> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Cosson, Philip
> Sent: 31 August 2005 15:47
> To: [log in to unmask]
> Subject: Re: Sacphoids- Radiographers refusing
>
>
> Point one - They do indeed.
>
> Point two - It may be the refusal is due to the radiographer
> following a departmental protocol written in collaboration
> with the Clinical Director, the Medical Physics Expert, the
> A&E Clinical Director and the Radiography Lead in A&E. This
> will be informed by the RCR referral guidelines (here is a
> link to the old EU version of the guidance
> http://europa.eu.int/comm/environment/radprot/118/rp-118-en.pdf
>
> Point three - To enable the IR(ME)R 2000 regulations to be
> met - the radiographer usually fulfil the role of OPERATOR
> and therefore do not have discretion to move outside of the
> guidance. The Radiologist is fulfilling the role of
> PRACTITIONER and can work outside of the protocol.
>
> MY CONCLUSION
>
> The radiographer MUST follow the protocol and refuse the
> request. The radiologist can act as PRACTITIONER and overrule
> the protocol and countersign the request - allowing it to proceed.
>
> If the protocol ALLOWS scaphoid review within 7 days - then
> the opposite is true as stated by the OP. But it is at the
> development of the protocol that these battles should be
> ironed out - not on a one to one basis over the individual case.
>
> Before berating the radiographer - surely one should check
> the protocol they are working to, and make sure it is
> current. Is it really good practice to try to make the
> radiographer cave in and accept threats of "clinical
> directors" and "appraisal"?
>
but the same patient goes back to X ray after being seen by an ENP or
SHO with a duplicated set of examination findings and gets the X ray?
Same patient , same findsings the only difference is it's adoctor or ENP
requestign the imaging not a 'ordinary' Nurse with agreed training
Also stuff like refusing Ottawa positive feet or ankles
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