Interested in a simple Skills Scan and Learning Progress Tracker tool for the Diagnostic radiographer (integrated degree) standard?
Knowledge
K1: Knows and understands local and national Imaging policies and procedures including patient pathways and the impact of imaging on patient care and treatment.
K2: Knowledge of Health and Care Professions Council Standards of Proficiency and Society and College of Radiographers Code of Conduct and professional scope of practice.
K3: Knowledge and understanding of relevant anatomy, physiology and pathology, normal, normal variants and abnormal image appearances.
K4: Understand key patient signs and symptoms and observation records in order to recognise and manage a deteriorating patient.
K5: Knowledge and understanding of local referral justification criteria and relative clinical urgency of clinical conditions, including signs, symptoms and potential consequences.
K6: Knowledge and understanding of different patient needs and rights including dignity, diversity and privacy, communication styles and clinical conditions e.g. dementia or learning disabilities.
K7: Knowledge and understanding of the principles of radiobiological science, the associated risks and benefits and comparative radiation doses for different imaging protocols including different types of imaging in relation to appropriate authorisation of the justification of imaging requests.
K8: Knowledge and understanding of Ionising Radiation (Medical Exposures) Regulations and Ionising Radiation Regulations. Knowledge of Local Rules, local and national Diagnostic Reference Levels (DRLs) including appropriate associated Personal Protective Equipment (PPE), and pregnancy status.
K9: Knowledge of the procedure for obtaining consent, the underpinning knowledge of consent, and the procedures for when consent cannot be obtained.
K10: Knowledge of human anatomy and physiology to image the area of interest, using external bony landmarks and knowledge of the effects of adapting positioning on the resulting image.
K11: Knowledge of safe patient moving and handling techniques.
K12: Knowledge of the methods of drug administration, the pharmacological basis for interaction of contrast media, including contraindications and how to respond to an emergency situation.
K13: Knowledge of the physiological effects of exposure to Ionising Radiation and the correct use and manipulation of radiation exposures and associated radiation science in order to produce high quality images, whilst maintaining the lowest practicable radiation dose.
K14: Knowledge of the process for escalation of unexpected findings identified on images to ensure optimum patient care.
K15: Knowledge of conflict resolution strategies.
K16: Knowledge of different methods of communication including verbal and non-verbal communication. Knowledge and understanding of the effect of own body language and attitude on others. Knowledge of active listening skills.
K17: Knowledge and understanding of the legal, ethical and professional principles associated with equality, diversity and safeguarding.
K18: Knowledge of patient confidentiality and awareness of responsibility to maintain it in line with ethical and legislative frameworks.
K19: Understands the General Data Protection Regulations and consequences of good and poor data quality on the patient experience/pathway including the need for accurate record keeping and report writing.
K20: Knowledge of different roles and scopes of practice for those under own supervision.
K21: Knowledge of different learning styles, assessment, group dynamics, learning theory, recognition of good and bad practice, delivering constructive feedback.
K22: Understanding of radiographic equipment in the context of how images are produced for both ionising and non-ionising radiation imaging methods and how images are appropriately shared and/or stored.
K23: Knowledge of the theory of the audit cycle, quality control tools / equipment, analysis of results and how to take appropriate action and the principles of service improvement.
K24: Knowledge of current trends in relevant legislation, the profession and wider healthcare, and an understanding of putting evidence-based practice into daily work.
K25: Knowledge of different research methodologies and how to critically analyse research.
K26: Knowledge of cyber security relevant to the Imaging department.
K27: Knowledge of the application of different Imaging procedures and the associated risks/benefits and precautions/safety requirements.
Skills
S1: Undertake basic patient observations, recognise a deteriorating patient, and manage immediately and appropriately.
S2: Manage time and resources and prioritise workload according to clinical needs.
S3: Build and sustain professional relationships and work independently, as part of the imaging team, as part of a multi-disciplinary team, and providing supervision as appropriate.
S4: Communicate appropriately with each individual patient, their families and carers, involving them in decision making, where appropriate, and the multi-disciplinary team adapting a style for each individual to provide holistic care, taking account of circumstances and environments.
S5: Collate and record information from different sources and critically evaluate to make a logical, informed decision using this information, and communicate decisions appropriately and in a timely way.
S6: Critically assess a clinical or professional situation and respond accordingly eg raising concerns as appropriate
S7: Use good radiographic techniques and modify as clinically appropriate. Have the technical ability to manipulate a range of equipment, whilst maintaining patient comfort and adequately communicate with patients and colleagues to ensure the safe movement of patients into imaging position. Use appropriate touch techniques to locate external bony landmarks.
S8: Recognise normal and abnormal image appearances and when to act upon them. Use abnormality alert systems such as a preliminary clinical evaluation.
S9: Assess image technical standard according to a recognised methodology.
S10: Provide patient care in accordance with patient condition e.g. patient personal hygiene, basic life support, first aid, basic patient care needs and deliver, where appropriate, brief clinical preventative advice interventions.
S11: Respect and maintain patient privacy and dignity at all times in all environments, including emergency situations.
S12: Maintain accurate and confidential information using, for example, Radiology Information Systems (RIS), Picture Archiving Communication System (PACS) etc.
S13: Maintain data protection and patient confidentiality in clinical practice and complete relevant concise, factual reports and documentation.
S14: Use appropriate Personal protective Equipment (PPE) for staff, patients and members of the public.
S15: Use radiation protection techniques safely and appropriately, including distraction/immobilisation techniques to effectively minimise overall radiation dose. Appropriate use of radiation dose software. Manipulate exposure factors according to patient condition to create a diagnostic image with the lowest practicable radiation dose.
S16: Adopt Imaging and organisational policies, procedures, protocols, guidance and legislation into the clinical environment under different circumstances and situations.
S17: Supervise, facilitate learning, motivate and share reasoned clinical judgement with others.
S18: Use Quality Assurance tools/equipment, to analyse and interpret results and act upon them in a safe manner.
S19: Read and critically analyse research articles, utilise basic research skills and apply research findings to practice.
Behaviours
B1: Demonstrate a calm demeanour with empathy, compassion and underpinning emotional resilience to manage day-to-day pressures in unpredictable, emergency and distressing situations, e.g. patients in cardiac arrest, patients suffering life changing injuries and/or disease diagnosis.
B2: Confident, flexible and adaptable within own scope of practice.
B3: Demonstrate emotional intelligence.
B4: Act with professionalism, honesty, integrity and respect in all interactions. Maintain good character as outlined in their professional Code of Conduct and not bring their profession or organisation into disrepute.
B5: Reflect on own impact on others, take responsibility and be accountable for own actions. Sensitively challenge others and raise issues when appropriate.
B6: Actively reflect on own practice and accept and respond to constructive criticism. Be proactive in implementing improvements in order to improve service delivery and patient care.
B7: Be aware of and take responsibility for their own fitness in context of physical and/or mental health issues which may affect performance. Seek help and/or guidance as appropriate. Inform Health and Care Professions Council and employer of any change of circumstance that may affect the right to practise.
Duty 1
DUTY: Work as an autonomous practitioner to make decisions in diagnostic radiography.
CRITERIA FOR MEASURING PERFORMANCE: Adhere to Health and Care Professions Council Standards of Proficiency, performance, conductand ethics; and Society and College of Radiographers guidance; national legislation and local policies and procedures
K1
K2
K3
K4
K7
K8
K13
S1
S2
S4
S5
S8
B1
B2
B4
B6
B7
Duty 2
DUTY: Clinically assess patient condition to decide the most appropriate imaging protocols required to achieve diagnostic imaging.
CRITERIA FOR MEASURING PERFORMANCE: Adhere to Health and Care Professions Council Standards of Proficiency, performance, conductand ethics; and Society and College of Radiographers guidance; national legislation and local policies and procedures
K1
K3
K4
K5
S1
S4
S5
S6
B3
B4
Duty 3
DUTY: Assess, authorise or reject, if appropriate, the clinical information provided on the request form against justification criteria and clinically prioritise accordingly.
CRITERIA FOR MEASURING PERFORMANCE: Adhere to HCPC Standards of Prociency, performance conduct and ethics, Society and College of Radiographers guidance; national legislation including Ionising Radiation (Medical Exposure) Regulations and Ionising Radiation Regulations; and local policies and procedures
K3
K5
K7
K8
S4
S5
B1
B4
Duty 4
DUTY: Confirm patient identity and obtain patient consent prior to examination and explain how to obtain their results.
CRITERIA FOR MEASURING PERFORMANCE: Adhere to Health and Care Professions Council Standards of Prociency, performance, conduct and ethics; Society and College of Radiographers guidance; national legislation including Ionising Radiation (Medical Exposure) Regulations; and Ionising Radiation Regulations and local policies andprocedures
K1
K7
K8
K18
S4
B4
Duty 5
DUTY: Move and manipulate imaging equipment safely, position patients and adapt technique to ensure optimal diagnostic images can be achieved. The diagnostic procedures may include general x-ray images including trauma and orthopaedics, dental, ward patients, ambulatory & non- ambulatory care, operating theatre, mobile x-ray (wards, Intensive Care Unit, Emergency department), fluoroscopy and Computed Tomography (CT).
CRITERIA FOR MEASURING PERFORMANCE: Adhere to HCPC Standards of Prociency, performance, conduct and ethics; Society and College ofRadiographers guidance; national legislation including Ionising Radiation (Medical Exposure) Regulations and Ionising Radiation Regulations; local policies and procedures
K6
K8
K10
K11
K12
K13
S7
S8
S11
S15
B2
B5
B7
Duty 6
DUTY: Evaluate the quality of images according to the clinical criteria. Recognise normal, normal variants and abnormal image appearances in order to provide a preliminary clinical evaluation when appropriate and to escalate urgent or unexpected findings in a timely manner.
CRITERIA FOR MEASURING PERFORMANCE: Adhere to Health and Care Professions Council Standards of Proficiency, performance, conduct and ethics; Society and College of Radiographers guidance; national legislation including Ionising Radiation (Medical Exposure) Regulations; local policies and procedures
K3
K10
K13
K14
S8
S9
B2
B5
Duty 7
DUTY: Deliver high quality patient-centred, compassionate care and maintain patient confidentiality, privacy and dignity at all times.
CRITERIA FOR MEASURING PERFORMANCE: Adhere to Health and Care Professions Council Standards of Prociency, performance, conductand ethics; Society and College of Radiographers guidance; local policies and procedures
K6
K17
K18
S4
S10
S11
S13
B1
B4
B5
Duty 8
DUTY: Accurately record data in compliance with legislation, information governance and local policies and procedures.
CRITERIA FOR MEASURING PERFORMANCE: Comply with national legislation, including data protection and Ionising Radiation (Medical Exposure) Regulations and local policies and proceduresAdhere to Health and Care Professions Council Standards of Proficiency, Performance, Conductand Ethics and Society and College of Radiographers Code of Professional Conduct
K8
K18
K19
K26
S12
S13
B4
Duty 9
DUTY: Work effectively as part of a multidisciplinary team when delivering holistic patient care.
CRITERIA FOR MEASURING PERFORMANCE: Adhere to Health and Care Professions Council Standards of Proficiency, performance, conduct and ethics;, and Society and College of Radiographers guidance; national legislation and local policies andprocedures
K1
K15
S3
S4
S5
S6
B1
B2
B4
Duty 10
DUTY: Maintain appropriate radiation protection for self, patients, staff and public. Maintain a radiation- controlled area when undertaking diagnostic imaging procedures in different care settings e.g. in an imaging department, or on a ward/operating theatre.
CRITERIA FOR MEASURING PERFORMANCE: Adhere to Ionising Radiation (Medical Exposure) Regulations, Ionising Radiation Regulations and local policies and proceduresAdhere to Health and Care Professions Council Code of Conduct.
K1
K8
K13
S4
S14
S15
B2
B4
B5
Duty 11
DUTY: Comply with clinical governance including all statutory and local policies, procedures and protocols, e.g. safeguarding, duty of candour, Health and Safety and infection prevention and control etc.
CRITERIA FOR MEASURING PERFORMANCE: Comply with national legislation and local policy and procedures
K1
K2
K8
S16
B2
B4
B5
B7
Duty 12
DUTY: Supervise Assistant Practitioners, Healthcare Support Workers, students and other learner groups within imaging and non-imaging services, supporting their development and training and delegate work as appropriate.
CRITERIA FOR MEASURING PERFORMANCE: Adhere to Health and Care Professions Council Standards of Proficiency, performance, conductand ethics;, and Society and College of Radiographers guidance; national legislation and local policies and procedures
K16
K20
K21
S4
S17
B2
B3
B4
B5
B6
B7
Duty 13
DUTY: Participate in, undertake, analyse and take action on results for diagnostic Imaging Quality Control tests, including reject analysis and audit as part of the Quality Assurance Programme.
CRITERIA FOR MEASURING PERFORMANCE: Comply with Ionising Radiation (Medical Exposure) Regulations, Ionising Radiation Regulations andlocal quality assurance policies and procedures
K8
K22
K23
K24
K25
S2
S12
S13
S18
B4
Duty 14
DUTY: Use Continual Professional Development (CPD) and reflection to maintain professional Health and Care Professions Council registration. Keep up to date and engage with current research and evidence-based practice.
CRITERIA FOR MEASURING PERFORMANCE: Comply with Health and Care Professions Council Standards of Proficiency, Society and College ofRadiographers guidance and local policies
K2
K21
K24
S2
S13
S16
S19
B2
B4
B5
B6
B7
Duty 15
DUTY: Identify and negotiate with the Employer an area of practice to inform service development, e.g. undertake IV cannulation, Computed Tomography (CT) examinations, Magnetic Resonance Imaging (MRI) examinations, imaging skills in paediatrics / dental/ orthopaedics or developing leadership/management skills.
CRITERIA FOR MEASURING PERFORMANCE: Comply with Health and Care Professions Council Standards of Proficiency and Society and Collegeof Radiographers guidance
K1
K3
K9
K12
K18
K23
K24
K25
S1
S3
S10
S16
B1
B2
B6
Duty 16
DUTY: Undertake contrast studies, with appropriate precautions in relation to medicines management before, during and after the examination; dealing with any adverse reactions/aftercare of the patient.
CRITERIA FOR MEASURING PERFORMANCE: Comply with medicines management policies and procedures
K4
K5
K7
K9
K12
K19
S1
S4
S6
S10
S13
B1
B2
B3
B4
Duty 17
DUTY: Assist in procedures in Ultrasound, Magnetic Resonance Imaging (MRI), Nuclear Medicine and Interventional Radiology.
CRITERIA FOR MEASURING PERFORMANCE: Comply with Health and Care Professions Council Standards of Proficiency and Society and Collegeof Radiographers guidance
