Role of a Radiology Nurse

1. Department of Radiology Royal Adelaide Hospital Rhys Ellison RN BN July 2007 Role of a Radiology Nurse

3. �... a science and an art�. The Nurses Board of South Australia (2006) Nursing is . . .

4. �. . . the body of nursing knowledge and the technical aspects of clinical practice�. The Nurses Board of South Australia (2006) The Science is . . .

5. �. . . the establishment of a caring relationship through which the nurse applies nursing knowledge and skill�. The Nurses Board of South Australia (2006) The Art is . . .

6. Registered Three-year University Degree Course Enrolled Eighteen-month Diploma Course Nurses are:

7. - Care Givers - Advocates Nurses are:

8. Assist in the Imaging Process: Ensure the correct person receives the correct image Ensure the patient/client is safe and able to undertake to procedure Monitor the patient/client through out the procedure Report additional precautions the person may require to the imaging personnel Hand over the outcome and ongoing requirements to the wards, emergency department or other health care team Care Givers

9. - Ensure that Additional Precautions are adhered to Maintain a safe work environment for themselves, the other staff and the patient/client Hazards are identified, reported and rectified Triage the clientele into an order of priority, when necessary Care Givers

10. Ensure that patients/clients: Understand the need for the Imaging that is requested Are informed and that if necessary a Consent is obtained Liaise between patient/client and Radiographer/Radiologist Arrange for continuing treatment/monitoring after interventional imaging and/or procedures Advocates

11. General X-ray Angiography and Vascular Access (PICC lines etc.) Ultrasound CT (Computerised Tomography) MRI (Magnetic Resonance Imaging) Screening Nuclear Medicine Radiotherapy Modalities

12. Nurses: Assist in the positioning of people for their imaging, including when sliding people onto the X-ray table Changing people when necessary for the imaging, or if they are soiled (blood, incontinence etc.) Utilising lifting machines to transfer people from wheelchair to the X-ray table General X-ray

13. General X-ray Room 5 General X-ray

14. Normal Chest (Oldnall 2007) Chest X-ray

15. - Scrub to assist Radiologist/Radiology Registrar with the interventional procedures Monitor patient/client throughout the procedure (Pulse, Blood Pressure, Intravenous Therapy etc.) Ensure documentation is completed by all staff where required Hand over to the following health care team the requirement of the patient after an interventional procedure Angiography (Non-Cardiac)

16. Normal Angiography (Oldnall 2007) Angiography (Non Cardiac)

17. Specials Room Angiography Suite

18. Angiography Room Angiography Suite

19. Nurse position Peripherally Inserted Central Catheter (PICC) Utilised for long term venous access Reduces the need for multiple Intravenous (IV) Cannula Often for Haematology, Intensive Care and Cancer Services patients Also for those people with Cystic Fibrosis PICC line insertion

20. PICC Line on X-ray chris-says (2006) PICC Line

21. Various PICC Lines Massachusetts General Hospital (2007) PICC Line

22. Currently there is not a permanent position for a nurse in the Ultrasound area at the Royal Adelaide Hospital, though we are available when required to: Assist in the positioning of patients Assist with interventional procedures: - Biopsies - Drainage of Fluid Collections - Chaperone when intimate examinations are performed (Testes and Trans-vaginal Ultrasound procedures) Ultrasound

23. Normal Hepatic (Liver) and Renal (Kidney) Ultrasound (Oldnall 2007) Ultrasound

24. Room 1 Ultrasound Room

25. Ensure the person understands the need for the CT Scan Assist in the positioning of the patient for the CT Scan Ensure an intravenous (IV) cannula is inserted and patent (working) Ensure an Intravenous Contrast Checklist is completed and reviewed by a Radiologist/Radiology Registrar CT Scan(Computerised Tomography)

26. Draw up and administer Intravenous Contrast if required for the CT Scan Assist in the treatment of Reactions to the Intravenous Contrast Ensure Documentation is completed by the relevant staff Assist with interventional procedures: - Biopsies - Drainages of fluid collections - Myelograms, Facet joint Injections etc. CT Scan(Computerised Tomography)

27. Normal Upper Abdomen CT (Oldnall 2007) CT Scan (Computerised Tomography)

28. CT 1 CT Scan Rooms

29. CT 2 CT Scan Rooms

30. Currently there is not a permanent position for a nurse in the MRI Unit at the Royal Adelaide Hospital, though we are available when required to: Assist in administering Patient care (Bed pans, Suction etc.) Transferring patients onto/off of the MRI Scan table MRI(Magnetic Resonance Imaging)

31. Normal Upper Abdomen MRI (Oldnall 2007) MRI (Magnetic Resonance Imaging)

32. MR Scanner Level 2 MR Scan Room

33. Ensure the person understands the need for the Procedure Ensure they have completed a preparation procedure if it was required (e.g.: bowel cleansing preparations) Assist in the positioning of the person Assist in the preparation of solutions, contrast media that may be required for the procedure Screening

34. Procedures include: - Barium Studies (Swallows and Enemas) - Fluoroscopy of the Knee (or another joint) - Tubograms and Sinograms Screening

35. Normal Barium Studies Small Intestine Large Intestine (Oldnall 2007) Screening

36. Knee Imaging Post-Knee Reconstruction (Oldnall 2007) Screening

37. Screening Room Screening

38. - Assist the Nuclear Medicine Technicians and the Radiologists Prepare the patient for procedures Insert, or arrange, for the insertion of intravenous (IV) cannula Take blood Administer medications Continue nursing care Ensure documentation is completed by the relevant staff Arrange for the transportation from the department Nuclear Medicine

39. PET Scan (Positron Emission Tomography) Whole Body Advanced Diagnostic Radiology (2006) Nuclear Medicine

40. PET Scanner (Philips �Gemini) Koninklijke Philips Electronics (2004-2007) Nuclear Medicine

41. Assist the Radiotherapy Technicians and the Medical Officers Prepare the patient for procedures Insert, or arrange, for the insertion of intravenous (IV) cannula Administer medications Continue nursing care Ensure documentation is completed by the relevant staff Arrange for the transportation from the department Radiotherapy

42. Chest CT Scan Tumour Identified (Pre-Radiotherapy) Twelve months after Treatment Bush, D., Slater, J., Bonnet, R., Cheek, G., Dunbar, R., Moyers, M., and Slater, J. (1999) Radiotherapy