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Patient care in the screening room

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International Medical Graduates and Workplace-based assessment

| University of Newcastle

Elio Arruzza discusses ‘screening’ examinations and recommendations for practice, spanning from initial patient interaction through to aftercare.

Image courtesy of interviewee. September 19, 2024

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Fluoroscopic procedures are a real-time medical imaging technique used to visualize the inside of a patient's body, typically in a radiology department. These procedures often involve invasive actions such as injections or catheter insertions and require careful patient care to ensure safety and comfort, especially considering cultural sensitivities regarding modesty. The presence of multiple healthcare professionals can heighten patient anxiety, necessitating clear communication and reassurance throughout the examination process.

Radiographers play a crucial role in patient care, from the introduction and informed consent to explaining procedures in understandable terms and addressing patient needs. They must monitor patients for any adverse reactions and provide comfort, such as extra pillows or blankets. Preparation before the procedure, including scheduling patients appropriately and checking their prior medical history, is important for a smooth experience.

Post-exam interactions also significantly impact patients’ ongoing care, as those who feel understood are more likely to continue their healthcare journey. A balanced approach that combines technical skills with compassionate care is essential, particularly during invasive procedures where dignity is at stake. Improved communication techniques and patient care methods are vital for reducing anxiety and enhancing overall healthcare outcomes.

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Here are five key points from the video:

1. **Role of Fluoroscopic Procedures**: Fluoroscopic procedures are a type of medical imaging that provides real-time images of the inside of a patient's body, allowing for continuous imagery that is crucial in various diagnostic applications.

2. **Importance of Patient Care**: In fluoroscopic examinations, patient safety, comfort, and dignity are of utmost importance. The presence of multiple healthcare professionals can increase anxiety, making compassionate care and communication essential.

3. **Pre- and Post-Examination Considerations**: Radiographers play a vital role in preparing patients for examinations and ensuring they understand processes and aftercare instructions, which can significantly affect their future healthcare pathway.

4. **Communication and Consent**: Effective communication is key to successful examinations. Radiographers must explain procedures clearly, obtain informed consent, and be attentive to nonverbal cues from patients. This helps to alleviate anxiety and promote patient comfort.

5. **Need for Continuous Improvement**: There is ongoing research into improving techniques for patient communication and care during imaging procedures, with the goal of reducing anxiety, increasing satisfaction, and ultimately improving healthcare outcomes for patients undergoing fluoroscopy.

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Here are key quotes from the video about fluoroscopic procedures and patient care in medical imaging:

1. **Definition and Purpose**:
- "Fluoroscopic procedures are a type of medical imaging that allows doctors to see real time images of the inside of a patient's body."

2. **Importance of Patient Care**:
- "Patient care is extremely important to ensure the safety and comfort of the patient whilst maximizing the health outcomes for that patient."

3. **Invasiveness of Procedures**:
- "Examinations in the screening room are some of the more invasive procedures that a patient can experience in the radiology department."

4. **Cultural Sensitivity**:
- "Many cultures hold modesty as a highly sensitive aspect of a person's life, and so consideration of this is very important."

5. **Multifaceted Role of Radiographers**:
- "The screening room demands a multifaceted approach whereby the radiographers are required to attend to the patient first and foremost, but also the radiologist and the equipment simultaneously."

6. **Communication Importance**:
- "Communication is key to the success of the examination and the comfort of that patient."

7. **Patient Interaction and Comfort**:
- "The role of the radiographer in politely introducing themselves, obtaining informed consent, and providing reassurance to that patient during the examination is extremely important."

8. **Listening to Patient Cues**:
- "Listening to any complaints or cues from the patient is also quite important."

9. **Preparation Responsibilities**:
- "It's often the radiographer's responsibility to identify and communicate patient preparation requirements."

10. **Post-Examination Care**:
- "The radiographer's final interaction with a patient can influence or determine their pathway ahead."

11. **Balancing Skills and Compassion**:
- "Patient care in the screening room involves balancing technical skills with compassionate care, especially during invasive fluoroscopy procedures."

12. **Addressing Patient Concerns**:
- "Technologists must be able to excel in communication, explain procedures clearly, obtain informed consent and address patient concerns."

These quotes encapsulate the emphasis on patient care, communication, cultural sensitivity, and the multifaceted responsibilities of radiographers during fluoroscopic procedures.

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Fluoroscopic procedures are a type of, medical imaging

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that allows doctors to see real time, images, of the

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inside of a patient's body.

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Uh, and these types of images can be performed in most

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radiology departments, for a lot of applications

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where doctors need to see continuous imagery,

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which is generally seen in the form of a,

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a live video feed on the screen next to them.

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Um, in these examinations though,

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patient care is extremely important,

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to ensure the safety and comfort of the patient,

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whilst maximizing the health outcomes for that patient.

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Examinations in the screening room are some of the more,

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invasive procedures that a patient can experience in the

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radiology department.

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Uh, and this is just

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because they, they often involve medical procedures,

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like injections or, insertion of catheters,

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in different parts of the body, often related to,

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urological or gynecological

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or even, gastrointestinal systems of the body.

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Uh, and many cultures hold, modesty as a highly,

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sensitive aspect of a person's life.

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Uh, and so consideration of this is very important.

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Um, also, you know, sometimes there's,

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there can be multiple healthcare professionals in the,

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the screening room at any one time,

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whether it's a radiologist, a nurse,

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the referring doctor, and of course the radiographer.

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And so multiple people around, Ken heightened,

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feelings of anxiety.

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Uh, and so, you know,

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and another point would be that,

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many patients coming in have been informed

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or, are experiencing a potential i illness or an injury.

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Uh, and some, some might be in, continual physical pain.

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Uh, and so it's the professional's responsibility, to

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minimize, those feelings as best they can.

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And there's many ways, that they can do that.

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The screening room is, is quite unique in that it demands a,

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a multifaceted approach whereby the radiographers

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required to attend to the patient, first and foremost,

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but also the radiologist,

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and the equipment simultaneously.

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Uh, and this can feel like a lot to juggle.

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Ultimately, as I said, that the main priority is the safety

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and wellbeing of the patient.

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Uh, and communication is key to the success, is key

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to the success of the examination

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and the comfort of that patient.

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The role of the radiographer in politely introducing

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themselves, obtaining informed consent,

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explaining the entire process in understandable terms

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without, medical jargon.

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Uh, and providing reassurance to that patient

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during the examination, is extremely important.

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Listening to any, complaints or cue,

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or listening to any complaints

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or cues from the patient is also quite important.

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Um, the nonverbal cues in particular,

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as the radiographers need to be able

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to monitor vital signs in case of an adverse event

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or allergic reaction.

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Um, checking in on that patient periodically

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with simple remarks such as, you know, are you feeling okay?

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Are you doing well? Can really go a long way.

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And often comforting items such as,

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you know, extra pillows or

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Blankets are really valued in those cases as well.

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There are multiple considerations that that need

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to be taken into account by the radiographer.

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Uh, and these must happen even

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before that patient comes in for their scan.

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So it's often the radiographers responsibility to identify

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and communicate patient preparation requirements.

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So, for example, ensuring that patients

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who might require fasting

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for an examination are booked in the morning so

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that they don't have to experience an excessive,

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duration of the day without eating.

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Um, also what the patient does

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after their exam examination can, can be just as important

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as what the patient does before.

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Um, not only, not only this,

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but the, the radiographers, final interaction

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with a patient can influence

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or determine their pathway ahead.

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Uh, if a patient leaves a radiographers care,

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feeling confused or misunderstood,

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their continued care might not be fulfilled.

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Uh, instead, patients who feel

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or who leave feeling cared for are more likely

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to continue their healthcare pathway.

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Um, I guess throughout the process, radiographers need

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to be transparent and complete with their instructions.

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And even writing these down can be helpful for patients,

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particularly those who have some af aftercare instructions.

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Um, having knowledge

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of the patient's previous medical history can also inform

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the radiographer about specific

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after aftercare, instructions

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that the patient might need

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to particularly emphasize Patient care in the screening

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room, involves balancing technical skills

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00:04:25.765 --> 00:04:28.975
with compassionate care, especially those,

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during invasive fluoroscopy procedures.

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Um, these procedures can challenge patient's dignity.

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So maintaining comfort and respect is crucial.

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Um, technologists must be able to excel in communication,

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explain procedures clearly, obtain informed consent

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and address patient concerns.

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Sympathetically, there are still a lot of research,

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which can be done to explore new techniques of improving,

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patient communication and care,

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00:04:55.515 --> 00:04:58.855
and how they can reduce anxiety, increase,

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satisfaction and ultimately improve healthcare outcomes for,

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00:05:03.155 --> 00:05:05.015
for these types of imaging procedures.

"Ensuring Patient Care and Comfort in Fluoroscopic Procedures: A Multifaceted Approach"

00:00:00 - Fluoroscopic procedures are a type of, medical imaging that allows doctors to see real time, images, of the inside of a patient's body. and these types of images can be performed in most radiology departments, for a lot of applications where doctors need to see continuous imagery, which is generally seen in the form of a, a live video feed on the screen next to them. in these examinations though, patient care is extremely important, to ensure the safety and comfort of the patient, whilst maximizing the health outcomes for that patient. Examinations in the screening room are some of the more, invasive procedures that a patient can experience in the radiology department. and this is just because they, they often involve medical procedures,
00:00:48 - in different parts of the body, often related to, urological or gynecological or even, gastrointestinal systems of the body. and many cultures hold, modesty as a highly, sensitive aspect of a person's life. and so consideration of this is very important. also, you know, sometimes there's, there can be multiple healthcare professionals in the, the screening room at any one time, whether it's a radiologist, a nurse, the referring doctor, and of course the radiographer. And so multiple people around, Ken heightened, feelings of anxiety. and so, you know,
00:01:26 - many patients coming in have been informed or, are experiencing a potential i illness or an injury. and some, some might be in, continual physical pain. and so it's the professional's responsibility, to minimize, those feelings as best they can. And there's many ways, that they can do that. The screening room is, is quite unique in that it demands a, a multifaceted approach whereby the radiographers required to attend to the patient, first and foremost, but also the radiologist, and the equipment simultaneously. and this can feel like a lot to juggle. Ultimately, as I said, that the main priority is the safety and wellbeing of the patient.
00:02:08 - to the success of the examination and the comfort of that patient. The role of the radiographer in politely introducing themselves, obtaining informed consent, explaining the entire process in understandable terms without, medical jargon. and providing reassurance to that patient during the examination, is extremely important. Listening to any, complaints or cue, or listening to any complaints or cues from the patient is also quite important. the nonverbal cues in particular, as the radiographers need to be able to monitor vital signs in case of an adverse event
00:02:47 - checking in on that patient periodically with simple remarks such as, you know, are you feeling okay? Are you doing well? Can really go a long way. And often comforting items such as, you know, extra pillows or Blankets are really valued in those cases as well. There are multiple considerations that that need to be taken into account by the radiographer. and these must happen even before that patient comes in for their scan. So it's often the radiographers responsibility to identify and communicate patient preparation requirements. So, for example, ensuring that patients who might require fasting for an examination are booked in the morning so that they don't have to experience an excessive, duration of the day without eating.
00:03:29 - after their exam examination can, can be just as important as what the patient does before. not only, not only this, but the, the radiographers, final interaction with a patient can influence or determine their pathway ahead. if a patient leaves a radiographers care, feeling confused or misunderstood, their continued care might not be fulfilled. instead, patients who feel or who leave feeling cared for are more likely to continue their healthcare pathway. I guess throughout the process, radiographers need to be transparent and complete with their instructions. And even writing these down can be helpful for patients, particularly those who have some af aftercare instructions.

"Enhancing Patient Care in Fluoroscopic Procedures: The Importance of Compassionate Communication and Technical Proficiency"

00:04:12 - of the patient's previous medical history can also inform the radiographer about specific after aftercare, instructions that the patient might need to particularly emphasize Patient care in the screening room, involves balancing technical skills with compassionate care, especially those, during invasive fluoroscopy procedures. these procedures can challenge patient's dignity. So maintaining comfort and respect is crucial. technologists must be able to excel in communication, explain procedures clearly, obtain informed consent and address patient concerns. Sympathetically, there are still a lot of research, which can be done to explore new techniques of improving,
00:05:03 - and how they can reduce anxiety, increase, satisfaction and ultimately improve healthcare outcomes for, for these types of imaging procedures.

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