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I think reflectionis really important tool that we can use to better our professional skills and how we handle ourselves in stressful situation. An example would be when we had a patient with severe dementia and they needed to undergo a chest exam, it was very difficult at first because we were not told of the patients condition and so the radiographers were getting angry when they couldn't position the patient or make him follow instructions. The exam needed repeating, upon reflection we concluded that if we asked about the patient to the carer that was with them we could have implemented different methods to cope with the situation.

King Arthur

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There was a situation I was once in where I was about to Xray the wrong shoulder and the radiography immediately stopped me. This has made me more cautious towards taking Xrays so I do not make a major mistake. 👍👊

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If you pick up a request and are not 100% sure you can carry out the procedure confidently on your own, then tell a member of staff such as a radiographer and they will help you and guide you through the procedure. Don’t ever feel as though you have no support and have to do the procedure by yourself. Same goes for if you see the patient and think you can’t carry out the procedure get a radiographer and they will advise you on the best solution to get the best possible image don’t be afraid to get help that’s what the radiographers are there for.

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A very obese patient wasn't able to fit on the x ray table for lateral knee so they had to stand erect against a bucky for one. This made me feel very uncomfortable but it made me realise that using different techniques can result in a diagnostic image in which is the best interest for the patient.

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Raise any concerns straight away, stay calm but let the radiographers know if you think they are doing something wrong. For e.g x-raying the wrong patient or body part

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Patient came in couldn't speak English.
The patient started talking to me in their language, thinking I would understand her but I could not.
I felt really unless that I wasn't able to speak for her. But used signs and gestures to help her understand what we needed her to do. Was pleased we still able to carry out x ray and patient was happy.

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A patient with with aids came in to the X-ray room and The radiographers wasn’t aware of this. As soo as the X-ray was done the patient had told the radiographers they were hiv positive. For better practice, it’s best if radiographers speak to the patient before taking examination.

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During an examination for a child, the child was getting agitated and upset. I started to feel panicked about the child not staying still for the examination and how I could distract them. I distracted the child by offering them a sticker for being so good and tried to remain calm and be as quick as possible.

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my most prefered model of reflection is gibbs reflective cycle  used it when reflecting in IPE after completing group tasks, where i talked about my feelings evaluated and came up with an action plan

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Remember to stay calm in difficult situations, as the other people will be stressed as well, and to work together to come to an agreement and complete the task. Reflecshon is importhant!

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Reflection of Radiation protection:
For example an X-Ray request wasn’t justified, therefore the radiographer questioned the doctor. I felt worried and concerned and was wondering how the doctor and radiographer will approach each other. However the radiographer explained to the doctor how it could be justified and what was better to X-Ray than what was requested initially. The good that came out of this was that the doctor understood why the radiographer was questioning it, and the radiation protection of the patient. This sites good communication between health care professionals makes it easier. This showed me how to approach other professionals correctly and ensure that they understand why requests have to be justified.

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Description- in theatre there was a urology case and the female patient was under 55 so lmp rule needed to be followed. We asked the surgeon and other staff if she had been checked before the procedure if she was pregant but the surgeon just said there is no way she is pregnant and shrugged it off. This ment not starting when we had to until we was sure she had been checked for pregnancy.
Feelings- under pressure. Need to make sure you find out if she has been checked for pregnancy and it has been signed off somewhere as it is your responsibility as your the radiographer and without this you can't xray.
Evaluation- what was good was the radiographer rung down the department and said she can't xray without this information so rung down for more support also the surgeon then helped looking through patients care plan book and found where she had signed herself prior to the surgery.
Analysis- need to work as a team and not feel threatened. Know your responsibilities and don't let hierarchy affect you.
Conclusion- been more clear and direct
Action plan- remain calm be direct

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A patient with autism came into the X-day department and I was not told to stay clear of him. When I approached him he lashed out and hit his carer. Next time I will ask questions to ensure the patient is okay to approach

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A situation with a patient with schizophrenia where they reacted badly to having their X-ray taken and got agitated. Radiographers panicked which made the situation worst. I felt worried as there was no carer with them. It was a good learning experience as we recognised what to do if the situation occurred again. Next time I would remain calm and other radiographers would to ensure we didn’t make the situation worst. We would request for a carer or someone to come in with the patient as they know what works best to calm patient down.

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Someone couldn’t speak English,
I was confused and didn’t know how to tell the person what to do, they couldn’t understand what I was saying so positioning them was hard. It was good we used different type of communication to help them so we demonstrated what we wanted them to do. But it’s bad as it wastes time and they find it find. We could have got an interpreter to make things easier and it wouldn’t waste time. If I knew the language I would speak in that language to help the person, if not I would try to get an interpreter or if they have someone in the waiting room who can translate for them.

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My favourite model of reflection to use is John's Model as it was developed for nursing practitioners. This means it is very useful in a clinical setting.

https://skillsforlearning.leedsbeckett.ac.uk/preview/content/models/04.shtml

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