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Insights - Winter 2007

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Online Services Survey Results
Sharon Saberton Retires
Federation of Health Regulatory Colleges–"An Inter-professional Guide on the Use of Orders, Directives and Delegation for Regulated Health Professionals in Ontario"
Revisions to the College’s Standards of Practice
Auditor General’s Comments on Use of Diagnostic Equipment
Summary of Discipline Hearing
Suspended Members

Online Services Survey Results
As reported last year, nearly 2,000 members (32%) responded to the College’s mail survey aimed at discovering their views on current and future online services. The purpose of the survey was to determine current usage levels of the College’s web site, identify online service enhancements to be considered and explore additional annual renewal payment options.

The survey results will be valuable as the College considers how to expand and improve its online services, in particular through the web site. The main findings of the survey are outlined below:

College members are comfortable with digital technology:
  • 94% have access to the Internet either at home or work, with nearly 87% with a high speed connection
  • 68% use the Internet for online banking
  • 54% have purchased goods or services online
Members who use the College web site (43%) find it useful and use it for information on professional practice (53%), the quality assurance program (49%), and professional registration (32%) and also frequent the resource room (42%)

Members would like to see enhanced online services that will allow for:
  • annual renewal of registration, including fee payment
  • checking registration status
  • updating contact information
Members are looking for additional options other than cheque or money order to pay annual fees
  • There is significant interest with 53% indicating they would consider using Visa or Mastercard to pay annual fees
The College Council is delighted with the response to the survey and the direction it provides to decisions it will be making over the next few years. The directions identified by members will be taken into account in Council’s strategic planning process.

Sharon Saberton Retires
This is the final edition of Insights under the management of Sharon Saberton as College Registrar. Effective March 2, 2007, Linda Gough will assume full responsibility as Registrar of the College and, of course, for this publication.

Sharon led the College through the transition from the Board of Radiological Technicians to becoming the College of Medical Radiation Technologists of Ontario under the Regulated Health Professions Act (RHPA)... and to the highly respected self-regulatory body that it is today.

It would be impossible to list in Insights all her accomplishments during that time. Sharon has been instrumental in every major development from the first standards of practice and our well regarded quality assurance program to the current multi-source feedback system; from the creation of Insights and the series of publications called What You Must Know About to the development of the College’s web site; from the first integration of the three specialties to the subsequent addition of the specialty of MR into the College infrastructure. She has represented self-regulation of the profession with the Ontario Association of Medical Radiation Technologists and Canadian Association of Medical Radiation Technologists, with the Ontario government, with the Federation of Health Regulatory Colleges of Ontario, through the various reviews of the RHPA undertaken by the Health Professions Regulatory Advisory Council, with the media, other health care sector bodies and the public. And she has supported dozens of Council members as they learned their roles and fulfilled their responsibilities as Council members.

Suffice it to say that thanks to Sharon’s leadership for the past 14 years—and the support and contribution of the College’s staff, including Registrar-designate Linda Gough—our College has grown to become one of the leading health profession bodies in the country, and our members are now recognized within the health care team. "Sharon’s contribution to the profession of medical radiation technology has been tremendous," says Linda Gough. "She has been our torch-bearer and change master. Throughout her career, Sharon’s unique mix of enthusiasm, creativity, helpfulness and encouragement has been valued by many. We all wish Sharon a long, happy and prosperous retirement."

Federation of Health Regulatory Colleges—“An Inter-professional Guide on the Use of Orders, Directives and Delegation for Regulated Health Professionals in Ontario”
After two years of work, consultation and detailed study, the Federation of Health Regulatory Colleges of Ontario (FHRCO), which includes the CMRTO, has released its Inter-professional Guide on the Use of Orders, Directives and Delegation for Regulated Health Professionals in Ontario. The guide is available through a link on the College’s web site www.cmrto.org.

The guide has been developed in order to address questions and confusion regarding point-of-care use of orders—direct orders and medical directives—and delegation across all health professions and practice settings.

The final guide is the result of the work of a multi-college team under the leadership of Heather Campbell, College of Nurses of Ontario, and our own Sharon Saberton.

Revisions to the College’s Standards of Practice
In 1994, the College released its Standards of Practice for MRTs. The Standards of Practice underwent a thorough review in 2001 resulting in the development of the Essential Competencies, Comprehensive Guidelines and Addendum to the Comprehensive Guidelines documents released in 2004.

The College’s Council has now authorized a project to revise the Comprehensive Guidelines to review how the impact of a number of significant developments since 2004 should be reflected in the guidelines. These differences include:
    Major changes over the past three-five years in the technology and practice of medical radiation technology
  • Changes in the expectations on MRTs with respect to delegation in the evolving inter-disciplinary patient-centred health care model
  • New policies related to the scope of practice of MRTs which need to be researched and integrated into the guidelines, including bone densitometry and the application of CT as an entry-to-practice requirement for all MRTs in all specialties
As with the development of the original guidelines, the College will be soliciting MRTs to participate in focus groups to review existing practices and to consider how to address these new challenges in revised guidelines.

Please contact Linda Gough, at (416) 975-4353 or 1-800-563-5847, or lgough@cmrto.org, if you are interested in being part of the focus groups in 2007.

Auditor General’s Comments on Use of Diagnostic Equipment
In his annual report released in December 2006, Ontario’s Auditor General raised concerns that some patients were being exposed to unsafe levels of radiation during CT scans, especially paediatric patients. His report received some negative media attention.

However, a few months earlier, Ontario’s Ministry of Health and Long-Term Care had already established a Diagnostic Imaging Safety Committee made up of clinical experts to develop specific recommendations regarding how CT scanners can be used safely, consistent with the As Low As Reasonably Achievable (ALARA) principle. The committee’s report is expected in February, 2007.

MRTs are committed to the ALARA principle. Essential Competency Nos. 3 and 4 of the College’s standards of practice embody this principle. Any suggestion that patient safety is being put at risk through the radiation dosage applied in diagnostic imaging is, of course, cause for concern among MRTs. The College looks forward to reviewing the committee’s report and providing further information to members based on this review.

Summary of Discipline Hearing
Devi Benhasenn-Nelson
On July 6, 2006 a discipline hearing was held to consider allegations of professional misconduct brought against Devi Benhasenn-Nelson. It was alleged that on May 24, 2005 Ms. Benhasenn-Nelson:
  • sat up a trauma patient who had a cervical spine collar on, in order to perform a radiographic examination of the patient’s cervical spine;
  • failed to provide the patient with appropriate radiation protection; and
  • did not properly document her actions or retain required documentation in the patient file.
Ms. Benhasenn-Nelson admitted the allegations of professional misconduct. The panel of the Discipline Committee found her guilty of professional misconduct. The panel ordered that Ms. Benhasenn-Nelson be reprimanded and that the reprimand be noted in the register of the College, that Ms. Benhasenn-Nelson’s certificate of registration be suspended for a two week period from November 29, 2006 to December 13, 2006, inclusive, and that Ms. Benhasenn-Nelson be required to successfully complete a remedial learning program in trauma radiography at The Michener Institute for Applied Health Sciences at her own expense prior to July 15, 2007. The program incorporates radiation protection, documentation, trauma patient x-ray management, and includes a clinical component.

In reaching its decision regarding the appropriate penalty, the panel considered the serious nature of the offence and the potential harm to the patient, while recognizing a number of mitigating factors including Ms. Benhasenn-Nelson’s acknowledgement of responsibility for the conduct and the fact that she suffered significant financial loss as she did not work in her profession for a period of three months as a result of the incident. The panel was persuaded that Ms. Benhasenn- Nelson had learned from her experience and concluded that an educative approach through a reprimand and completion of a remedial learning program was appropriate in this case.

Suspended Members
The following are the people whose certificates of registration were suspended between November 1, 2006 and January 12, 2007 for failure to pay their fees in accordance with section 24 of the Health Professions Procedural Code. A person whose certificate of registration has been suspended is not a member of the College unless and until the suspension is removed.

07263 Hickey, Andrew G.
01907 Varga, Janis
02300 Harford, Patricia A.
11003 Sallows, Timothy M.
11239 Lafleur, Jessica
11682 Mills, Sandra L.
11955 Kennedy, Samantha
12178 Williamson, Tara E.
12536 Young, J. Paul S.
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