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Scope Of Practice For Consultant Radiographer In Gastrointestinal ...

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Document TitleType of documentBrief summary of contentsExecutive Director responsible forPolicy:Directorate / Department responsible(author/owner):<strong>Scope</strong> of <strong>Practice</strong> for <strong>Consultant</strong> <strong>Radiographer</strong>sin <strong>Gastrointestinal</strong> ImagingCorporate: ClinicalThis document sets out the parameters of the<strong>Consultant</strong> <strong>Radiographer</strong> in the<strong>Gastrointestinal</strong> imaging service.Director of Nursing, Midwifery & Allied HealthProfessionsC. Bloor<strong>Consultant</strong> <strong>Radiographer</strong>Contact details: 01872 25 2285Date written: March 2011Date revised:Approval route (names ofcommittees)/consultation:Divisional Manager confirming approvalprocessesN/aQuality & Governance <strong>Radiographer</strong><strong>Consultant</strong> RadiologistDiagnostic Lead{Original Copy Signed}Name and Post Title of additionalsignatoriesEquality Impact Assessment appendedApproval must not be given if the EIS is Yesnot attachedSignature of Executive Director givingapproval{Original Copy Signed}Publication Location (refer to Policy onPolicies Appendix 1):<strong>In</strong>ternet & <strong>In</strong>tranet <strong>In</strong>tranet Only XDocument Library Folder/Sub Folder Clinical/clinical imagingDate of final approval: March 2011Date policy becomes live: March 2011Date due for revision: March 2014Links to key external standards CQC, Essential Standards of Quality & SafetyRelated Documents:See reference list.Suggested Keywords:<strong>Consultant</strong>, radiographer, advancedpractitioner, breast imaging, screening.Training Need Identified?No.This document is only valid on the day of printingControlled DocumentThis document has been created following the Royal Cornwall Hospitals NHS TrustPolicy on Document Production. It should not be altered in any way without theexpress permission of the author or their Line Manager.Policy TemplatePage 1 of 3


<strong>Scope</strong> of <strong>Practice</strong> for <strong>Consultant</strong> <strong>Radiographer</strong> inGastro <strong>In</strong>testinal ImagingV2.0March 2011Policy TemplatePage 2 of 3


Clinical Imaging Department<strong>Scope</strong> of <strong>Practice</strong> for <strong>Consultant</strong> <strong>Radiographer</strong> in Gastro <strong>In</strong>testinal Imaging1.0 <strong>Scope</strong>This protocol must be followed for all radiological gastro-intestinal examinations undertaken bynon-medical professionals in The Royal Cornwall Hospitals Trust. This protocol has beendeveloped to outline the training, function and responsibilities associated to the role.2.0 ResponsibilityEvery practitioner has a duty of care to patients and this cannot be delegated at anytime. Thepractitioner is responsible for ensuring they have received sufficient training and have beenassessed as competent (through both accredited and in-house training) to perform thediagnostic and therapeutic lower GI endoscopic procedures associated with this protocol. Thepractitioner is also responsible for ensuring standards detailed in this protocol and associatedprocedures are maintained.3.0 Related DocumentationHPC Standards of ConductNMC Code of ConductNICE Urgent Referral guidelines (2005)Royal Marsden Manual of Clinical ProceduresRCHT Policy for Consent to Examination or TreatmentRCHT Policy for Patient IdentificationRCHT <strong>In</strong>fection control PolicyWaste Management PolicyRCHT Radiation Protection PolicyCornwall & Isles of Scilly Medicines managementRCHT Procedures for the development and Review of Patient Group DirectionsRCHT <strong>In</strong>travenous PolicyRCHT Modified Early Warning System ProcedureDocument TitleDoc ID.VersionNoPagesAuthoredbyApproved byDateApplicableReview Date<strong>Scope</strong> of <strong>Practice</strong> for<strong>Consultant</strong> <strong>Radiographer</strong> in<strong>Gastrointestinal</strong> ImagingCI.IR.04 02Page 1 of5C. Bloor C. Rashleigh Feb 2011 Feb 2014


Clinical Imaging Department6.0 Administration of PharmaceuticalsAll pharmaceuticals administered as part of this scope of practice must be in accordance withthe associated patient group directions unless a medical prescription is acquired. All nonmedicalpractitioners wishing to operate under patient group directions must be authorised todo so following sufficient training for each drug as per RCHT Procedures for the Developmentand Review of Patient Group Directions. Drugs to be administered.7.0 Referral Process under this ProtocolAll patients will be referred to Clinical Imaging by hospital <strong>Consultant</strong>s, GP’s or Nursepractitioners working within an agreed protocol.8.0 Further Responsibilities<strong>Consultant</strong> <strong>Radiographer</strong>• Provide and promote professional leadership throughout the Breast Imaging team.• Direct the professional development of the Breast Imaging team.• Participate in research as part of national or local projects.• Analyse and appraise evidence based research to evaluate current practice.• Develop and support best practice within the department.8.1 Multi-disciplinary RelationshipsThe non-medical endoscopic practitioner does not operate alone and is therefore expected tomaintain effective relationships within the multi-disciplinary team which includes:• Gastro-enterology team• Lower GI Surgeons• Upper GI Surgeons• ENT Surgeons• Speech and Language Therapists• Radiologists• <strong>Radiographer</strong>s• Nursing teams in radiology,• CNS colorectal cancer• CNS upper GI Cancer• CNS Head and Neck Cancer• Lower GI Nurse specialist• Upper GI Nurse Specialist• Ward based nursing teams,Administrative support radiologyDocument TitleDoc ID.VersionNoPagesAuthoredbyApproved byDateApplicableReview Date<strong>Scope</strong> of <strong>Practice</strong> for<strong>Consultant</strong> <strong>Radiographer</strong> in<strong>Gastrointestinal</strong> ImagingCI.IR.04 02Page 3 of5C. Bloor C. Rashleigh Feb 2011 Feb 2014


Clinical Imaging Department9.0 Training and EducationThe knowledge and skills required for a practitioner to operate within a full scope ofpractice are acquired over a period of time. The competency requirements listed belowreflect the full scope of practice, a reduced scope may be accepted during training butthis must be agreed and supervised by specialist senior medical staff.9.1 Acquiring Competency<strong>In</strong> order to achieve competency in this scope of practice the professional must havesuccessfully completed the following: Masters Degree in gastro-intestinal practice Resuscitation Council UK approved advanced life support course RCHT Oral & <strong>In</strong>travenous drug administration SDLP level 3 RCHT Cannulation SDLP level 2 RCHT Consent SDLP level 3 RCHT Diabetic Awareness level 1 RCHT Patient Group Direction Training9.2 Maintaining Competency<strong>In</strong>dividuals are responsible for maintaining their clinical competence. Any areas of inneed of development should be identified and addressed immediately to remove anyrisk to patients or staff. All RCHT employees undergo an annual appraisal in-line withagenda for change/ KSF requirements. All practitioners undertaking this role isexpected participate in service development initiatives and maintain a professionalportfolio demonstrating continued competence in this area of practice.10.0 DocumentationA radiology report will be entered onto the PACS system and will be available on WEBPACS and CRIS (the radiology information system). The report will contain diagnosticinformation, and information on continuing care, including the recommendation offurther imaging.Document TitleDoc ID.VersionNoPagesAuthoredbyApproved byDateApplicableReview Date<strong>Scope</strong> of <strong>Practice</strong> for<strong>Consultant</strong> <strong>Radiographer</strong> in<strong>Gastrointestinal</strong> ImagingCI.IR.04 02Page 4 of5C. Bloor C. Rashleigh Feb 2011 Feb 2014


Clinical Imaging Department11.0 Audit/ MonitoringRegular audit of practice will be carried out by regular double reporting of images andcase reviews to ensure a safe and consistent standard of practice. This includesreview of images and reports at multidisciplinary team meetings.12.0 Dissemination, Implementation and Access to this documentThis policy should be implemented and disseminated through the departmentimmediately following approval and will be made available on the shared drive.13.0 Process for ReviewThe document is reviewed every 3 years unless practice dictates otherwise.14.0 ReferencesCollege of <strong>Radiographer</strong>s. (2003) Developing the Business Case for <strong>Consultant</strong><strong>Radiographer</strong>s, College of <strong>Radiographer</strong>s, London.Document TitleDoc ID.VersionNoPagesAuthoredbyApproved byDateApplicableReview Date<strong>Scope</strong> of <strong>Practice</strong> for<strong>Consultant</strong> <strong>Radiographer</strong> in<strong>Gastrointestinal</strong> ImagingCI.IR.04 02Page 5 of5C. Bloor C. Rashleigh Feb 2011 Feb 2014


Appendix 2 - <strong>In</strong>itial Equality Impact Assessment Screening <strong>For</strong>mName of policy, procedure or service (hereafter referred to as policy) to be assessed:<strong>Scope</strong> of <strong>Practice</strong> for <strong>Consultant</strong> <strong>Radiographer</strong> in GastroDirectorate and service area:Clinical Imaging<strong>In</strong>testinal ImagingIs this a new or existing Policy?NewName of individual completing assessment:Naomi BurdenTelephone:01872 2530951. Policy Aim* To define the scope of practice for <strong>Consultant</strong><strong>Radiographer</strong>s in the Gastro <strong>In</strong>testinal Imaging service2. Policy Objectives* Outline the standards of practice, academic requirementsand responsibilities of the position.3. Policy – intendedOutcomes*To clearly identify the scope of practice of these staffgroups.4. How will you measurethe outcome?Monitoring is via MDT and by JAG quality assuranceprogramme.5. Who is intended tobenefit from the policy?Patients and staff6a. Is consultation requiredwith the workforce, equalitygroups etc. around thispolicy?b. If yes, have these groupsbeen consulted?c. Please list any groupswho have been consultedabout this policy.NoN/A1


7. The ImpactPlease complete the following table using ticks. You should refer to the EIA guidancenotes for areas of possible impact and also the Glossary if needed. Where you think that the policy could have a positive impact on any of theequality group(s) like promoting equality and equal opportunities or improvingrelations within equality groups, tick the ‘Positive impact’ box. Where you think that the policy could have a negative impact on any of theequality group(s) i.e. it could disadvantage them, tick the ‘Negative impact’ box. Where you think that the policy has no impact on any of the equality group(s)listed below i.e. it has no effect currently on equality groups, tick the ‘No impact’box.It is important that there is clear evidence for the decision on whether the policy,procedure or service has a positive, negative or no impact. This may be through:• Knowledge of e.g. the culture of a particular ethnic group• Complaints• Surveys• Performance data• <strong>In</strong>spection/audit/ assessment• Anecdotal evidenceEqualityGroupAgeYoung, old & middleaged peoplePositiveImpactXNegativeImpactNoImpactReasons for decision (includingevidence)The <strong>Consultant</strong> has specialist skills toenable them to appropriately care forthe age range of patients they see.DisabilityPeople who have adisability that may bephysical, mental orsensory, visible or nonvisible.XThe <strong>Consultant</strong> is able to adapttechniques to care for people withdisabilities.EqualityGroupReligion & BeliefPeople who have areligious belief, peoplewho are atheist oragnostic, people whohave a philosophicalXThis is part of the <strong>Consultant</strong> trainingand they are able to adapt techniquesor refer patients appropriately.2


elief which affectstheir view of the worldGenderMen, women, marriedpeople, transsexual,transgender,parenting, caring,flexible working &equal pay concernsRacePeople from thevarious racial groups,e.g. as containedwithin the censusXXNo impactThis is part of the <strong>Consultant</strong>s trainingand they are able to adapt techniquesor refer patients appropriately.SexualOrientationHeterosexual &bisexual men andwomen, gay men &lesbiansXNo impactHuman RightsAll areas (Articles) ofthe Human Rights Actincluding deprivationXThe consultant is a specialist clinicianwho have received training at masterslevel to ensure rights are protected.You will need to continue to a full Equality Impact Assessment if the following havebeen highlighted: A negative impact and No consultation (this excludes any policies which have been identified asnot requiring consultation).8. If there is no evidence thatthe policy promotes equality,equal opportunities or improvedrelations - could it be adaptedso that it does? How?3


LEAD PERSON DECLARATION (individual completing the assessment)FULL IMPACT ASSESSMENT REQUIRED? Yes NoSIGNED BY LEAD PERSON:……………………………………………………………………NAME: ………………………………………………………………DATE: ………………………………………………………………Comments:EQUALITY AND DIVERSITY LEAD/EIA SUB-GROUP MEMBER DECLARATIONFULL IMPACT ASSESSMENT REQUIRED? Yes NoSIGNED BY E&D LEAD/EIA SUB-GROUP MEMBER:……………………………………………………………………………NAME: ………………………………………………………………Comments:Keep one copy and send a copy to the Human Resources Team, c/oRoyal Cornwall Hospitals NHS Trust, Human Resources Department, Lamorna House,Penventinne Lane, Truro, Cornwall, TR1 3LJThey willarrange for a summary of the results to be published on the Trust’s web site.4

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