| a) |
observe all departmental policies and relevant provincial and federal legislation and guidelines pertaining to health and safety, such as:
- Regulated Health Professions Act and its regulations
- Medical Radiation Technology Act and its regulations
- Public Hospitals Act and its regulations
- Independent Health Facilities Act and its regulations
- Healing Arts Radiation Protection Act and its regulations
- Occupational Health and Safety Act and its regulations
- Nuclear Safety and Control Act and its regulations and licences issued thereunder
- Radiation Emitting Devices Act and its regulations
- Transportation of Dangerous Goods Act and its regulations
- Health Protection and Promotion Act and its regulations
- Health Canada's Technical Reports and Publications, including:
- Safety Code 20A – X-Ray Equipment in Medical Diagnosis Part A: Recommended Procedures for Installation and Use, 1980
- Safety Code 26 – Guidelines on exposure to Electromagnetic Fields from Magnetic Resonance Clinical Systems, 1987
- Safety Code 30 – Radiation Protection in Dentistry, 1999
- Safety Code 33 – Radiation Protection in Mammography: Recommended Safety Procedures for the Use of Mammographic X-Ray Equipment, 1995
- Safety Code 35 – Safety Procedures for the Installation, Use and Control of X-Ray Equipment in Large Medical Radiological Facilities, 2008
- As Low As Reasonably Achievable (ALARA) principle
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| b) |
conduct the appropriate quality control tests, or ensure that the appropriate quality control tests have been conducted, for all equipment and substances to be used in the diagnostic or therapeutic procedure
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| c) |
take corrective action if quality control tests are not within acceptable limits
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| d) | use substances only before their expiry time or date
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| e) | verify the patient's identity for all diagnostic or therapeutic procedures
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| f) | ascertain whether any female patient, age 10 – 55, might be pregnant, and make necessary explanations, referrals or implement essential restrictions
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| g) | notify the patient's physician, radiologist, nuclear medicine physician or radiation oncologist of any contraindications to the ordered procedure and obtain direction to proceed, modify or halt the procedure
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| h) | prior to administering a substance orally, by injection or inhalation, or into the body through an orifice, ascertain whether there are any contraindications to administering the substance to the patient and make necessary explanations, or referrals or implement necessary restrictions
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| i) | assess the patient's physical and emotional limitations and ensure that the patient will not be expected to perform any task or movement that would cause physical harm
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| j) | take all reasonable precautions to ensure that no equipment can injure a patient
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| k) | use the ALARA principle to minimize patient exposure to radiation for the procedure
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| l) | use shielding/protective devices where indicated
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| m) | initiate emergency response procedures, notify a physician (if possible) and assist in, or carry out, emergency treatment as required if a patient suffers any adverse reaction to treatment or to administered substances
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| n) | use appropriate aseptic techniques and infection control procedures in the course of the diagnostic or therapeutic procedure
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| o) | protect themselves, their colleagues, other members of the health care team, any other individuals who may be present as well as any patient from any unnecessary exposure to radiation
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| p) | ensure all positioning aids and immobilization devices maintain the patient's position appropriate to the procedure specified in the patient's chart/order according to departmental policy
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| q) | assess the patient's condition before, during and after the course of treatment or procedure
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| r) | where appropriate, remove markers and accessory equipment/devices before the patient is released
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In addition, MRTs in the specialty of magnetic resonance must:
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| s) | ensure that there are no contraindicators present that could harm the patient or would exclude the patient from having the examination
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| t) | ensure that all equipment and devices, both patient-specific and accessory, are MR compatible before being brought into the MR area
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| u) | administer and follow the necessary safety precautions for entry to the magnet room to protect themselves, the patient, their colleagues, other members of the health care team and any other individuals who may be present
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In addition, MRTs in the specialty of nuclear medicine must:
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| v) | conduct personal and area contamination monitoring
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| w) | decontaminate where necessary in accordance with any licence(s) issued under the Nuclear Safety and Control Act
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| x) | use appropriate personal protection equipment when handling radioactive materials in accordance with any licence(s) issued under the Nuclear Safety and Control Act
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In addition, MRTs in the specialty of radiation therapy must:
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| y) | label and orient all patient-specific ancillary equipment
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