1. Select the required view(s) based on the request.
2. Gather the necessary materials and supplies.
a. Appropriate cassettes.
b. Lead shielding.
c. Letter markers.
3. Prepare the patient.
a. Bring the patient into the X-ray room.
b. Ensure the patient is properly dressed.
(1) Ensure the patient's jewelry is removed as necessary.
(2) Ensure the patient has removed all clothing under the area of study as necessary.
NOTE: Gown the patient as necessary.
c. Explain the procedure if applicable.
d. Assist the patient to the upright X-ray table.
4. Measure the body part the entry-exit site of the central ray.
5. Set the control panel.
a. Consult the technique chart.
b. Set the appropriate mAs and kVp on the control panel.
6. Select the proper size cassette.
NOTE: Use a 10" x 12" cassette.
7. Place the cassette in the bucky crosswise.
8. Position the overhead tube.
a. Set the angle 15 to 30 degrees cephalad.
b. Set the source to image receptor distance (SID) to 40 inches (101cm).
c. Center the tube to the cassette.
d. Adjust the conefield to full field coverage.
9. Secure the lead shielding around the patient's waist.
10. Position the clavicle for the AP view.
NOTE: Patient can be erect or supine.
a. Posterior surface of the shoulder be in contact with the tabletop, without rotation of the body.
b. Chin raised looking straight ahead.
c. Center the clavicle to the center of cassette considering cephalic central ray angle.
11. Place the appropriate identification marker on the cassette.
12. Tell the patient, "BLOW YOUR BREATH OUT AND HOLD IT OUT. DON'T BREATHE AND DON'T MOVE."
13. Make the exposure.
14. Tell the patient, "RELAX AND BREATHE NORMALLY."
15. Develop the exposed cassette(s) with patient identification.