Don’t order low back x-rays as part of a routine preplacement medical examination.
|Rationale and Comments:||Preplacement medical examinations are conducted to determine an individual’s ability to perform the job’s essential functions. Routine low back x-rays are costly, result in unnecessary radiation exposure, do not address the worker’s abilities and do not predict future injuries.|
|References:||• Talmage J, Belcourt R, Galper J, et al. Low back disorders. In: Hegmann K, ed. Occupational Medicine Practice Guidelines. 3rd ed. Elk Grove Village, Ill: American College of Occupational and Environmental Medicine; 2011. p. 377.