The Role of the Radiology Nurse Senior Sisters Jill Harris & Carol Ewen 7 th November 2011

Overview of our role Provide nursing support to Radiology Directorate within NUTH Provide nursing support to Radiology Directorate within NUTH Form part of the Management Executive Team Form part of the Management Executive Team Act as educators + Infection Prevention & Control leads Act as educators + Infection Prevention & Control leads Responsible to Heads of Nursing via Directorate Manager Responsible to Heads of Nursing via Directorate Manager Matron as professional lead only Matron as professional lead only

How we see the “perfect” Radiologist Knowledgeable / Reliable / Safe A source of up to date information for the MDT A source of up to date information for the MDT Educators of colleagues and patients Educators of colleagues and patients Start lists promptly Start lists promptly Be available to support staff when required Be available to support staff when required Know your own limitations and don’t put patients at risk Know your own limitations and don’t put patients at risk

How we see the “perfect” Radiologist Good leadership skills / Team player Provide pre-procedure team briefing in line with WHO guidelines Provide pre-procedure team briefing in line with WHO guidelines Direct the team and offer advice Direct the team and offer advice Integrate with the team to improve workflow & relationships Integrate with the team to improve workflow & relationships

How we see the “perfect” Radiologist Communicative / Good listener Liaise re: specialist equipment Liaise re: specialist equipment Inform staff of any delays to the start of your list Inform staff of any delays to the start of your list Suggest service improvement and development Suggest service improvement and development ‘Be open’ ‘Be open’ Listen to the team and acknowledge their concerns Listen to the team and acknowledge their concerns Value team views & opinions Value team views & opinions

How we see the “perfect” Radiologist Organized / Hands on Inform the team and secretary of any changes to the list Inform the team and secretary of any changes to the list Utilise the skills of the MDT to provide a seamless service Utilise the skills of the MDT to provide a seamless service Assist with cleaning, M&H, cannulation and sedation Assist with cleaning, M&H, cannulation and sedation

How we see the “perfect” Radiologist Good sense of friendly/ Good sense of humour Be approachable and understanding Be approachable and understanding Try and see the funny side of situations Try and see the funny side of situations Banter is good! Banter is good!

What we can offer 40 + years Radiology Nursing experience 40 + years Radiology Nursing experience Support change, improvements & introduction of new services Support change, improvements & introduction of new services Facilitate training – CPR / M&H / IPC Facilitate training – CPR / M&H / IPC Role expansion / All degree profession by Sept 2013 Role expansion / All degree profession by Sept 2013 Provide support during emergency situations Provide support during emergency situations Act as patient advocate Act as patient advocate

Infection Prevention & Control Issues in NUTH Reduction in MRSA bacteraemias per annum from 95 in 2003/04 to 7 in 2010/11 Reduction in MRSA bacteraemias per annum from 95 in 2003/04 to 7 in 2010/11 Reduction in C. Dif. per annum from 466 in 2007/08 to 155 in 2010/11 Reduction in C. Dif. per annum from 466 in 2007/08 to 155 in 2010/11 Introduction of and publicising good hand hygiene technique for everyone Introduction of and publicising good hand hygiene technique for everyone Introduction of DOH “Saving Lives” campaign (launched nationally in 2005) Introduction of DOH “Saving Lives” campaign (launched nationally in 2005) Clinical Assurance Tool Clinical Assurance Tool

Scenario 1 A request for a CT scan is sent for a patient with active C. Dif A request for a CT scan is sent for a patient with active C. Dif How do you & your team manage this? How do you & your team manage this?

Scenario 1 - Answer Establish how urgently the scan is required Establish how urgently the scan is required If non urgent, postpone until diarrhoea has stopped If non urgent, postpone until diarrhoea has stopped If urgent, appoint at end of list If urgent, appoint at end of list Remove excess equipment from room + don protective clothing Remove excess equipment from room + don protective clothing Post scan, clean room with hypochlorite solution 1:1,000 & arrange for wall washers to clean walls before room used again Post scan, clean room with hypochlorite solution 1:1,000 & arrange for wall washers to clean walls before room used again

Scenario 2 Patient collapsed in waiting room Patient collapsed in waiting room What do you do? What do you do?

Scenario 2 - Answer ABC – BLS if appropriate ABC – BLS if appropriate Provide emergency care Provide emergency care Make area safe & private if possible Make area safe & private if possible Communicate clearly to the staff (a nurse may not be present) Communicate clearly to the staff (a nurse may not be present) Try to identify patient Try to identify patient Establish medical history & reason for radiology visit Establish medical history & reason for radiology visit Contact relatives Contact relatives Arrange referral to clinicians for admission Arrange referral to clinicians for admission

Any questions ?