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Too right. I offer the clinical responsibility to the radiologist if there's
an imaging argument. Funnily enough, I get the film soon after... Mind you,
I would never agree to be restricted in such a way.
  -----Original Message-----
  From: Accident and Emergency Academic List
[mailto:[log in to unmask]]On Behalf Of Adrian Fogarty
  Sent: 12 April 2002 00:54
  To: [log in to unmask]
  Subject: Re: 5th metacarpal base fractures


  If you work where I think you work, then that policy sucks. You have two
full-time A&E consultants, but only two or three sessions of orthopaedic
cover per week. Besides, I don't believe there should be any radiological
investigations for acute trauma that can only be requested by orthopods. To
suggest such is antediluvian. Sorry Vikki, I musn't shoot the messenger, but
such "protocols" make my blood boil...

  Adrian Fogarty
    ----- Original Message -----
    From: Vikki Chase
    To: [log in to unmask]
    Sent: Thursday, April 11, 2002 10:52 PM
    Subject: Re: 5th metacarpal base fractures


    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