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Terms in this set (52)
Role of CAMRT - advocate for MRTs
- promote advancement of profession
- set certification exam
- outlines best practice guidelines
Best practice is - the means for providing the best possible
outcome for pts based on judgments
- situational
- continually evolving
Best practice is an integration of - best available clinical evidence
- clinical expertise and experience
- pt values and expectations
5 main headings - pt management (PM)
- pt safety (PS)
- quality of care (QC)
- professionalism (P)
- occupational health and safety (OHS)
,3 themes guide best practice 1. recommendation - recommendations that
guideline development describe rather than prescribe a high standard of
professional behaviour
2. rigour - rigourous development through
committees
3. resource - provides trustworthy information
based on researched evidence
PM - Communication of critical or - Provision of care - if in regular course of duties an
unexpected findings MRT identifies something suspected to be
significant for a patient's immediate health and
well-being they have a responsibility to advocate
for the patient and communicate finding to a
radiologist oncologist or other responsible
healthcare professional immediately
- Communication - MRT should be familiar with
facility policy
- Documentation
Patient monitoring and physical - monitor all patients in their care by maintaining
assessment communication and visual contact throughout the
procedure or treatment, and respond to changes in
patient condition
- monitoring allows us to detect changes in patient
condition and take action to prevent potential
adverse events
- MRTs are aware of and monitor for adverse
reactions (ex contrast)
- MRTs use visual assessment skills (ex skin colour,
level of consciousness, breathing)
- MRTs aware of emergency processes and
protocols and what emergencies may arise
,PM - pt sedation - Sedation is "a state of reduced excitement or
anxiety that is induced by the administration of a
sedative agent"
- most common complications include
hypotension, desaturation, excessive sedation,
nausea and vomiting
- MRTs consider personnel needs and arrange
assistance
- MRT knows the location of the emergency cart or
kit
- MRT accompanied by another qualified
healthcare practitioner to monitor the patient
- MRTs dealing with sedated patients educated to
recognize and manage complications
PM - claustrophobia - MRTs help minimize and alleviate patient anxiety
due to claustrophobia through education and
other available measures
- Claustrophobia can be a barrier to patient
compliance and completion of treatment
- Identification prior to treatment helps MRTs make
appropriate preparations
- MRTs are sensitive to cues of claustrophobia
- Management through education, dry run of
procedure, communication etc
PM - pt comfort and positioning - MRTs ensure patient positioning and comfort are
addressed in order to provide a safe and
successful outcome
- Patient motion is a common impediment which
may result in poor image quality which can lead to
repeat procedures, inaccurate treatments, and/or
increased exposure to radiation
, PM - pt identification - All patients identified with two patient identifiers
prior to procedure
- Valid identifiers include: Pt name, DOB, medical
record #, photo, address, health card #, pt
wristband
- Information obatined using open ended
questions
PM - introduction to pt - MRTs introduce themselves to the patient and
those with them using NOD (name, occupation,
duty)