The NICU at Crouse Hospital is similar
to many other NICUs worldwide—it is
a high intensity care environment that
relies on ancillary support services like
radiology. The challenges created by these
critically ill infants require adaptable and
creative hospital support services. In radiology, equipment and techniques must be
used based on adult and pediatric populations adapting them to the scale of the
very small premature infant. Radiation
exposure to patients and staff can be
reduced through a process of engagement, open discussion, creativity, and
In an ongoing effort to achieve optimal results, we continue to work on
shielding appropriately and eliminating
staff holding these tiny infants. Lessons
learned from this project can and have
been applied in other areas of diagnostic
radiography. The established radiation
safety audit remains the best resource
for observing and documenting process
improvement and to identify new opportunities for improvement.
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Cumulative effective doses delivered by
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3Bogdanich W, Rebelo K. X-Rays and
Unshielded Infants Raise Alarms. The New
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too much concern? Pediatr Neonatol. 2010;
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care unit chest radiographs: what you
don’t see. Canadian Association of Radiologists Journal. 9 August 2012.
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of adult fingers visualized on pediatric
intensive care unit (PICU) chest radiographs after radiation technologist and
PICU staff radiation safety education.
Canadian Association of Radiologists
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and abdominal radiation dosimetry: a
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Bradford J. Hellwig, BS, RT(R)(N), CNMT, CRA has been
the administrative director of medical imaging at
Crouse Hospital in Syracuse, N Y for the last 12 years.
He and his wife Judy have been active members in the
Syracuse Medical Imaging Community for over 30
years. Brad’s professional interests include leadership
development, program development, teaching, and
research related to medical imaging. He may be
contacted at BradHellwig@crouse.org.
Beth Wilson, AAS, R T(R) has over thirty years
experience in the medical imaging field, and currently
is the diagnostic imaging supervisor at Crouse
Hospital. Beth enjoys working with the seasoned
technologists, mentoring, and contributing to the
knowledge and skill development of newly hired