From: "Rita Richter" <[EMAIL PROTECTED]>

Thanks Scas.

I too think that it is just one of those things, but we are having a root
cause analysis session tomorrow given that the injuries sustained 
were quite
severe.

The radiographer was doing the erect abdo P.A, but the patient 
didn=92t
=91crumple=92 like most faints, but fell like a tree backwards and to the 
side,
missing the tube behind her.

Yes, we do what we can and judge it as we see it.

Rita

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Scas
Sent: Wednesday, 29 January 2003 10:12 PM
To: AIRNEWS
Subject: Re: [AIRNEWS] Risk Management

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 -----
From: Rita Richter <mailto:[EMAIL PROTECTED]>
To: [EMAIL PROTECTED] 
<mailto:[EMAIL PROTECTED]>
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=92s 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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