From: Rob Hart <[EMAIL PROTECTED]> The following is a small extract from a larger discussion on the ACEM list in relation to nurse-initiated XR (NIXR). Interesting reading! My posting is at the bottom, with the ED director of a large Eastern States hospital's reply above.
>Brilliant > >In fact I did suggest at St Matyrs when NIXR came in & there were >problems with a colleague encouraging them to ask for multiple areas in >case they missed the wrong one & a lot of problems with suboptimal >imaging (half of a Jones # on ankle xray, injured wrist right on the >edge of a 30cm long film of forarm etc) that the nurses should stop >at recognising probable need for xr and ask the radiographer to >determine which xrays to take. > >It was the radiographers who refused. > >Similarly, when I managed (took a year!) to introduce provisional >xray reports by the clinician so the radiologist would know when we'd >screwed up & notify us early, I tried to persuade the radiographers >into the "redspot" system. They were a really nice bunch of people, but >chickened out - head radiographer says that's giving them clinical >responsibility & they don't want it. We had at that stage a lot of >shifts covered only by juniors; I think the system is useful there. > > > >>At 04:36 PM 12/11/2002 +0800, Rob Hart wrote: >>Dear All >> >>Perhaps I can put in a spoke here for the radiology depts. I am hopeful >>that all, with or without NIXR, rely on the professional opinion of >>their medical imaging staff (radiographers as were) in determining the >>relevant imaging to be performed. I know when I was at Royal Perth ED >>for 5 years as a diagnostic radiographer, we considered ourselves part >>of the decision-making process even though we are not entitled to >>"order" (we prefer "request", but let's not get pedantic!) imaging exams >>ourselves. In many cases we have seen many more of a particular #, >>strain, sprain or other musculoskeketal injury than the refering intern >>or RN/CN. This applies both to initial presentation, and to follow-up >>zapping based on the results of the first series performed. Or is this >>as polarised an issue (Dr initiated/NIXR) as it appears from the >>outside? >> >>Regards to all >> >>Rob Hart +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+= This message is being broadcast by AIRNEWS, the Australian Institute of Radiography list Server Send messages to [EMAIL PROTECTED] For assistance send mail to [EMAIL PROTECTED] Commands should be sent to [EMAIL PROTECTED] Opinions expressed on this list are not necessarily those of the moderator, his assistants or those of the A.I.R.
