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First, do not call this "reading xray" as that is purely medical domain. You would be assessing xray for tip location and you are not reading the entire film. Competency is not determined exclusively in an online or traditional class. My online course provides sample policy and competency documentation form. Use a form to work with your radiology dept to assess and document competency. So competency assessment for a psychomotor skill is 3 phases - education online or regular class, followed by deliberate practice in a simulation lab, followed by supervised practice on patients. For assessing chest xrays, you would take the class, then practice assessing xrays of placed CVADs, then assess xray of patients where you have placed the line. So the class alone is never going to document competency for any skill. 

Hi, just wondering if anyone could post a link to an online module/education about assessing catheter tip location on CXR.  I don't feel very confident with it in general, and the facility I'm working at now expects us to clear the line for use after XR (if the pt isn't a candidate for ECG confirmation).  Thanks in advance!