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