Essential Competencies

Introduction
Legislation, Standards and Ethics
Equipment and Materials
Diagnostic Examinations and Radiation Treatment
Safe Practice
Relationship with Patients
Records and Reporting


Medical radiation technology is a health care profession that has patient care as its main concern.

Essential Competency:
M.R.T.s must be able to accept the patient’s autonomy and the right of the patient, or the patient’s substitute decision maker, to refuse service. M.R.T.s must treat all patients with dignity and respect. M.R.T.s must maintain clear and appropriate professional boundaries in the M.R.T.-patient relationship. M.R.T.s must have the knowledge, skills and judgment to avoid placing patients at unnecessary risk of harm, pain or distress. M.R.T.s must be able to provide appropriate responses to the patient’s inquiries about procedures and related issues. M.R.T.s must understand how, and act, to protect the confidentiality of all professionally acquired information about patients.

Indicators
All M.R.T.s must:
a) provide clear and understandable information to the patient, or the patient’s substitute decision maker, prior to, during and after treatment, using an interpreter, if necessary;
b) give the patient, or the patient’s substitute decision maker, an opportunity to ask questions;
c) provide the patient, or the patient’s substitute decision maker, with answers to his or her questions within the scope of the M.R.T.’s responsibility;
d) refer questions of the patient, or the patient’s substitute decision maker, that are outside the scope of the M.R.T.’s responsibility to an appropriate health care professional for answers;
e) carry out examinations or treatment only with the informed consent of the patient, or the patient’s substitute decision maker;
f) make modifications to procedures based on the patient’s physical, medical and/or emotional status/needs;
g) instruct the patient to remove only the clothing and items that would interfere with the examination or treatment procedures;
h) provide the patient with a gown/sheet to cover areas where clothing was removed;
i) explain to the patient when and where the M.R.T. might touch him/her and why;
j) touch the patient only in those areas needed to facilitate carrying out the procedure;
k) keep all patient information confidential, except when necessary to facilitate diagnosis or treatment of the patient or when legally obliged or allowed to disclose such information;
l) observe all relevant legislation, such as the Health Care Consent Act, and all CMRTO guidelines pertaining to consent; and
m) observe the Regulated Health Professions Act and all guidelines of the College of Medical Radiation Technologists of Ontario pertaining to the prevention of sexual abuse.
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