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When to take breaks accordingly to the team 

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When to take breaks accordingly to the team 

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In first day chats you decide to treat a patient, for example whether you believe they are the right patient, have the right treatment and they have consented.

For particularly unwell patients you may decide whether they are well enough for treatment on that day.

Team leaders will have to make decisions for the staff, for example shift patterns.

You often have to decide whether to treat a patient or not, for example if they are struggling with preparation, i.e bladder filling.

You may have to make decisions about the patients set up, for example removing shims from beneath a mask to make it more comfortable.

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•prioritising patients e.g machine breakdowns

•bladder filling/medication timings when a machine is running behind

•when to refer a patient and who to e.g mental health, side effects, medications

•if you don’t believe a patient is fit for treatment

•electron treatment/ SXR set up to get the best angle for the machine

•band 7/6-breaks, lunches, pt appointments, job allocations for the room

•decide if a bladder is full enough/too full to treat on/ rectum is too gassy or full

•decide if a mask is not fitting correctly/ too much weight lost/ re-scan

•trend reviews/plan adapts

•set up points/shim changes

•CT-best set up for a patient, immobilisation adjustments from the standard, changes in contrast due to contraindications

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whether all the checks are done to correctly treat the patient

The prep for bladder prep patients on how many cups they have and whether they need to drink more.

Whether a patient needs to be reconsented in certain circumstances.

Approving XVI scans

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If the patient needs to be seen by a review radiographer after explaining side effects

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What equipment patients are immobilised with, if it is appropriate to treat a patient (is there bladder full enough, rectum empty enough, are they in the correct position), if patients are suitable for dibh/ABC

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If can proceed with treatment, e.g if the shift is out of tol but everything still looks good

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Managing the team and liasing with MDT members about a patient's treatment 

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Managing the team and liasing with MDT members about a patient's treatment 

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If a patient needs any medication to help them through treatment, they may need to see the nurse.

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At CT whether the patient has been properly consented and is able to have the scan or not

At CT whether the patient can have contrast or not

At CT whether the patient needs off protocol equipment or additional equipment to be able to hold their position

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Wether we want to get a patient reviewed by a review radiographer or consultant if they are showing concerning symptoms; getting patients admitted to wards

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Wether we want to get a patient reviewed by a review radiographer or consultant if they are showing concerning symptoms; getting patients admitted to wards

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contour match and bony match

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If patient needs to see the review radiographer regarding any concerns to their treatment 

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If patient needs to see the review radiographer regarding any concerns to their treatment 

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If a patient needs extra support like a wheelchair or hoist

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If a patient needs extra support like a wheelchair or hoist

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If the patient is well enough to be treated and the safety of the patient.

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Whether pelvis patient needs to drink any more water in order to fill bladder

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ensure shifts are in tolerance

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Whether patient is fit for treatment

Whether patient needs a referral to another professional... doctor, dietician, etc.

If machine is broken down, which patients will have a treatment break and which will have treatment

Whether the patient can be treated based on a current image, or need to come off the bed

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Deciding on whether a patient should be treated or not based on how they look and symptoms they are experiencing

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If a bladder volume is acceptable or in tolerance

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if bladder is full enough for treatment

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deciding if an image is acceptable to treat on