Bill is a radiological technologist practicing in CT. A patient presents at the department and is quite agitated that they are having “the third scan of this kind in a six month period”. The patient demands to speak with someone and the department clerk approaches Bill to attend to the patient. When Bill approaches the patient, the patient raises their voice, in frustration, to Bill.
Questions to be asked:
How should Bill respond to the patient?
Bill should react calmly to the patient and listen to their concerns and frustrations, taking notes if necessary. In turn, Bill can assure the patient that he has heard the patient’s concerns and will discuss this with the supervising physician for appropriateness. Bill may also encourage the patient to discuss their concerns with their physician.
How should Bill not respond to the patient?
Bill should not respond with hostility to the patient or with frustration. It is important for Bill to also not convey any confidential health information to the patient that the patient may not be aware of. It is not within the scope of practice of a medical radiation technologist to convey any diagnoses to the patient.
What tools are available to the technologist to handle such situations?
Bill may refer to the Code of Ethics and Standards of Practice from the ACMDTT to assist him in understanding what he can and cannot disclose to the patient. In addition, Bill’s employer may have offered courses to Bill on patient communication that may contain information and strategies that Bill could employ in this situation.
What Standards of Practice apply to this scenario?
Here are a few indicators which apply to this situation from a regulatory perspective:
- Indicator 1.1a – assess the patient’s level of understanding of the procedure and adapt communication and assessment accordingly.
- Indicator 1.2k – identify and communicate with the appropriate health care provider any procedural concerns.
- Indicator 2.4a – adhere to the Code of Ethics of the College.
- Indicator 2.6a – utilize appropriate strategies to communicate with intended audiences.
Daphne is a magnetic resonance technologist who regained her full practice permit in June 2017 following a medical leave. She has entered her CCP, including her minimum six hours of reflective learning, into the
My CCP platform but her progress indicator is showing that her learning activities section is incomplete.
Questions to be asked:
- Are Daphne’s learning activities incomplete?
- Why is the system saying Daphne’s learning activities are incomplete?
- Will this impact the CCP Analytics Verification?
- What Standards of Practice apply to this scenario?
Answers in the next “Internal Matters” newsletter.
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