Sorry - got Steve's e-mail wrong. It is
[log in to unmask] - for those of you who want to
send people to our course
Simon
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Simon Odum
Sent: 18 March 2004 19:02
To: [log in to unmask]
Subject: Re: Fw: Fw: GPSI
Further to the previous message - I shamelessly crave the lists
indulgence to plug our "local" course. It is the Southwest Emergency
Xray Interpretation course run out of North Bristol Trust. If anyone
wants further info about sending your SHO's/ENP's/SpR's then please
contact Steve Meek at [log in to unmask]
Cheers
Simon
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Simon Odum
Sent: 18 March 2004 08:02
To: [log in to unmask]
Subject: Re: Fw: Fw: GPSI
Our radiographers have been reporting emergency films for a little over
12 months. There are 2 who do it and they have been trained by the
Radiology consultants. Their reports (anecdotally speaking!) are usually
more to the point than the SpR's, who tend to ramble on, and are usually
more accurate!
Our ENP's have all been (or will have been) on an x-ray interpretation
course. They used to go to Northwick Park, but now we have our own local
course which is taught by a mixture of radiologists and emergency
consultants. All potential missed fractures are flagged up, and I feed
back to the ENP's if they need it, both on a personal level and
anonymously at the monthly ENP education day.
Simon Odum
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Martyn Hodson
Sent: 17 March 2004 10:23
To: [log in to unmask]
Subject: Re: Fw: Fw: GPSI
----- Original Message -----
From: "Cosson, Philip" <[log in to unmask]>
To: "Martyn Hodson" <[log in to unmask]>
Sent: Wednesday, March 17, 2004 9:30 AM
Subject: Re: Fw: Fw: GPSI
> Hi,
>
> Sorry this is a bit of a deviation...
>
> Fred wrote: "Our nurse practitioners have already demonstrated that
they
are
> better at interpreting X-rays than our junior doctors!"
>
>
> What about adequately trained RADIOGRAPHERS reporting RADIOGRAPHS??
(Post
> graduate certificates and Diploma courses are already validated and
running
> in several UK universities, with Radiographers being trained by
Radiologists
> to report all plain film radiographs and CT head scans)
>
> I'm a bit concerned about the Nurse Practitioner role here - what is
the
> structured training scheme? Who is doing the training?
>
> Philip
>
> NB - I have an axe to grind - I'm a radiography Lecturer. We have
assistant
> practitioner roles encroaching on our traditional roles, and with the
new
> Consultant grades, a lot of radiographers are aiming to extend their
roles
> into reporting. My personal opinion is that a BSc (Hons) educated
> radiographer who has been examining radiographs all of there working
life
is
> a perfect trainee for a&e reporting.
I think you have made an error there and confused 'interpretation' with
'reporting'
in my experience there are 3 stages of the interpretation > reporting
trail
for a radiograph
1. informal interpretation - including 'red dots' etc
2. formal interpretation - traditionally within the sphere of the
(junior)
doctor now undertaken by a wider number of people including NPs -
where
the here and now decisions on treatment are made by the clinician
3 reporting - traditionally the role of the radiologist
you cannot replace 2 with 3 unless you give those who are reporting
the
clinical skills to assess and manage the patient - as even reported
films
are still used as a guideline to the actual clinical treatment, a report
never gives a clinical plan
as for NPs and the expansion of role to interpret radiographs, despite
the
fact that most emergency nurses have been informally interpreting
radiographs for along time prior becoming NPs ( with the support from a
knowledge base building point of view of many of the senior medical
staff
and radiographers, training and education I am aware of is delivered by
senior medical staff including radiologists - as this is the area of
practice in which the interpretation of radiographs has traditionally
been
undertaken
you cannot replace the need for interpretation of radiographs unless you
can
provide each and every facility with an-x ray dept a 100% cover with
radiographers with reporting skills and the clinical acumen to manage
the
patient and /or radiologists.
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