Responsibility Of
Radiographer.
ADIL AHMAD WANI
INTRODUCTION
• A radiographer is a university-trained health professional who works
with cutting edge technology to produce x-rays, CT scans, MRI scans
and other medical images to assist clinical radiologists.
• COMMON TASKS
• The daily tasks of a radiographer require a precise work and adherence
to strict safety procedures
• Radiographer are required to be knowledgeable in all terminology
related to radiography anatomy and pathology.
• Radiographer deals with the special procedures frequently performed
for diagnosis & for treatment.
• A firm knowledge of anatomy, physiology & pathology is needed.
• Should know about equipment, particularly the role of computers in
imaging.
• Knowledge about catheters, guide wires, contrast.
• Ability to apply written instructions and standardized work practices.
• Knowledge of x-ray procedures and protocols.
• The technologist must use good patient care, skills & be aware of
medico-legal issues
• The responsibility which radiographer carry for patient in their
department may be consider in their procedure.
• A) Clinical responsibility
• B) Ethical responsibility
• C) Legal responsibility
CLINICAL RESPONSIBILITY
• To carry out day work radiographer need some knowledge of practical procedure
in the care of the patient some knowledge of pathology and diseases process so
that they do not worsen a diseases by uniformed handling of the patient
• Some knowledge of first aid and what to do in emergency situation so that they
will be able to help the patient until the medical assistant arrive.
• Understand of the patient psychological state
• We should not leave the patient with an unfavorable or depressing situation. It is
necessary to surround the patient with the right atmosphere.
• To patient, it is a very strange department so that the radiographer should be
reassured first of all as to certain personal qualities and of professional capabilities
• A smile from the radiographer can go very long way towards relationship an easy
and reducing tension in the making patient.
• Assist physicians during procedures.
• Process and evaluate radiographs
PROFESSIONAL RELATIONSHIP
• The appearance of radiographer is very important.
• Professional Attire: Radiographers typically wear clean, professional attire, often
consisting of scrubs, lab coats, or uniforms provided by their healthcare facility.
• Identification: They should wear visible identification badges or nametags that display
their name, title (such as "Radiographer"), and possibly their credentials.
• Hygiene and Grooming: Radiographers should maintain good personal hygiene and
grooming, including clean hands, neat hair, and minimal use of scents or perfumes.
• Footwear: Comfortable, closed-toe shoes with non-slip soles are important for safety
and mobility while working in the healthcare setting.
• Safety Apparel: When operating imaging equipment, radiographers wear appropriate
safety gear, such as lead aprons and gloves, to protect themselves from radiation
exposure.
• PPE (Personal Protective Equipment): Depending on the situation, radiographers
might need additional PPE, such as masks, goggles, or face shields, especially in settings
that require infection control measures.
• The female radiographers should avoid keeping long nails and avoid wearing jewelry to
avoid scratches during handling the patient.
ETHICAL RESPONSIBILITY
• It may be defined as the science of human duty and also important
factor in radiographer and patient relationship
• There are two special element in this responsibility- discretion in
speech and absolute necessity not to reveal information about the
patient which is confidential
• It is radiographer duty to give minimum radiation dose to the patient
• Standards of ethics:
a) Code of ethics
b) Rules of ethics
• Code of ethics:
• A radiographer should be in a professional manner.
• Responds to patient needs and supports co-partner and associates in providing
quality patient care.
• The timing of radiographs, proper side marking and labeling are also important
duties of the technologist.
• Rule of ethics:
• Examinations may be requested by a physician or physician assistant.
• The radiographer should examine the requisition carefully and handed to
physician
• If the procedure cause pain and discomfort to the patient it must be informed
• Radiographer should be in professional manner.
• Radiographer must be well mannered in speech and behavior.
• Treat the patient gently during procedure
Legal responsibility
• The legal responsibilities of a radiographer involve following the rules and laws related
to medical imaging.
• This includes ensuring patient safety, using equipment correctly, protecting patient
privacy, and documenting procedures accurately.
• Radiographers must also follow guidelines to prevent accidents and maintain a high
standard of care while working with patients and medical teams.
Responsibility Of Radiographer
During Radiological Procedures.
INTRODUCTION
• The responsibility of a radiographer refers to the comprehensive range
of duties, tasks, and ethical obligations that a qualified healthcare
professional in the field of radiologic technology undertakes during
various stages of medical imaging procedures.
• Radiographers are responsible for ensuring patient safety, producing
high-quality diagnostic images, adhering to radiation safety guidelines,
collaborating with other healthcare professionals, and maintaining a
commitment to ethical and professional conduct.
• Their role encompasses technical skills, effective communication,
critical thinking, and a dedication to providing accurate and timely
diagnostic information to support patient care and treatment.
The responsibilities of a radiographer during radiological procedures involve a
comprehensive set of tasks aimed at ensuring the safe and accurate acquisition of
diagnostic images.
responsibilities during different stages of a radiological procedure:
1.Pre-Procedure Preparation:
• Review the patient's medical history, including any allergies, recent surgeries, or
existing conditions that might impact the procedure.
• Confirm the type of imaging study requested by the referring physician and verify
patient identification details.
• Explain the procedure to the patient, addressing any concerns or questions they
may have, and obtain informed consent if necessary.
• Ensure that the patient is wearing appropriate attire, removing any metal objects or
clothing that could interfere with the imaging.
2.Equipment and Room Preparation:
• Verify that the imaging equipment is functioning correctly and perform any necessary
quality control checks before the procedure.
• Prepare the examination room by ensuring it is clean, organized, and adequately
stocked with supplies such as contrast agents, immobilization devices, and protective
apparel.
• Set up the imaging equipment based on the specific procedure and patient
requirements, including adjusting technical parameters (kVp, mAs, etc.) for optimal
image quality.
3. Patient Positioning and Immobilization:
• Position the patient according to the radiologist's or physician's instructions,
considering factors such as the area of interest and the patient's comfort and mobility.
• Use immobilization devices (e.g., sandbags, foam pads, Velcro straps) as needed to
minimize patient movement and maintain the desired positioning.
• Communicate clearly with the patient throughout the positioning process, providing
guidance and reassurance to achieve accurate alignment.
4.Radiation Safety and Protection:
• Implement radiation safety protocols, including the use of lead aprons, thyroid
shields, and gonadal shields to minimize radiation exposure to the patient and
radiographer.
• Position radiation shielding devices appropriately to protect sensitive tissues
and organs that are not being imaged.
• Maintain a safe distance from the radiation source and use proper shielding
techniques to minimize personal radiation exposure.
5.Contrast Administration (if applicable):
• Prepare and administer contrast agents, following established protocols and
guidelines for intravenous (IV) or oral administration.
• Monitor the patient for any adverse reactions to the contrast agent and respond
promptly if any symptoms arise.
• Document the contrast administration details, including the type and amount of
contrast used, and any patient reactions observed.
6.Image Acquisition:
• Operate the imaging equipment to acquire diagnostic images, adjusting
technical parameters to achieve the desired image quality and appropriate
exposure levels.
• Communicate with the patient, providing clear instructions on breath-hold
techniques, positioning adjustments, or other actions required during the image
acquisition.
7.Image Review and Analysis:
• Review the acquired images on the imaging workstation to ensure they meet
quality standards and provide the necessary diagnostic information.
• Assess image positioning, clarity, and contrast, making adjustments or retaking
images if necessary to achieve optimal results.
8.Post-Procedure Care and Documentation:
• Assist the patient in returning to a comfortable position after the procedure and
ensure their well-being.
• Document the procedure details in the patient's medical record, including
technical parameters used, contrast administration (if applicable), and any
patient reactions or complications.
9.Equipment Maintenance and Cleanup:
• Perform post-procedure equipment checks and maintenance to ensure the
imaging equipment is ready for subsequent procedures.
• Clean and disinfect the examination room, imaging table, and any equipment
surfaces according to infection control guidelines.
10.Communication and Collaboration:
• Provide accurate and detailed information to the radiologist or interpreting
physician to aid in accurate diagnosis and treatment planning.
• Collaborate with other healthcare team members, such as nurses, radiologists,
and referring physicians, to discuss patient care and imaging findings.
11.Emergency Response:
• Remain prepared to handle emergencies that may arise during the procedure,
such as patient distress or adverse reactions.
• Initiate appropriate emergency protocols and interventions while ensuring
patient safety.
12.Patient Education and Follow-Up:
• Educate the patient about any post-procedure instructions, such as resuming
normal activities, staying hydrated, or taking prescribed medications.
• Address any additional questions the patient may have and provide contact
information for follow-up if needed.
13.Motion Management:
• Continuously monitor the patient during image acquisition to detect any
involuntary movement and make real-time adjustments to minimize motion
artifacts.
• Provide clear instructions to the patient on breath-hold techniques or other
actions to reduce motion and improve image quality.
14.Pediatric and Geriatric Considerations:
• Adapt imaging techniques and communication strategies when working with
pediatric or geriatric patients, taking into account their unique physiological and
psychological needs.
• Use child-friendly communication techniques and distraction methods to help
children stay still and calm during procedures.
15.Patient Advocacy:
• Serve as a patient advocate by ensuring the patient's rights are respected and their best
interests are prioritized throughout the procedure.
• Address any discomfort or concerns the patient may have, and escalate any issues to
appropriate personnel when necessary.
16.Radiation Dose Optimization:
• Employ advanced techniques like automatic exposure control (AEC) and pulsed
fluoroscopy to minimize radiation dose while maintaining image quality.
• Apply knowledge of dose-reduction principles and guidelines to tailor imaging protocols
based on patient size, age, and clinical indications.
17.Cultural Sensitivity:
• Respect cultural and religious beliefs of patients, ensuring their comfort and
privacy are maintained during the procedure.
• Communicate effectively and sensitively with patients from diverse
backgrounds, making sure they understand the procedure and its importance.
18.Patient Consent and Confidentiality:
• Confirm that the patient has provided informed consent for the procedure and
address any questions they may have regarding the risks and benefits.
• Uphold strict patient confidentiality by safeguarding all personal health
information and adhering to legal and ethical privacy regulations.
19.Ethical Dilemmas and Decision-Making:
• Navigate ethical dilemmas that may arise, such as imaging pregnant patients or
patients with cognitive impairments, making decisions that uphold patient welfare
and safety.
20.infection Control:
• Radiographers rigorously adhere to infection control protocols,
including proper hand hygiene, use of personal protective equipment
(PPE), and thorough equipment disinfection between patients.
21.Documentation and Record Keeping:
• Radiographers maintain accurate and complete records of patient
information, procedures performed, and technical parameters used.
• They ensure proper labeling of images and maintain electronic health
records (EHR) according to institutional and legal requirements.