


Our fluoroscopy training courses are designed to meet Joint Commission Environment of Care and Human Resources standards EC.02.04.03 and HR.01.05.03. All courses below cover dose optimization techniques and tools for pediatric and adult patients addressed in the Image Gently®, Image Gently-Step Lightly®, and Image Wisely® campaigns

The Joint Commission recently released updates to their Environment of Care and Human Resources standards EC.02.04.03 and HR.01.05.03.  HR.01.05.03 creates new fluoroscopy standards requiring that the hospital verifies and documents that individuals (including physicians, non-physicians, and ancillary personnel) who use fluoroscopic equipment participate in ongoing education that includes annual training on the following:

  • Safe procedures for the operation of the type of fluoroscopy equipment they will use
  • Radiation dose optimization techniques and tools for pediatric and adult patients addressed in the Image Gently®, Image Gently-Step Lightly®, and Image Wisely® campaigns

In developing a comprehensive plan to comply with the new Joint Commission standards, it is clear that individuals who use fluoroscopic equipment will also need comprehensive initial training on the safe use of fluoroscopy, and that certain individuals will need to understand the key elements of a patient safety program in fluoroscopy.  The Joint Commission requires that accredited healthcare organizations develop and follow their own policies and procedures that comply with accreditation requirements.

FluoroSafety offers multiple initial training options which also address techniques and strategies from Image Gently®, Image Gently-Step Lightly®, and Image Wisely® for reducing patient and staff radiation doses.  Our top quality educational activities follow the recommendations of NCRP Report No. 168, meet accreditation standards of The Joint Commission, and provide Self-Assessment CME (SA-CME) MOC credit for most ABMS member boards, including the ABIM, ABR, ABS, ABPMR, and ABA.  Click here for more details on MOC.

FluoroSafety offers several courses that may meet your needs for complying with Joint Commission EC.02.04.03 and HR.01.05.03.:

CourseCategory 1 CME creditsTypical usePurchase
Advanced Training Program8 Initial training for individuals performing potentially high-dose proceduresBuy now >
Basic Training Program4 Initial training for other users of fluoroscopyBuy now >
Annual Training for Individuals Who Use Fluoroscopic Equipment2Annual training for individuals who use fluoroscopic equipmentBuy now >
Establishing a Patient Safety Program2 Educate individuals involved in establishing a patient safety program, including SRDLs. Does not meet requirements for annual training of fluoroscopy users.Buy now >

FluoroSafety CME courses are focused on ease of access, content that is interactive and engaging, and achieving measurable results.

National Council on Radiation Protection and Measurements (NCRP) Report No. 168 is the standard of care document for radiation dose management for fluoroscopically-guided interventional medical procedures.  For individuals performing potentially high-dose procedures, NCRP Report No. 168 recommends a full day (8 hours) of formal training on the following topics:

  • Physics of x-ray production and interaction;
  • Technology of fluoroscopy machines, including modes of operation;
  • Characteristics of image quality and technical factors affecting image quality in fluoroscopy;
  • Dosimetric quantities and units;
  • Health effects of radiation;
  • Principles of radiation protection in fluoroscopy;
  • Applicable federal, state, and local regulations and requirements; and
  • Techniques for minimizing dose to the patient and staff.

The Advanced Training Program on the Safe Use of Fluoroscopy from FluoroSafety meets these training requirements.  NCRP Report No. 168 recommends condensed training for other users of fluoroscopy, a need that is met by our Basic Training Program on the Safe Use of Fluoroscopy.  Individuals who are interested in understanding how to establish Substantial Radiation Dose Levels (SRDL) and reference levels, or in strategies for improving the patient safety culture in their fluoroscopy practice, will find what then need in Establishing a Patient Safety Program in Fluoroscopy.