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Essential Competencies
Introduction
Legislation, Standards and Ethics
Equipment and Materials
Diagnostic Examinations and Radiation Treatment
Safe Practice
Relationship with Patients
Records and Reporting
Creating and maintaining records and reports are essential components of the professional practice of all M.R.T.s. M.R.T.s’ records and reports provide information to other health care professionals about relevant aspects of patient care, treatment and assessment.
Essential Competency:
M.R.T.s must be proficient in creating records, charts, incident and other reports that attest to the diagnostic, treatment, quality assurance, workplace and patient safety procedures that have been carried out. M.R.T.s must have the knowledge, skills and judgment to record information that will adequately identify the subjects of all the images they create and treatments they administer. M.R.T.s must be skilful in producing records and reports that are always accurate, complete, legible and timely.
Indicators
All M.R.T.s must:
| a) |
record results of quality control tests; |
| b) |
record and report any equipment faults or problems; |
| c) |
record and notify the supervising (attending) physician or radiologist of any allergies, abnormal test results or other contraindications to the ordered procedures; |
| d) |
mark all images with the patient’s identity; |
| e) |
ensure all images are archived, according to principles and guidelines established by the employment facility; |
| f) |
record the patient’s reactions to the treatment or procedure or to any administered substances; |
| g) |
record all aspects of patient care and all procedures performed, including emergency treatments and descriptions of, and reasons for, any deviations from standard procedures on order forms, treatment prescriptions, patient’s charts or other relevant documentation; |
| h) |
forward the patient’s records, images and pertinent data to appropriate recipients; and |
| i) |
record and inform patient and/or nursing staff of personal contact limitations and any other special or follow-up care required; |
In addition, all M.R.T.s in the specialties of nuclear medicine and radiation therapy must:
| j) |
record results of radiopharmaceutical assays, quality control and other tests, radioactive preparations and disposal methods of radioactive pharmaceuticals; |
In addition, all M.R.T.s in the specialty of nuclear medicine must:
| k) |
record receipt and disposal of radiopharmaceuticals and generators; |
| l) |
label radiopharmaceutical preparations; and |
| m) |
maintain radiopharmaceutical and pharmaceutical dispensing records; |
In addition, all M.R.T.s in the specialty of radiation therapy must:
| n) |
implement a medical directive for sample analyses; and |
| o) |
record and communicate any concerns regarding the treatment or treatment prescription to the appropriate attending radiation oncology personnel. |
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