As in much of our work it is a matter of judgement Rita, ours as well as the nursing staff. Usually we get it right, sometimes not. Many nurses do not understand the need for erect films or the advantages of the use of grids etc. and would have all radiography done at the bedside if it were their decision alone.
One tip: If a patient is able to stand but is a bit unsteady, concider doing a P.A. This allows the patient to hold onto the upright buckey. I have had my upright buckey fixed into a permanent vertical position so that it will not rotate if someone leans on it.
----- Original Message -----
Sent: Tuesday, January 28, 2003 8:49 PM
Subject: [AIRNEWS] Risk Management

Hi all

 

 

We had an incident at work in which a pt fainted during an erect abdomen x-ray.

 

Does anyone out there have policies in use regarding how a radiographer/ward assesses whether a pt can stand for an x-ray.

 

Does anyone use any immobilising devices for say erect abdomen x-rays?

 

Our ward RN’s do a patient mobility assessment of inpatients for their various movements i.e in and out of bed, to the shower. No mobility assessments are performed on casualty patients. Patients are asked if they can stand or if they have been walking today and then off we go if they are able and feel alright.

Anyone do anything different? Better ways of doing things?

 

Rita

 

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