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ROLE OF A NURSE IN NEURORADIOLOGY EXAMINATION Yuyun Yueniwati Radiology Department Faculty of Medicine University of
ROLE OF A NURSE IN NEURORADIOLOGY
EXAMINATION
Yuyun Yueniwati
Radiology Department Faculty of Medicine University of Brawijaya
Saiful Anwar Hospital Malang
THE GOAL OF NURSING: “ ... is to promote, restore, maintain and enhance the health of
THE GOAL OF NURSING:
...
is
to promote, restore, maintain and enhance the
health of individuals and groups in the community”.
The Nurses Board of South Australia (2006)
NURSING IS . . . “ ... a science and an art”. The Nurses Board of
NURSING IS
. .
.
...
a science and an art”.
The Nurses Board of South Australia (2006)
THE SCIENCE IS . . . “. . . the body of nursing knowledge and the
THE SCIENCE IS
. .
.
“. . .
the body of nursing knowledge and the
technical aspects of clinical practice”.
The Nurses Board of South Australia (2006)
THE ART IS . . . “. . . the establishment of a caring relationship through
THE ART IS
. .
.
“. . .
the establishment of a caring relationship through
which the nurse applies nursing knowledge and skill”.
The Nurses Board of South Australia (2006)
NURSES ARE:
NURSES ARE:
Assist in the Imaging Process: - Ensure the correct person receives the correct image - Ensure
Assist in the Imaging Process:
-
Ensure the correct person receives the correct image
-
Ensure the patient/client is safe and able to undertake to procedure
-
Monitor the patient/client through out the procedure
-
Report additional precautions the person may require to the imaging personnel
-
Hand over the outcome and ongoing requirements to the wards, emergency
department
-
other health care team
CARE GIVERS - Ensure that Additional Precautions are adhered to - Maintain a safe work environment
CARE GIVERS
- Ensure that Additional Precautions are adhered to
-
Maintain a safe work environment for themselves, the other staff and the patient/client
-
Hazards are identified, reported and rectified
-
Triage the clientele into an order of priority, when necessary
ADVOCATES Ensure that patients/clients: o Understand the need for the Imaging that is requested o Are
ADVOCATES
Ensure that patients/clients:
o Understand the need for the Imaging that is requested
o Are informed and that if necessary a Consent is obtained
o Liaise between patient/client and Radiographer/Radiologist
o Arrange for continuing treatment/monitoring after interventional
imaging and/or procedures
MODALITIES - General X-ray - Angiography and Vascular Access (PICC lines etc.) - Ultrasound - CT
MODALITIES
-
General X-ray
-
Angiography and Vascular Access (PICC lines etc.)
-
Ultrasound
-
CT (Computerised Tomography)
-
MRI (Magnetic Resonance Imaging)
-
Nuclear Medicine
GENERAL X-RAY Nurses: - Assist in the positioning of people for their imaging, including when sliding
GENERAL X-RAY
Nurses:
-
Assist in the positioning of people for their imaging, including when sliding people
onto the X-ray table
-
Changing people when necessary for the imaging, or if they are soiled (blood,
incontinence etc.)
-
Utilising lifting machines to transfer people from wheelchair to the X-ray table
GENERAL X-RAY
GENERAL X-RAY
ANGIOGRAPHY • Scrub to assist Radiologist/Radiology Registrar with the interventional procedures - Monitor patient/client throughout the
ANGIOGRAPHY
Scrub to assist Radiologist/Radiology Registrar with the interventional
procedures
-
Monitor patient/client throughout the procedure (Pulse, Blood Pressure,
Intravenous Therapy etc.)
-
Ensure documentation is completed by all staff where required
-
Hand over to the following health care team the requirement of the patient
after an interventional procedure
ANGIOGRAPHY • Normal Angiography (Oldnall 2007)
ANGIOGRAPHY
Normal Angiography
(Oldnall 2007)
ANGIOGRAPHY SUITE • Specials Room
ANGIOGRAPHY SUITE
Specials Room
ANGIOGRAPHY SUITE Angiography Room
ANGIOGRAPHY SUITE
Angiography Room
PICC LINE INSERTION Nurse position - Peripherally Inserted Central Catheter (PICC) - Utilised for long term
PICC LINE INSERTION
Nurse position
-
Peripherally Inserted Central Catheter (PICC)
-
Utilised for long term venous access
-
Reduces the need for multiple Intravenous (IV) Cannula
-
Often for Haematology, Intensive Care and Cancer Services patients
-
Also for those people with Cystic Fibrosis
PICC LINE • PICC Line on X-ray chris-says (2006)
PICC LINE
PICC Line on X-ray
chris-says (2006)
PICC LINE • Various PICC Lines Massachusetts General Hospital (2007)
PICC LINE
Various PICC Lines
Massachusetts General Hospital (2007)
ULTRASOUND Assist in the positioning of patients - Assist with interventional procedures: -- Biopsies -- Drainage
ULTRASOUND
Assist in the positioning of patients
-
Assist with interventional procedures:
-- Biopsies
-- Drainage of Fluid Collections
-- Chaperone when intimate examinations are performed
CT SCAN • • • • Ensure the person understands the need for the CT Scan
CT SCAN
Ensure the person understands the need for the CT Scan
Assist in the positioning of the patient for the CT Scan
Ensure an intravenous (IV) cannula is inserted and patent (working)
Ensure an Intravenous Contrast Checklist is completed and reviewed by a
Radiologist/Radiology Registrar
CT SCAN - Draw up and administer Intravenous Contrast if required for the CT Scan -
CT SCAN
-
Draw up and administer Intravenous Contrast if required for the CT Scan
-
Assist in the treatment of Reactions to the Intravenous Contrast
-
Ensure Documentation is completed by the relevant staff
-
Assist with interventional procedures:
-- Biopsies
-- Drainages of fluid collections
-- Myelograms, Facet joint Injections etc.
CT SCAN ROOMS
CT SCAN ROOMS
- Assist in administering Patient care (Bed pans, Suction etc.) - Transferring patients onto/off of the
-
Assist in administering Patient care (Bed pans, Suction etc.)
-
Transferring patients onto/off of the MRI Scan table
T1WI T2WI FLAIR DWI Dark on T1WI, bright on T2WI and FLAIR, very bright on DWI
T1WI
T2WI
FLAIR
DWI
Dark on T1WI, bright on T2WI and FLAIR, very bright on DWI
NUCLEAR MEDICINE Assist the Nuclear Medicine Technicians and the Radiologists Prepare the patient for procedures Insert,
NUCLEAR MEDICINE
Assist the Nuclear Medicine Technicians and the Radiologists
Prepare the patient for procedures
Insert, or arrange, for the insertion of intravenous (IV) cannula
Take blood
Administer medications
Continue nursing care
Ensure documentation is completed by the relevant staff
Arrange for the transportation from the department
NUCLEAR MEDICINE •
NUCLEAR MEDICINE
NUCLEAR MEDICINE PET Scanner (Philips –Gemini) Koninklijke Philips Electronics (2004-2007)
NUCLEAR MEDICINE
PET Scanner
(Philips –Gemini)
Koninklijke Philips Electronics (2004-2007)