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9. Autonomous practice (practitioners)

9.1 Outcomes for Autonomous Practice (Practitioner)

The following statements identify the outcomes to be demonstrated by a radiographer following a period of preceptorship.

  1. Practise safely within relevant legal, ethical, professional and managerial frameworks.
  2. Demonstrate accountability, recognising and responding appropriately to strengths and limitations in own knowledge, skills and attributes and to those of others.
  3. Select and justify evidence for safe, effective, professional practice
  4. Engage in audit, research and continuing professional development.
  5. Contribute to the development of radiographic practice for the benefit of patients.
  6. Manage self and workload effectively and in a timely way.
  7. Use information management systems effectively.
  8. Demonstrate highly-developed interpersonal and communication skills.
  9. Use and give professional supervision.
  10. Mentor and teach learners, support staff and other professionals.
  11. Ensure the radiation safety of all individuals in the working environment.
  12. Practise within a risk-benefit framework, having regard to the biological effects of radiation.
  13. When entitled to do so by the employer, undertake practitioner, operator and referrer roles within IR(ME)R 2000 and its subsequent amendments as appropriate to professional practice.
  14. Participate in quality assurance and undertake equipment testing, responding appropriately.
  15. Identify, evaluate and interpret normal and abnormal anatomy and pathophysiology relevant to clinical practice.
  16. Assess patients and make reasoned decisions to initiate, continue, modify, suspend or cease imaging examinations or radiotherapy.
  17. Employ effective positioning and immobilisation, customising devices as appropriate.
  18. Manipulate exposure factors and image recording parameters to optimal effect.
  19. Monitor and assess the adequacy of images.
  20. Interpret results and, where necessary, carry out additional image manipulation, imaging or adaptation of treatment delivery.
  21. Record imaging examinations/radiotherapy interventions and their outcomes accurately. 
  22. Evaluate the range of imaging or radiotherapy modalities to make informed professional judgements about their application.
  23. Supply, administer and prescribe medicines within the legal framework.
  24. Generate an optimal treatment plan and interpret radiotherapy prescriptions accurately, modifying these during treatment when necessary. (T)
  25. Select and justify imaging and treatment modalities and operate equipment safely and effectively. (T)
  26. Select and justify imaging examinations and operate equipment safely and effectively. (D)
  27. Produce written preliminary evaluation of imaging examinations undertaken. (D)
  28. Work individually, collaboratively and/or in partnership to deliver person-centred care and  interventions.
  29. Meet the care needs of individuals and their significant others sensitively and respectfully having regard to the impact of illness and trauma and to socio-cultural differences.
  30. Have due regard to patients’ health status and co-morbidities, promoting healthy living.
  31. Demonstrate proficiency in basic life-support techniques, infection control and moving and handling.
  32. Obtain informed consent or ensure that it has been given.
  33. Advise other Health and Social Care professionals about patients’ needs, referring them where necessary.


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