OSPA Answer Plan Case Study test multiple choices questions and answers.

IRMER - correct answers-HCPC registrants must practise within the legal and ethical boundaries -IRMER and IRR part of legislative framework of the profession, within which we work -Aims to limit harmful biological effects of radiation by controlling its use -IJATE -P.A.U.S.E.D REGULATIONS -People annual dose limits (Workers Max Dose = 20 mSv/yr workers (personal dosimetry required), Public Max Dose = 1 mSv/yr) -Areas (Supervised Area = 1 mSv/yr, Controlled Area - 6.6 mSv/yr (must be restricted / must have trefoil lamp)) -Responsible persons (RPA/RPS) -Local Rules (rad safe arrangements and admin) read and signed by all employees -Maintaining a safe practice environment for patients, public and staff is an HCPC requirement Dose Restriction & DRLs - correct answers-Falls in the scope of IRMER and IRR HCPC registrants must practise within the legal and ethical boundaries -National DRLs part of legislative framework of the profession, within which we work -Aims to limit ionising radiation dose -This is of central importance to Radiography -DRLs are maximum dose levels for typical examinations for averaged sized patients -DRLs are limits not targets -NDRLs reviewed every 5 years by Health Security Agency Following local rules -ALARP -P.A.U.S.E.D -Regular QA auditing -Maintaining a safe practice environment for patients, public and staff is an HCPC requirement Essential Skills: Policy - correct answers-Legislative compliance is a must -HCPC registrants must practise within the legal and ethical boundaries -Having a good grasp of relevant policy will allow for this -National (GDPR, IRMER 2017, IRR 2017, Mental Capacity Act, Equality Act, SVGA, H&S@W)"gimesh" -Departmental (protocol book, local rules, local DRLs, Trust policies) -Regulatory body (HCPC Standards of Proficiency) -Professional body (ScOR Code of Professional Conduct) -Overarching policy knowledge = better service for patients Essential Skills: Communication - correct answers-HCPC registrants must communicate effectively and work appropriately with others -Studies show the 'AIDET' acronym improves communication -"Hello, My Name Is" stating my profession and wearing a polite smile -Active listening, receptive communication, suitable tone of voice -Tactful: tell small children that we're taking a picture -Don't demand but explain: E.g, to nurses why ?perf Pts. need to be upright (understood?) -Multidisciplinary collaboration is better teamwork is a better pathway is better patient care Essential Skills: Knowledge - correct answers-HCPC registrants must understand the key concepts of the diagnostic radiography knowledge base and autonomous professional, making evidence-based judgement -The more knowledge we have the more informed our practice will be -Maintain competence to practise by CPD (adaptive technique, safe equipment use, legislative compliance, IT systems, best practice innovation) -Allows for safe high quality diagnostic images = improved patient care Infection Control & Infectious Patients - correct answers-HCPC registrants must establish and maintain a safe practice environmentJurisdiction of H&S@W -Contagion and HCAIs is a particular risk for immunocompromised patients-Communicating the infection status of a patient is vitally important information-Consistently follow infection control protocols (hand hygiene, wearing gloves and aprons, bare below the elbow are all very important at halting microbial transmission) -Faecal-oral disease or a C. diff disease, may require a deep decontamination with chlorine - as opposed to a standard surface clean following a non infectious patient HOW TO PROCEED -Justify-Inpatient = sent for end of the day -HCPC registrants must practise in a non-discriminatory manner and maintain safety-2 people to do the x-ray: (1) Clean (2) Dirty -Equipment covered with radiolucent disposables - This ensures a safe environment benefiting staff, public and patients and is a policy requirement Patient Groups - correct answers-HCPC registrants must practise in a non-discriminatory manner so all patient groups must receive excellent care -Different groups have different needs we must adapt to -Patients with autism can be distressed by humming sounds, red wavelengths or harsh lighting -Dementia patients may need repeated reassurance of who we are and why we're doing the procedure and what's happening and that they won't be left alone (undiagnosed memory probs. = GP follow up) -Geriatric patients at risk of falls need additional physical support -Wheelchair users may need an adapted technique -Patient = unique individual, meeting their specific needs provides a patient-centric experience Good Patient Care - correct answers-HCPC registrants must maintain legislative compliance working in multidisciplinary teams -Knowledgeable professionals working well as a team, provide safe efficient patient-centric care -Timely information; why the procedure, what to expect, choice and consent -Compassionate evidence-based care for the individual -Maintaining a clean environment is safer but also more pleasant -In my experience a broad smile and a warm welcome sometimes goes a long way -Patient-centred care = empowerment = better outcomes Patient Images and Diagnosis - correct answers-HCPC registrants must practise safely and effectively within their scope of practice -Reporting on images by giving the patient a diagnosis is beyond the scope of practice for a Band 5 Radiographer -I would, kindly explain, that I am not able to provide a diagnosis -GDPR Article 15, gives individuals the right to request a copy of any of their personal data -To view their images, I would direct them to where they're able to claim a copy -Meeting their requirements (maintaining policy compliance) provides a patient-centric experience Wrong Patient X-rayed - correct answers-HCPC registrants must maintain records appropriately and have a duty of candour -This would warrant a Datex and Radiation Incident Form (and I think the CQC too) -Inform RPA and Superintendent -Risk assess, calculate dose, update records -Speak to the patient (duty of candour) -Reflect on and review practice (how to prevent this) -Being candid with patients fosters trust, which works towards a better patient service Complaints - correct answers-Most Trusts (quite rightly) have patient-centric mission statements related policies -Studies show the 'AIDET' acronym improves communication and can de-escalate tension -Move to somewhere discreet for a talk if possible: AIDET -Accountability: apologise where applicable -Remain calm and listen to their perspective for a collaborative solution -If I can't help, direct them to someone who can or to the PALS -A service that listens to complaints is able to learn and improve patient services Patients Refusing X-ray - correct answers-ScOR Code of Conduct stipulates that we must obtain informed consent or ensure that it has been given prior to undertaking any examination or treatment -Falls into Gillick Competence and Mental Capacity Act -To proceed without consent is a serious criminal offence -Halt the procedure -Listen to and acknowledge their concerns -Check they understand the procedure, the risks versus the benefits -Still don't want it? (Notify the referrer and leave a note on the patient's file accordingly) -Respecting a patient's autonomy is central to patient centred care Pregnant 16 Female - correct answers-HCPC registrants must exercise our own professional judgement -At 13 to 16 years, she has the same rights to confidentiality as an adult as long as they fully understand the information and decisions involved (Mental Capacity Act) -Maintain confidentiality: ask pregnancy status (LMP) away from parent -Consider: contraception, hysterectomy, irregular periods, delayed menarche -Check if the referring doctor is aware ...ask how they would like to proceed? -X-ray might be contraindicated: note everything on patient files -Respecting confidentiality fosters trust and so a better patient service Patient Fall - correct answers-ScOR Code of Conduct stipulates that we cannot refuse to assist in emergencies but must work within our scope of practice. -We also have a duty of care -Check the patient and shout for help if necessary; call for crash team (2222) -Recovery position if breathing unimpeded (and no CNS disability) -CPR if breathing discontinues -As much as possible, take note of times -Patients trust healthcare professionals to take care of them, doing so provides a good service Lone Adult Patient Without Childcare - correct answers-HCPC registrants must practise safely and effectively within their scope of practice