In message <[log in to unmask]>,
Vikki Chase <[log in to unmask]> writes
>You are welcome to request such views, but the radiographer may have to
>refuse to provide them, depending upon locally agreed protocols. The
>radiographer ( in addition to the requesting doctor) is potentially liable
>when deviating from written protocols ( IRMER 2000 regs)- just because it is
>requested by a doctor ( or suitably qualified nurse) doesn't mean
>radiographers can do it. Where I currently work, we routinely provide
>lateral views for A and E requests if we spot something, otherwise only
>orthos can ask ( written protocol).
>Vikki Chase
>Diagnostic Radiographer
The 5th metacarpal base dislocations that I have seen have all been
apparent clinically. All that radiographs did was exclude fracture. No
need for specialist views there.
What Vikki has uncovered is the recurrent theme of the lack of value
that our colleagues have for A/E. The BMJ supplement has an article on
this very theme.
In my beloved 'Arlow, there is the very healthy attitude that if you
wanted a specialised view, you went and discussed it with the
radiographer or radiologist. That system worked.
Perhaps Vikki might like to tell us how things work in the department
that she serves. Are there A/E seniors? Do they provide a better or
worse service than the orthopods. What grade of orthopod does she
normally deal with ?
Can you enlighten us Vikki?
--
Stephen Hughes SpR Anything & Everything N E Thames
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