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YuyunYueniwati
Radiology Department Faculty of Medicine University of Brawijaya
SaifulAnwar Hospital Malang
ROLE OF A NURSE IN NEURORADIOLOGY
EXAMINATION
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THE GOAL OF NURSING:
“...is to promote, restore, maintain and enhance the
health of individuals and groups in the community”.
The Nurses Board of South Australia (2006)
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NURSING IS . . .
“... a science and an art”.
The Nurses Board of South Australia (2006)
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THE SCIENCE IS . . .
“. . . the body of nursing knowledge and thetechnical aspects of clinical practice”.
The Nurses Board of South Australia (2006)
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THE ART IS . . .
“. . . the establishment of a caring relationship throughwhich the nurse applies nursing knowledge and skill”.
The Nurses Board of South Australia (2006)
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NURSES ARE:
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Assist in the Imaging Process:
- Ensure the correct person receives the correct image
- Ensure the patient/client is safe and able to undertake to procedure
- Monitor the patient/client through out the procedure
- Report additional precautions the person may require to the imaging personnel- Hand over the outcome and ongoing requirements to the wards, emergency
department
- other health care team
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CARE GIVERS- Ensure that Additional Precautions are adhered to
- Maintain a safe work environment for themselves, the other staff and the patient/client
- Hazards are identified, reported and rectified
- Triage the clientele into an order of priority, when necessary
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ADVOCATESEnsure that patients/clients:
o Understand the need for the Imaging that is requested
o Are informed and that if necessary a Consent is obtained
o Liaise between patient/client and Radiographer/Radiologist
o Arrange for continuing treatment/monitoring after interventional
imaging and/or procedures
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MODALITIES- General X-ray
- Angiography and Vascular Access (PICC lines etc.)
- Ultrasound
- CT (Computerised Tomography)
- MRI (Magnetic Resonance Imaging)
- Nuclear Medicine
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GENERAL X-RAYNurses:
- Assist in the positioning of people for their imaging, including when sliding people
onto the X-ray table
- Changing people when necessary for the imaging, or if they are soiled (blood,
incontinence etc.)- Utilising lifting machines to transfer people from wheelchair to the X-ray table
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GENERAL X-RAY
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ANGIOGRAPHY
• Scrub to assist Radiologist/Radiology Registrar with the interventional
procedures
- Monitor patient/client throughout the procedure (Pulse, Blood Pressure,
Intravenous Therapy etc.)
- Ensure documentation is completed by all staff where required
- Hand over to the following health care team the requirement of the patient
after an interventional procedure
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ANGIOGRAPHY
• Normal Angiography
(Oldnall 2007)
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ANGIOGRAPHY SUITE• Specials Room
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ANGIOGRAPHY SUITE
Angiography Room
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PICC LINE INSERTIONNurse position
- Peripherally Inserted Central Catheter (PICC)
- Utilised for long term venous access
- Reduces the need for multiple Intravenous (IV) Cannula
- Often for Haematology, Intensive Care and Cancer Services patients
- Also for those people with Cystic Fibrosis
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PICC LINE• PICC Line on X-ray
chris-says (2006)
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PICC LINE• Various PICC Lines
Massachusetts General Hospital (2007)
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ULTRASOUND Assist in the positioning of patients
- Assist with interventional procedures:
- - Biopsies
- - Drainage of Fluid Collections
- - Chaperone when intimate examinations are performed
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CT SCAN• Ensure the person understands the need for the CT Scan
• Assist in the positioning of the patient for the CT Scan
• Ensure an intravenous (IV) cannula is inserted and patent (working)
• Ensure an Intravenous Contrast Checklist is completed and reviewed by a
Radiologist/Radiology Registrar
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CT SCAN- Draw up and administer Intravenous Contrast if required for the CT Scan
- Assist in the treatment of Reactions to the Intravenous Contrast
- Ensure Documentation is completed by the relevant staff
- Assist with interventional procedures:
- - Biopsies
- - Drainages of fluid collections
- - Myelograms, Facet joint Injections etc.
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CT SCAN ROOMS
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- Assist in administering Patient care (Bed pans, Suction etc.)
- Transferring patients onto/off of the MRI Scan table
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Dark on T1WI, bright on T2WI and FLAIR, very bright on DWI
T1WI T2WI FLAIR DWI
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NUCLEAR MEDICINE
Assist the Nuclear Medicine Technicians and the Radiologists
• Prepare the patient for procedures
• Insert, or arrange, for the insertion of intravenous (IV) cannula
• Take blood• Administer medications
• Continue nursing care
• Ensure documentation is completed by the relevant staff
• Arrange for the transportation from the department
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NUCLEAR MEDICINE
•
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NUCLEAR MEDICINE
PET Scanner
(Philips–Gemini)
Koninklijke Philips Electronics (2004-2007)