1. Select the required view(s) based on the request.
2. Gather the necessary materials and supplies.
a. Appropriate cassettes.
b. Radiographic film.
d. Letter markers.
f. Positioning sponges.
g. Lead shielding.
3. Prepare the patient.
a. Bring the patient into the X-ray room.
b. Ensure the patient is properly dressed.
(1) Ensure foreign objects are removed from the patient as necessary.
(2) Ensure the patient's clothing is removed as required.
NOTE: Gown the patient as necessary.
(3) Use a drape sheet to cover the patient as necessary.
c. Explain the procedure if applicable.
d. Assist the patient onto the X-ray table.
NOTE: Stand the patient in front of the upright film holder for the upright abdomen view.
4. Measure the body part through 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 film cassette.
NOTE: Use a 14" X 17" cassette for both views.
7. Place the cassette in the bucky lengthwise.
8. Position the overhead tube.
a. Set the tube angle perpendicular to the film.
b. Set the source to image receptor distance (SID) to 40 inches (101 cm).
c. Center the tube to the cassette.
d. Adjust the conefield to full field coverage.
9. Position the abdomen.
a. AP (KUB) view.
(1) Place the patient supine with the median plane perpendicular to and over the centerline of the table.
(2) Extend the patient's legs and place a support under the knees.
NOTE: This will relieve the strain on the abdomen.
(3) Center the iliac crests to the cassette.
b. Upright view.
NOTE: The AP upright view will demonstrate air-fluid levels, if present, under the diaphragm.
(1) Place the patient standing with the median plane perpendicular to and over the centerline of the upright film holder or bucky.
(2) Place the back in contact with the film holder or bucky.
(3) Adjust height of film holder so that center of film is 2 inches above the iliac crests, with the top of the film directly under the axilla.
10. Place the appropriate letter marker on the cassette.
11. Place the lead apron across the patient's lap.
12. Tell the patient, "TAKE A DEEP BREATH, BLOW IT ALL THE WAY OUT AND HOLD IT OUT."
13. Make the exposure.
14. Tell the patient, "RELAX AND BREATHE NORMALLY."
15. Develop the exposed film with the patient's identification.