The Role of the The Role of the Radiology NurseRadiology Nurse

Senior SistersSenior Sisters

Jill Harris & Carol EwenJill Harris & Carol Ewen

77thth November 2011 November 2011

Overview of our roleOverview of our role Provide nursing support to Radiology Provide nursing support to Radiology

Directorate within NUTHDirectorate within NUTH Form part of the Management Executive TeamForm part of the Management Executive Team Act as educators + Infection Prevention & Act as educators + Infection Prevention &

Control leadsControl leads Responsible to Heads of Nursing via Responsible to Heads of Nursing via

Directorate ManagerDirectorate Manager Matron as professional lead onlyMatron as professional lead only

How we see the “perfect” How we see the “perfect” RadiologistRadiologist

Knowledgeable / Reliable / SafeKnowledgeable / Reliable / Safe A source of up to date information for the MDTA source of up to date information for the MDT Educators of colleagues and patientsEducators of colleagues and patients Start lists promptlyStart lists promptly Be available to support staff when requiredBe available to support staff when required Know your own limitations and don’t put patients at Know your own limitations and don’t put patients at

riskrisk

How we see the “perfect” How we see the “perfect” Radiologist Radiologist

Good leadership skills / Team playerGood leadership skills / Team player

Provide pre-procedure team briefing in line Provide pre-procedure team briefing in line with WHO guidelineswith WHO guidelines

Direct the team and offer adviceDirect the team and offer advice Integrate with the team to improve workflow Integrate with the team to improve workflow

& relationships& relationships

How we see the “perfect” How we see the “perfect” RadiologistRadiologist

Communicative / Good listenerCommunicative / Good listener

Liaise re: specialist equipment Liaise re: specialist equipment Inform staff of any delays to the start of your listInform staff of any delays to the start of your list Suggest service improvement and developmentSuggest service improvement and development ‘‘Be open’Be open’ Listen to the team and acknowledge their concernsListen to the team and acknowledge their concerns Value team views & opinionsValue team views & opinions

How we see the “perfect” How we see the “perfect” RadiologistRadiologist

Organized / Hands onOrganized / Hands on

Inform the team and secretary of any changes Inform the team and secretary of any changes to the listto the list

Utilise the skills of the MDT to provide a Utilise the skills of the MDT to provide a seamless serviceseamless service

Assist with cleaning, M&H, cannulation and Assist with cleaning, M&H, cannulation and sedation sedation

How we see the “perfect” How we see the “perfect” RadiologistRadiologist

Good sense of friendly/ Good sense of Good sense of friendly/ Good sense of humourhumour

Be approachable and understandingBe approachable and understanding Try and see the funny side of situationsTry and see the funny side of situations Banter is good!Banter is good!

What we can offerWhat we can offer 40 + years Radiology Nursing experience 40 + years Radiology Nursing experience Support change, improvements & introduction Support change, improvements & introduction

of new servicesof new services Facilitate training – CPR / M&H / IPCFacilitate training – CPR / M&H / IPC Role expansion / All degree profession by Sept Role expansion / All degree profession by Sept

20132013 Provide support during emergency situationsProvide support during emergency situations Act as patient advocate Act as patient advocate

Infection Prevention & Control Infection Prevention & Control Issues in NUTHIssues in NUTH

Reduction in MRSA bacteraemias per annum Reduction in MRSA bacteraemias per annum from 95 in 2003/04 to 7 in 2010/11from 95 in 2003/04 to 7 in 2010/11

Reduction in C. Dif. per annum from 466 in Reduction in C. Dif. per annum from 466 in 2007/08 to 155 in 2010/112007/08 to 155 in 2010/11

Introduction of and publicising good hand Introduction of and publicising good hand hygiene technique for everyonehygiene technique for everyone

Introduction of DOH “Saving Lives” Introduction of DOH “Saving Lives” campaign (launched nationally in 2005)campaign (launched nationally in 2005)

Clinical Assurance ToolClinical Assurance Tool

Scenario 1Scenario 1 A request for a CT scan is sent for a patient A request for a CT scan is sent for a patient

with active C. Difwith active C. Dif

How do you & your team manage this?How do you & your team manage this?

Scenario 1 - AnswerScenario 1 - Answer Establish how urgently the scan is requiredEstablish how urgently the scan is required If non urgent, postpone until diarrhoea has If non urgent, postpone until diarrhoea has

stoppedstopped If urgent, appoint at end of listIf urgent, appoint at end of list Remove excess equipment from room + don Remove excess equipment from room + don

protective clothingprotective clothing Post scan, clean room with hypochlorite Post scan, clean room with hypochlorite

solution 1:1,000 & arrange for wall washers to solution 1:1,000 & arrange for wall washers to clean walls before room used againclean walls before room used again

ScenarioScenario 2 2

Patient collapsed in waiting roomPatient collapsed in waiting room

What do you do?What do you do?

Scenario 2 - AnswerScenario 2 - Answer ABC – BLS if appropriateABC – BLS if appropriate Provide emergency careProvide emergency care Make area safe & private if possibleMake area safe & private if possible Communicate clearly to the staff (a nurse may not be Communicate clearly to the staff (a nurse may not be

present)present) Try to identify patient Try to identify patient Establish medical history & reason for radiology visitEstablish medical history & reason for radiology visit Contact relativesContact relatives Arrange referral to clinicians for admissionArrange referral to clinicians for admission

Any questions ?