ISRRT_COVID-19_book

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Patient experience (a radiographer who had COVID-19) Deborah. A.L. Whiteside I am a Clinical Lead Radiographer in PET/CT who qualified in 1987 and obtained a postgraduate qualification in Radionuclide Imaging in 1992. I have worked in a variety of fields including Diagnostic Radiology, Nuclear Medicine and MRI. I currently work full time, 12-hour days plus extra days to cover staffing shortfalls, in a busy regional PET/CT Centre situated in the North West of England. The majority of our patients being urgent Oncology referrals, with some Non-Oncology 18Fl FDG scans together with Amyloid plaques and Tau Protein Brain Imaging for Dementia trial centres. With the emergence of the COVID-19 virus, it was decided that due to my medical history of cancer treatment and rheumatoid autoimmune disease, requiring continuous immunosuppressant therapy, I should work from home and “shield”, to stay at home and isolate in order to prevent infection. This was a very upsetting time for me, as I do not take time off work for illness and despite my health issues; my sickness absence record was exemplary. Therefore, with reluctance, I set about revising and re writing the PET/CT Training and assessment scheme for the private healthcare provider I am employed by, along with numerous office-based projects at home for three long months. At first working from home was a novelty and not venturing outside my home environment I did feel a sense of security being totally isolated from the world outside. In June 2020 I could stand it no longer, I am a dedicated clinical Radiographer and needed to be “hands on”, accustomed to being on my feet all day and I was now being given tasks that were not even remotely relevant to my role, so I begged to go back to the PET/CT unit to recommence clinical work. Occupational Health agreed after risk assessments were completed, and I had been fit tested for high protection masks and full Personal Protective Equipment (PPE) was provided for all patient contact. I worked my full 40 hours per week in full PPE for a further five months, being extremely vigilant and taking every precaution to keep myself and others safe. I felt very “out of the loop 89
“at work, my colleagues had worked throughout the first wave and I felt isolated and alone. Many things had changed whilst I had been away and I felt lost. Then suddenly one Sunday lunchtime 1st November 2020 following a busy, stressful week, I felt dreadful, shivering, aching and an awful headache, my temperature was 39 degrees. I took to my bed and my daughter booked a drive through PCR test online for later that evening for my husband and myself. The text with results arrived the following morning, my test was negative and my asymptomatic husband’s test was positive. Convinced this was a mistake I ordered a postal test but again tested negative. By now, I was becoming increasingly poorly, very short of breath, a strange scald like rash and very severe chest pain, which became so bad I could not move or breathe without feeling extreme agony. After waiting eight hours for my GP to call me back I could not speak to him the pain was so severe, and at this point, he called a paramedic crew who immediately transferred me to A&E at the Cardio Thoracic hospital. I begged with the ambulance crew not to take me to hospital, firstly because of the high volume of patients admitted and the fact that my family would not be allowed to visit, this was a very lonely and frightening time, but the pain was the worst I had ever experienced, there was no option but to go. Blood tests revealed a very high D Dimer, very high CRP, raised white cell count, Chest X-ray appeared normal. Suspecting a Pulmonary Embolism associated with COVID 19 I was admitted to the “COVID-19 Ward”, commenced anti coagulation therapy and sent for a CT scan, this was a very surreal experience being on the patient side of the scanner. Former colleagues whose worried faces increased my anxiety scanned me. This revealed pneumonia in all lobes, bilateral pleural effusions, atelectasis in both lung bases but no sign of P.E. I was given IV antibiotics, fluids, anti-inflammatory drugs nebulizers and strong analgesia and remained in isolation for ten days, until my blood results improved sufficiently for me to be discharged. I was so relieved to be home and see my family again, they were convinced they would not see me again as so many families had experienced during the pandemic, our only contact had been phone calls. 90
Page 1 and 2:
Reflections on the COVID-19 pandemi
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Editors Peter Hogg Emeritus Profess
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As ISRRT President and on behalf of
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Lessons learned and personal experi
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Lessons learnt and personal experie
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adiographers start to identify less
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image having been already published
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6. If you have used any personal de
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Impact of COVID-19 pandemic on radi
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additional beds, in addition to dis
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Chest Computed Tomography Chest CT
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with COVID-19 patients means high r
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Researching in a pandemic - a non-s
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Clough, Sanders, 2021 Clinical A no
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Figure 1. Experimental set-up of th
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13. Lewis, S. and F. Mulla, Diagnos
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The main topics of the focus group
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Figure 2: Mind map demonstrating ph
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The mind maps suggested 3 main topi
Page 42 and 43: Also: “I think they've done a goo
Page 44 and 45: (PPE) was common. Students noted a
Page 46 and 47: finding is also consistent with the
Page 48 and 49: References 1. Kolb D. Experiential
Page 50 and 51: 20. Office of the Independent Adjud
Page 52 and 53: affected physical meetings, trainin
Page 54 and 55: The implications The convenience of
Page 56 and 57: The final implication is the inabil
Page 58 and 59: 5. Verma, A., Verma, S., Garg, P. e
Page 60 and 61: ased on the practice and reflection
Page 62 and 63: INSTRUCTIONS: Quality Control Test
Page 64 and 65: Figure 3: Radiography bachelor’s
Page 66 and 67: adiologic technologists in our comm
Page 68 and 69: workers imaging and treating patien
Page 70 and 71: all the educational institutes, inc
Page 72 and 73: to continue their academic activiti
Page 74 and 75: dealing with the intricacies of suc
Page 76 and 77: Knowing what we know now, how might
Page 78 and 79: the virus if adequate steps are not
Page 80 and 81: COVID-19 Pandemic Preparedness: Rol
Page 82 and 83: imaging examinations or interventio
Page 84 and 85: Mobilisation of medical imaging per
Page 86 and 87: Radiographers preparing self-made f
Page 88 and 89: Reflections: Key learnings during p
Page 90 and 91: What’s next? A year and a half in
Page 94 and 95: My relief and improvement were shor
Page 96 and 97: Hope Hafsa Tareq Momoniat Reminisci
Page 98 and 99: environment I was used to working i
Page 100 and 101: Today was the first time that I was
Page 102 and 103: Postscript After I agreed to write
Page 104 and 105: knowledge in the class. This strate
Page 106 and 107: clinical education for the medical
Page 108 and 109: Student experiences An undergraduat
Page 110 and 111: perspectives and shared best practi
Page 112 and 113: times. The only downside was that t
Page 114 and 115: pronounced restrictions and indicat
Page 116 and 117: Challenges experienced by lecturers
Page 118 and 119: data, they need to register their m
Page 120 and 121: The rise of the isolation society a
Page 122 and 123: Teaching during COVID-19 can be des
Page 124 and 125: queries and not communicating with
Page 126 and 127: also caused great concern. This led
Page 128 and 129: Staying‐home kids, tele‐educati
Page 130 and 131: and treatment of patients in most c
Page 132 and 133: 9. World Health Organization. COVID
Page 134 and 135: across Ontario. When the first wave
Page 136 and 137: due primarily to the resurgence in
Page 138 and 139: other radiation therapy clinical si
Page 140 and 141: online or via pre-recorded videos.
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they were given appreciation gift p
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procedures that students could perf
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4. Yepes-Rios M, Dudek N, Duboyce R
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supported to ensure functionality w
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level therapist. The treatment plan
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used VERT for online before, facult
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How my professional role has change
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To add perspective, a 3 rd year stu
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was an intimidating process. This i
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Educator Perspectives on Delivery o
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Engaging Disengaged Learners Engage
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Final Thoughts Necessity is the mot
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Figure 1 Subheading: My first paint
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Figure 2 My interpretation of the h
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Figure 3. Variety of work taken fro
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Figure 5. COVID-19 chest cover of I
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adiograph and the virus SARS-CoV-2
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9. Christine A. Price, Women and re
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precise) and having a general chitc
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athroom to have a shower and wash m
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layer and layer of documentation, c
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Rationale Historically patients wit
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initiative there is current discuss
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The enabling factors which led to t
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and she agreed I could do it. Next,
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Award in 2021 - the highest number
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Shifting to online learning and stu
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also played a huge part in the educ
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session to say ‘good-bye’. This
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level playing field among students
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exposed as students had to search f
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Embarking on on-line teaching and l
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of examinations or procedures as li
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tremendously by having electronic c
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Challenges that impacted effective
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community of peer-to-peer learning
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Lessons learnt and personal experie
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A member states that the group admi
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One international member reports
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Radiography Education during the CO
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esearch has been undertaken to unde
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Author Biographies Azizah Mohamed A
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during the pandemic. We may have st
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John Mark De Vera Bachelor of Scien
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now I am based in Ireland teaching
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Professor Hesta Friedrich-Nel Maste
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Dr Mable Kekana Bachelor’s degree
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Kleanthis Konstantinidis Bachelor o
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Hafsa Tareq Momoniat Postgraduate C
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Leicestershire. I review for Radiog
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I have served as a previous preside
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Beth L. Weber Masters in Public Hea
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and am interested in investigating
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