This study has two primary aims: 1) to determine whether a novel wrist x-ray positioning aid can be implemented within 3 different healthcare centers in Newfoundland and Labrador, and 2) to determine the ability of the tool to improve patient positioning in wrist x-rays. It will also learn about the number of repeat x-rays required with or without the use of the tool and radiographer confidence. The main questions it aims to answer are:

1. Will the implementation of the Tru-Vu differ between an urban health center, rural clinic, and remote regional hospital?
2. Can the Tru-Vu improve the positioning procedure for radiographers performing wrist x-rays, resulting with more useful x-rays.

Researchers will compare x-rays before and after the implementation of the tool as well as between centers.

Technologist participants will:

• Use the tool during the positioning procedure for wrist x-rays.
• Provide feedback regarding tool use and perceived implementation barriers and facilitators.

Inclusion Criteria:

• Must be 18 years of age or older
• Must be proficient in English (reading/writing)
• Must have been referred for wrist imaging at one of the following healthcare centers: Health Sciences Center (St. John's, NL), Bonne Bay Health Center (Norris Point, NL), or Labrador Health Center (Happy Valley-Goose Bay, NL).

Exclusion Criteria:

• Incapable of providing informed consent