Perform image guided procedures and/or interventions
Overview
SFHCI.I SFHCI.I This standard is about undertaking image guided interventional procedures. It covers invasive procedures and/or interventions performed under image guidance. This standard is relevant to various imaging modalities and should be used in your area of practice. Key people are those involved in the individual's care and others involved in provision of services. It is essential that any person undertaking this procedure be currently competent in appropriate life support and cardiopulmonary resuscitation. Users of this standard will need to ensure that
Performance criteria
You must be able to:
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apply standard precautions for infection prevention and control,
and other appropriate health and safety measures
check and prepare the equipment required for the procedure
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
introduce yourself and other members of staff present during the
examination
check the identification details before commencing the
interventional procedure in accordance with local policies and
procedures
obtain valid consent for the procedure in accordance with national
and local guidelines and protocols
communicate with the individual / key people to facilitate their
understanding of and co-operation with the examination
establish the individuals capacity to understand the procedure
with the help of key people if necessary
clearly explain the procedure and possible outcomes, including
risk, benefits, limitations and alternatives
respect the individuals privacy, dignity, beliefs and decisions
review the clinical history for factors which might contraindicate
the procedure
assess the individual for contra-indications to any medicines to be
used in the examination and for any relevant allergies, and take
appropriate action
ensure appropriate and recent imaging is available and assess
relevant images and information prior to performing the procedure
to confirm the location of the region/structure(s) of interest
make an assessment of the individuals emotional needs and
respond appropriately
ensure that relevant checklists are completed prior to the
procedure in line with local and national policies to highlight any
potential problems before the procedure begins
select the correct equipment for the procedure according to
national and local guidelines and protocols
take appropriate precautions to ensure a clean or aseptic
technique as required
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ensure the individual is in an appropriate position and is as
comfortable as possible for the procedure
administer local anaesthetic if required according to national and
local guidelines
take appropriate steps to minimise the risk of work-related
disorders
ensure the procedure is carried out correctly and in accordance
with local policies and procedures
where required by the procedure, obtain any samples and label
containers according to local guidelines and protocols
ensure all images are acquired, store and transferred in line with
local guidelines and protocols
ensure dressings are applied where appropriate after the
procedure
ensure immediate post-procedure observations are carried out
according to national and local guidelines and protocols
recognise and respond to a deterioration in the individuals clinical
condition in line with relevant national and local guidelines and
protocols
provide the individual with information relating to the procedure
and aftercare where necessary
explain the process for obtaining results
document the procedure according to national and local
guidelines and protocols and make arrangements for results
review
debrief the team according to local guidelines
communicate information to other members of the team as
necessary
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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 national and local guidelines for acceptance of requests for
image guided interventional procedures in your area of practice
the importance of obtaining valid consent in line with national and
local guidelines
the principles and role of image guidance in your area of practice
the use of pre-intervention checklists and how they should be
used according to local and national policies and procedures
how to keep full, accurate and clear records in line with
organisational procedures
the limitations of your own knowledge and experience and the
importance of operating within your scope of practice
the benefits and limitations of image guided interventional
procedures in your area of practice
the role and importance of alternative, additional and
complementary imaging techniques and investigations
clinical appropriateness of the examination request and the action
to take when the request is not appropriate
how to undertake risk assessments for individuals prior to the
procedure
the contraindications associated with each investigation and the
implications of proceeding with due consideration of related risks
the preparation of the individual, environment and equipment for
image guided interventional procedures in your area of practice
the importance of respecting individuals culture, privacy, dignity,
wishes and beliefs and decisions and how to do so
the roles and responsibilities of other team members
how to adapt communication styles, ask questions, and listen
carefully in ways which are appropriate for the needs of the
individual
methods of communicating difficult and complex information to
individuals and key people
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the importance of providing individuals and key people with
opportunities to ask questions and increase their understanding
the information that should be given to individuals before, during
and on completion of the examination
debrief procedures and how these should be used to ensure that
any problems encountered during the procedure are recorded to
inform future interventions
the anatomy, physiology and pathology of the anatomical
structures under investigation
the pathophysiology of relevant disease processes
the clinical findings and imaging appearances associated with
normal and abnormal anatomical structures
the safe use of local anaesthesia and other medicines used
during the procedure or intervention
aseptic techniques and the potential consequences of poor
practice
the importance of minimising any unnecessary discomfort of
individuals undergoing interventional procedures, and how to do
so
the management of emergency/acute complications that occur
during the procedure
the safe use and manipulation of non-imaging equipment used
during the procedure
the management, storage and transport of tissue samples where
relevant
local procedures for image acquisition, storage and retrieval
the annotation and interpretation of relevant images and
information to confirm the location of the region/structure(s) under
investigation
procedures relating to recording, collating and preparing
appropriate documentation and images for transfer or storage
according to local protocols
how changes to image findings as a result of intervention may
affect interpretation of future imaging procedures and decisions by
others
safe operation of imaging equipment in your area of practice
the risks of work-related disorders and how to minimise the risks
machine settings and methods available to optimise the image in
your area of practice
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Scope/range
Scope Performance
Scope Knowledge
Values
Behaviours
Skills
Glossary
Links To Other NOS
External Links
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This standard links with the following dimension within the NHS
Knowledge and Skills Framework (October 2004):
Dimension: HWB7 Interventions and treatments
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