Produce conventional radiographic images for diagnostic purposes using mobile imaging equipment
Overview
SFHCI.A6 SFHCI.A6 This standard is concerned with the use of mobile x ray equipment to produce conventional radiographic images for diagnostic and procedural guidance purposes in a temporary controlled area. This standard includes the use of mobile image intensifier equipment. Key people are those involved in the individual's care and others involved in provision of services. This standard also acknowledges that many of these individuals may not be able to identify themselves or cooperate with the procedure. Users of this standard will need to ensure that
Performance criteria
You must be able to:
SFHCI.A6
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apply standard precautions for infection control and other appropriate
health and safety measures
ascertain the location of the individual and obtain information on any
special circumstances regarding the individual from the staff
responsible for the individual
ensure all necessary preparations have been made by the individual
and staff before starting the procedure
ensure the environment is conducive to maintaining the privacy and
dignity of the individual
check the identification details before commencing the procedure in
accordance with local policies and procedures
identify yourself to other members of staff present during the
examination
establish the individuals capacity to understand and co-operate with
the procedure with the help of key people if necessary
confirm that valid consent has been given for the procedure in
accordance with national and local guidelines
respect the individuals privacy, dignity, beliefs and decisions
clearly explain the procedure and possible outcomes, including risk,
benefits and limitations
check individuals of child-bearing potential for pregnancy or
possible pregnancy, if appropriate to the examination, and take action
in accordance with local protocols
confirm the status of key people before the examination and, where
their presence is required, adhere to local guidelines
assess the ease of access to the individual and the location of any
key people in order to create a temporary controlled area
safely move the mobile imaging equipment to where it is required
together with all additional equipment
position the individual and adjust their clothing according to the
protocols for the examination to be performed in a manner which allows
an optimal outcome to be achieved while:
15.1 recognising the individuals need to retain their dignity and self
respect
15.2 ensuring their comfort as far as possible
15.3 preventing the appearance of artefacts
correctly align the equipment according to the examination
technique, with anatomical legends correctly placed, where appropriate
use automatic exposure controls or apply, check and adjust manual
exposure factors, collimation and radiation protection devices to
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minimise exposure to the individual whilst optimising diagnostic image
quality
check the area around the individual prior to making the exposure to
ensure that only essential, protected persons remain within the
temporary controlled area
give a verbal warning prior to the exposure being made
seek confirmation that the individual is ready before the exposure is
made
maintain communication with the individual and/or key people to
facilitate their understanding and co-operation throughout the
examination
observe the individual's condition and well-being at all times and
take appropriate action should any adverse events occur
ensure safe and appropriate care for the individual on completion of
the imaging episode
record, collate and prepare appropriate information, documentation,
radiation doses and images for transfer or storage according to local
protocols
verify that the images have arrived/been stored according to local
protocols
recognise where help or advice is required and obtain this from
appropriate sources
advise that the temporary controlled area has been removed
inform the individual and/or key people of the results procedure
according to local protocols where relevant
SFHCI.A6
Knowledge and Understanding
You need to know and understand:
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legal, organisational and policy requirements relevant to your role,
the role of others in your organisation and the activities being
carried out
the relevant national and local standards, guidelines, policies and
procedures that are available and how and when they should be
accessed
the importance of respecting individuals culture, privacy, dignity,
wishes, beliefs and decisions
the limitations of your own knowledge and experience and the
importance of operating within your scope of practice
the roles and responsibilities of other team members
the importance of confirming valid consent has been given in line
with national and local guidelines
clinical appropriateness of the examination request and the action
to take when the request is not appropriate
the gross anatomy of the area being examined
physiological and pathological processes relevant to the area
being examined
anatomical landmarks on the body that are relevant to
radiographic imaging
common pathologies and normal variants of the area being
examined
the medical terminology relevant to the examination including
abbreviations
positioning terminology including abbreviations
when additional views are required to aid diagnosis and to
enhance the examination
manifestations of individual's physical and emotional status
clinical conditions and surgical processes/procedures which
require imaging using mobile radiographic equipment
production, interactions and properties of x-rays
the process involved in the formation of radiographic images
the harmful effects of radiation to the human body and use of
radiation protection equipment
ways in which images can be captured, processed and
permanently stored
how to adapt communication styles, ask questions, and listen
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carefully in ways which are appropriate for the needs of the
individual and/or key people
methods of communicating difficult and complex information to
individuals and/or key people
the importance of providing individuals and/or key people with
opportunities to ask questions and increase their understanding
the information that should be given to individuals and/or key
people before, during and on completion of the examination
methods of assessing and recording radiation dose
the inter-relationship between Kilo Volt Peak (kVp) and
Milliamperage (mA) and Time (seconds)
variables affecting exposure factors and how to manipulate
exposure factors for the examination and the individual as
appropriate
automatic exposure controls where available and their use
the technical and diagnostic quality requirements of the image
recognition of artefacts and their impact
the importance of timely equipment fault recognition and local
procedures for reporting these
equipment capabilities, limitations and routine maintenance
including the quality control processes required by the operator
types of imaging equipment, images, image receptor systems that
are suitable for imaging the different parts of the body
the mechanical and drive controls of a mobile machine
how to wear, store and maintain radiation protection equipment
how and when to set up a temporary controlled area
the positioning of the individual relevant to the examination
orientation and appropriate use of anatomical legends
procedures relating to recording, collating and preparing
appropriate information, documentation, radiation doses and
images for transfer or storage according to local protocols
how to keep full, accurate and clear records in line with
organisational procedures
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Scope/range
Scope Performance
Scope Knowledge
Values
Behaviours
Skills
Glossary
Links To Other NOS
External Links
SFHCI.A6
This standard links with the following dimension within the NHS
Knowledge and Skills Framework (October 2004):
Dimension: HWB6 Assessment and treatment planning
SFHCI.A6