Radiology Welcome Pack
WELCOME PACK
RADIOLOGY NURSES
Contents
Introduction and Overview……………………………………………………………….3
Key personnel…………………………………………………………...... 6
Placement philosophy………………………………………………………………….…7
Shift patterns………………………………………………………………………………..8
Housekeeping arrangements…………………………………………………………….9
Mentoring Arrangements………………………………………………………………....9
Dress Code………………………………………………………………………………….9
Examples of Pathways of care…………………………………………………………10
Spoke Directory and Contact Details…………………………………………………11
Learning Opportunities available……………………………………………………...14
Resources available to support learning…………………………………………….16
Interactive Content………………………………………………………………………17
The Placement Charter………………………………………………………………….42
Introduction and Overview
Welcome to the radiology department. We hope you enjoy your learning experience. This booklet has been designed to help orientate you to your new environment. All the staff are dedicated to supporting students and we respect the contribution you can make to the team during your stay. We hope that your time is enjoyable, rewarding and challenging. The department offers a learning environment, which encourages students to ask questions at any time in relation to any aspect of the placement or patient care. You will remain supernumerary at all times.
About the Department
The Radiology Department is divided into several areas
Radiology One is located on Level 1of The Turnberg Building and contains the following areas:-
General X-ray rooms 1-5
Angiography room 6 (Gastro and renal interventions some musculoskeletal injections)
Fluoroscopy rooms 7+ 8 (Gastro diagnostics and interventions)
Mammography (Biopsies)
CT – Neuro (Lung Biopsies)
Gamma Camera
Neuro MRI scanner is across the corridor from Radiology 1in The Irving Building
Radiology Two is located on Level 1of the Ladywell Building and contains the following areas:-
General X-ray rooms
Body MRI scanner
Body CT scanner (Biopsies, drainages)
General Ultrasound (Biopsies, drainages)
The Neuro-Angiography suite is located on Level 3 of the Turnberg Building adjacent to theatres and SAL 3 (Neuro-interventions)
Obstetric and gynaecological ultrasound scans are performed in the Ultrasound suite in the Brooke Building, Level 1.
A third CT scanner and plain film x-ray room is located in the Emergency Village, Level 1 of the Hope Building.
Radiology is a very diverse and interesting place to work; changes in methods of diagnosis and treatment are taking place all the time.
We care for adult clients who require radiological procedures both diagnostic and therapeutic. We care for out patients and inpatients undergoing procedures including CT, MRI and Ultrasound scanning. Patients from all specialities require a variety of imaging techniques in their hospital experience.
The imaging department can offer you a wide variety of experiences in the management, delivery and evaluation of care to patients requiring investigations and treatments, plus experience in: -
Pre and Post procedure care
Monitoring of patients undergoing intervention
Managerial experience
Scrub technique and asepsis
Sedation of patients
Radiation Protection – see appendix 1
Multi disciplinary team working and meetings
Types of Procedures
This is by no means a comprehensive list of procedures.
In patient invasive procedures; -
· Biopsy
· Drainage
· Stents oesophageal, gastric and rectal
· Gastrostomy
· Nephrostomy
· PICC line insertion
· Coiling of cerebral aneurysm
Out-patient procedures; -
· Barium meal
· Small bowel enema
· Barium swallow
· Hysterosalpingogram
· Change of Nephrostomy or gastrostomy tube
· Micturating cystogram
Multidisciplinary Team
The Radiology department is a multidisciplinary team with each person within that team bringing their own special knowledge; do not be afraid to ask questions, we are all here to help one another to ensure our patients receive the best possible treatment whilst they are in our care. All student nurses will have the opportunity to rotate between all the individual departments within Radiology.
Radiology Nursing Staff
Designation / Name / Tel NoSenior Sister / Elaine McKnight / 60077
Sister / Paula Mitchell-Harper / 62547
Staff Nurse / Elaine Penberthy / 65091
Staff Nurse / Stacey Hull / 62206
Staff Nurse / Le Xu / 62206
Staff Nurse / Helen T-Michael / 62206
Staff Nurse / Michelle Thompson / 62206
Assistant Practioner / Jacqui Greenhalgh / 65091
Health Care Assistant / Kelly Rees / 62206
Health Care Assistant / Emma Power / 62206
Clinical Support Worker / John Law / 62206
Clinical Support Worker / Gail Beaumont / 62206
Useful Contact Numbers
X-ray reception Rad 1 / 64919Room 6 / Angio level 1 / 62206
Angio level 3 / 65091/2
Key Personnel
The Placement Educational Lead (PEL) helps the development and maintenance of an effective learning environment within the placement area.
The PEL for Radiology is:-
Elaine McKnight (Senior Sister) –
Telephone Number – 0161 206 0077.
The Practice Education Facilitators (PEF) aim is to support student learning and assessment whilst on placement.
The PEF for Radiology is:-
Mike Hollinshead –
Telephone Number – 0161 206 8223
The Link Lecturer is the link between the University and the placement, their role is to offer advice on any student issues.
The Link Lecturer for Radiology is:-
Mike Lappin –
Telephone Number – 0161 295 7288
Philosophy of the Radiology Department
A philosophy is a set of principles or beliefs, its ideals and its goals (Clodagh Gray 2004). The staff of the radiology department aim to:
· View patients, carers and relatives as individuals who have needs which require our help
· Care for patients, carers and relatives unconditionally recognising and respecting their individual personal, cultural and religious beliefs
· Preserve a patient’s dignity
· Protect an individual’s right to confidentiality
· Treat with courtesy patients, carers and relatives as we would want our families to be treated
· Support patients, carers and relatives, involving them in decisions about their treatment and care
· Provide a high standard of care informed, were possible, by empirical evidence
· Promote health education and health promotion
· Provide a work environment which is safe and supportive to students and all team members
· Supervise and teach students, encouraging them to build upon their previous learning in order to meet the requirements for entry to the professional register
· Encourage each staff member to contribute in their own unique way to this philosophy
· Promotes a no blame culture but learn together from our mistakes in order to progress
· Embrace life long learning principles in order to practice with a sound body of knowledge and competence
Shift Patterns
The routine of the department will be discussed with you when you begin your placement. We are a friendly team, which believe in supporting each other at all times, so that the best possible care can be delivered to our patients.
Our normal hours are from 08.00hrs until 18.00hrs Monday to Friday; however these times may vary to suit the needs of the department.
If you are going to be off for any reason, please ring the department at the earliest possible time, on 0161 206 2206 or 5091. Please inform the staff when you will next contact the department or will be returning to work.
The Off Duty is done six weeks in advance and can be found in the blue folder in Room 6 and Angio Level 3.
Leaving the Department – Under no circumstances should any nurse leave the department without informing a senior member of staff where they are going, this is for Health and Safety reasons.
Clinical Governance – As part of the Clinical Governance Initiative the Trust has set out ‘Protected Time’. This enables the majority of staff to come together every two months and discuss/present issues of relevance to Radiology. It enables all staff to keep up to date with topics that they otherwise would not hear about due to the geographical logistics of Radiology. It also acts as a forum for presentations from staff members of all sub-departments.
Housekeeping Arrangements
On your first day please come to Radiology 1 reception at 8.30am and you will be directed to Room 6.
You will be oriented to the department and introduced to the staff. This will be carried out by one of the nursing team who will be assigned to look after you.
We have very limited locker space so where possible please leave your personal items at home or keep them on your person.
We have a staff room on Level 3 opposite the Neuro angiography suite where there is tea and coffee making facilities and fridges to store you lunch. We will give you the code to the staff room as you are very welcome to use it for your breaks.
We also have tea and coffee making facilities in Room 6, Radiology 1 which you are also very welcome to use.
Mentoring Arrangements
On your first day you will meet your mentor who will welcome and orientate you to the department. We are an extremely friendly team so you will be made to feel very welcome. We all meet in Room 6 at 8.30am for Safety Huddle and Team discussion.
Your mentor will carry out your preliminary assessment, book dates for your initial, mid-point and final assessments and assist you with identifying the appropriate learning opportunities available to you. They will also facilitate helping you in meeting your learning needs.
You will work at least 40% of your time with your mentor and work their shift pattern. The majority of staff work 08.00-18.00 four days per week and have half an hour for lunch.
Dress Code
Please come to work wearing your student uniform which you must wear at all times except when you are in the angiography department when you will wear theatre blue scrub suits which are provided in the department as are changing facilities.
Examples of Pathways of Care (Patient Journeys)
The Radiology Department takes patients form across the hospital including all wards and many departments. We also have a very large number of patients who attend from home (Out patients). Therefore we can be caring for patients of all ages, some are very well while others are on a ventilator and are from Intensive Care.
The radiology nurse team is part of a large multidisciplinary team that all work within the Radiology Department. This team includes radiographers, radiologists and clerical staff. For any interventional procedure there will always be a radiology nurse, a radiographer and a radiologist.
We constantly communicate with nurses on the wards on how to prepare their patients for an interventional radiology procedure, and how to care for that patient post procedure. We also liaise with medical staff and specialist nurses.
Spoke Directory and Contact Details
Students are encouraged to spend time on spoke placements with the specialist nurses and other members of the multidisciplinary team to enhance their learning. This will allow the students to see patients in a different healthcare setting and gain an insight to the many facets of patient care. The following spoke placements are available providing a range of learning experiences:
We have divided our placement into 2 rings and a central hub. The central hub being those rooms and lists that we cover regularly. The 1st ring shows those areas within radiology that we do not cover regularly but will give our students an opportunity for multidisciplinary working and the ability to follow a patient experience through radiology. Many of these areas are where the patients undergo investigation before they come to us for therapeutic intervention. The outer ring is generally where our patients come from and go back to such as outpatient clinics and wards.
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Spoke placements within radiology
Obstetrics and Gynaecology Ultrasound
Contact: Sharon Crawford 0161 206 5470
Learning outcomes available
Ultrasound imaging of obstetrics and gynaecology patients
Computerised Tomography (CT)
Contact: Mrudula Thaker 0161 206 7689
Learning outcomes available
CT imaging. Biopsies, drainages and aspirations under CT guidance.
Magnetic Resonance Imaging (MRI)
Contact: Suzanne Phenna 0161 206 7689/0511
Learning outcomes available
MR imaging. Sedation/GA of patients for scans.
Mammography
Contact: Catherine Hanna 0161 206 0320
Learning outcomes available
Imaging of patients with suspected breast carcinomas
Gamma Camera
Contact: Wendy Johns 0161 206 4872
Learning outcomes available
Observation of investigations including renogram, bone density scans, skeletal survey for carcinoma, VQ scans breath tests for helicobacter
Fluoroscopy Room 7/8
Contact: Lisa Lyon 0161 206 5739/4941
Learning outcomes available
Barium meals and swallows. Complex bowel imaging. Micturating cystograms. ERCPs. Colonic stents.
Spoke Placements outside radiology
Vascular Access Nurse
Contact: Ali Pondor 0161 206 61333
Learning outcomes available
Care of patients with who need renal vascular access
Renal Unit
Contact Janet Dunn
Learning outcomes available
Observing and caring for patients undergoing haemdialysis.
Level 1 Theatres
Contact: Linda Weir 0161 206 5734
Learning outcomes available
Observation of patients having fistula formation, ante grade renal stents and percutaneous nephrolithotomy
H4 - Urology
Contact: Matron Charlotte Barrett 0161 206 5866
Learning outcomes available
Immediate post care of nephrostomy patients
Endoscopy Unit
Contact: Elaine Dyson 0161 206 1277
Learning outcomes available
Care of patients undergoing Percutaneous endoscopic gastrostomies, endoscopic retrograde chloangio-pancreatography
C1 – Investigation Unit
Contact: 62300
Learning outcomes available
Pre and post care of radiologically inserted gastrostomies
Motor Neurone Disease Specialist Nurse
Contact: Sam Holden-Smith
Learning outcomes available
Care of motor neurone disease patients
Upper Gastrointestinal (GI) Specialist Nurse
Contact: Jenny Stockton
Learning outcomes available
Support of patients with upper GI carcinomas
Colorectal Specialist Nurses
Contact: Amanda Ogden
Learning outcomes available
Support of patients with colorectal carcinomas
Dietician
Contact: Kirstine Ferrar
Learning outcomes available
Nutritional support of patients with oesophageal stents and RIG’s
Speech therapy
Contact: Laura Davies
Learning outcomes available
Assessment of patients with swallowing difficulties using Videofluroscopy
Neuro - Theatres
Contact: Vicky Gibbons
Learning outcomes available
Clipping of cerebral aneurysm
Subarachnoid Specialist Nurse
Contact: Louise Dulhanty
Learning outcomes available
Care of patient post subarachnoid haemorrhage