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Multiple Choice

Which of the following is NOT a basic radiation safety principle in the OR?

Radiation safety in the OR is driven by ALARA: keep exposure as low as reasonably achievable for everyone involved. Practical steps to achieve this include minimizing the time the equipment is producing exposure, since every moment adds dose; maximizing distance from the radiation source when feasible, because exposure drops with distance; and using lead shielding and protective gear to block scattered radiation. Increasing patient dose to speed imaging contradicts ALARA. Pushing dose higher raises risk without a guaranteed improvement in safety or speed, so it’s not a basic safety principle. If faster imaging is needed, it should come from optimizing techniques and equipment—like using pulsed fluoroscopy, proper collimation, and efficient imaging protocols—rather than increasing dose. The other practices listed are standard ways to reduce exposure and protect everyone in the room.

Radiation safety in the OR is driven by ALARA: keep exposure as low as reasonably achievable for everyone involved. Practical steps to achieve this include minimizing the time the equipment is producing exposure, since every moment adds dose; maximizing distance from the radiation source when feasible, because exposure drops with distance; and using lead shielding and protective gear to block scattered radiation.

Increasing patient dose to speed imaging contradicts ALARA. Pushing dose higher raises risk without a guaranteed improvement in safety or speed, so it’s not a basic safety principle. If faster imaging is needed, it should come from optimizing techniques and equipment—like using pulsed fluoroscopy, proper collimation, and efficient imaging protocols—rather than increasing dose. The other practices listed are standard ways to reduce exposure and protect everyone in the room.