BSc (Hon's) Diagnostic Radiography. Practice Education. Induction Workbook

Transcription

1 BSc (Hon's) Diagnostic Radiography Practice Education Induction Workbook

2 CLINICAL PLACEMENT - INDUCTION This workbook is primarily to help you settle in on your first or new clinical placement. However, some sections are also required to be completed at each subsequent main placement, usually annually. If you return to a previous placement it will need updating. Clinical Liaison Officers (staff with particular responsibilities re students) will explain exactly what is expected of you, as a radiography student, in the imaging department and elsewhere in the hospital. The Clinical Liaison Team (CLT) within your department will arrange talks, presentations &/or training sessions to cover essential training. Some of these sessions will be mandatory and therefore must be attended before your clinical education module can be completed. Introduction to the policies and procedures required by IR(ME)R 2000 regulations is an essential (Formal) element of your training before you start to radiograph patients. Other H&S legislation essential to your safety and that of others will also be covered during the induction period. The main ones, listed in table 1, need signing off as proof of completion and this needs to be checked by your visiting lecturer at earliest opportunity and submitted as part of your PDP. Table 1 below sets out the minimum essential requirements. A fuller programme or greater detail may be covered in the departments own induction programme paper work. If you do have separate documentation these may be submitted instead of the completed Table 1 NOTE alternatives MUST cover the minimum as set out in Table 1. Table 2 lists other essential and useful information that you need to find out as soon as practicable on your placement. Table 3 is a prompt for you to find where essential equipment is located to be completed as soon as practicable. The Health and Safety briefings are the official/formal component of the induction programme. Other parts of the programme are informal and include more general and useful information e.g. about who s who and where the food is! The exercises and questions in Orientation to Department and Hospital are intended to guide your enquiry and observations. Completion of the exercises and/or questions means that you should know where things are kept and you should be able to answer many of the general questions asked by patients or your visiting lecturer. The Ladder of Responsibility section is to help you sort out who s who and their role. Other Activities covers over areas of practice that are useful to get to know as part of the induction period which will help you settle in, improve your observation skills and encourage you to ask questions. Enjoy your placement.

3 BSc (Hon s) Diagnostic Radiography Induction to Placements for students. The following minimum MUST be covered. You need to sign to declare that your placement supervisors have given you information, instruction and training as appropriate and that you have:- "received information or, been shown where it is kept and/or have understood the importance of the documentation &/or instruction. This must be countersigned by your supervising radiographer or CLO and submitted as part of your PDP. (EACH YEAR) STUDENT'S SIGNATURE RADIOGRAPHER'S SIGNATURE & Date. LOCAL RULES Signature.. Date... FIRE PROCEDURE Signature.. Date... REPORTING ACCIDENT/INCIDENT PROCEDURE Signature.. Date... IR(ME)R protocols Signature.. Date... Moving and Handling Signature.. Date... NB: this section (OR the departments equivalent) MUST be signed off

4 BEFORE you finish your first placement block. It is your responsibility to ensure this section is completed. Any problems covering these areas should be reported to your CLO and your visiting lecturer. EMERGENCY PROCEDURES AND OTHER PROCEDURES/ CALLS TABLE 2 : OTHER (Clinical) EMERGENCY PROCEDURES CRASH TEAM BRIEF DETAILS OF PROCEDURE TO BE FOLLOWED PHONE NUMBER IF REQUIRED AS PART OF PROCEDURE RESUSCITATION PROCEDURES SECURITY BLEEP SOMEONE

5 Table 3 Sign and date each item as you cover it and be prepared to discuss them with your visiting lecturer Emergency Equipment Location Sign and date Oxygen cylinders suction equipment resuscitation trolley fire extinguishers List any others you are aware of at your placement;

6 Draw a plan of the department to show the following; Patient reception area/s X-ray and other imaging rooms the processors and viewing areas the waiting areas laundry room and dirty laundry skips patient and staff toilets general store room/s fire exits and fire fighting equipment sluice area patient and staff changing areas student and staff rest room/s Orientation to the hospital Be prepared to give directions and describe the location of the following areas within the hospital; the wards and/or ward blocks operating theatres the staff and patient restaurants public telephones out-patient departments Accident and Emergency department Casualty trolley area mobile x-ray equipment archived radiographs store library shops staff accommodation surgical appliances unit plaster room blood laboratories ECG Medical Physics Physiotherapy porters lodge/security office personnel department Occupational Therapy

7 Ladder of Responsibility Complete the ladder of responsibility below and find out who has the following responsibilities:- Radiation Protection Health and Safety Students (Clinical Liaison Team) Clinical Supervision Clinical Assessors Ultrasound Computed Tomography What is the difference in the professional roles between a Manager, Consultant Practitioner & Advanced Practitioner, Band 7, a Band 6 & and Band 5 Radiographer and Assistant Practitioners? What is the difference in the professional roles of a Radiologist and a Radiographer? Who are "referrers", "operators" and "practitioners" and what are their roles and responsibilities?

8 Ladder Of Responsibility Title name/s responsibility Head of Radiographic Staff Consultant/Advanced Practitioner Band 7 Band 6 Band 5 Other grades Other Activities Reception A good place to start, or gain experience of working in early in your placement. You will spend time in the reception and filing area at a later date but in the meantime find out:- how the patient filing system works i.e. filed under Date of Birth, patient ID number? how and when radiographs are colour coded? how you differentiate between the different sources of referral, i.e. GP's, Outpatients, Casualties? which examinations need to be booked by an appointment system and why? what information is essential on a request form for it to be accepted? Trace a request form through the department, from being booked in at the reception through to being paired up with the resultant images ready for the radiologist's report. Do this for all sources of a referral by drawing a flow chart. Only one chart is necessary, as some pathways are common but it must demonstrate all the various routes taken.

9 X-ray rooms Learn how to start up, warm up and shut down the X-ray equipment in the general radiography rooms. Which make of image acquisition and display equipment is used in the department? What methods are used to determine the focus film distance? Under supervision:- familiarise yourself with the X-ray equipment and its controls. move the x-ray tube around the room, making use of all its movements and brakes/locks. move/tilt the table to its highest and lowest positions centring the tube move any erect film supports Determine any tidying and cleaning routines which you will be expected to perform or assist in. It will be necessary for you to locate where the following items can be found:- Radiographic Accessories Radiolucent sponge pads sand bags for immobilisation radiation (gonad) sheilds radiation protective garments Nursing / general patient care equipment and accessories:- vomit bowls drip stands bed pans urine bottles Ensure that you know how to prepare a patient for imaging procedures covered in this stage of your training. E.g for year one this means radiographic examination of the:- chest foot hand cervical spine lumbar spine* pelvis* and abdomen* *You should know what the initials LMP relate to, but find out how the LMP rule is applied within your department.

10 NOTE:- Each department will have its own unique blend of learning opportunities and resources, make the most of them. This induction workbook is a useful guide but the Clinical Liaison Team will indicate what else you may need to learn within the department. We all hope you will enjoy your clinical placement block. If you have any problems or queries please contact either your CLO or your visiting lecturer. The formal part (signed and countersigned) MUST be included in your PDP. You may include other sections of this induction worksheet as part of your portfolio, or use it as a basis for comparison and discussion of year 2 and year 3 placements.