Table of responsibilities

• Managing own safety and that of patients and other staff in restricted and controlled areas (radiation safety and magnetic field safety) and department environment
• Working to scope of practice for which trained, seeking support for examinations or procedures beyond own competence or confidence
• Ensuring hygiene procedures are followed, including managing blood and body fluid spills
• Performing defined routine QA/QC checks on equipment, working to a set procedure/protocol–report and record results as per local policy–respond appropriately to out-of-tolerance QA/QC   results, for example take equipment out of service until further investigation has taken place
• Undertaking more complex QA tasks and provide oversight of QA programmes, providing anomaly reporting and audit to the supervising QA radiographer. (For imaging QA involving radiation, the assistant must be designated an operator under the regulations).
• Cleaning and moving ultrasound and mobile x-ray machines from place to place to facilitate service efficiency and effectiveness
• Cleaning, moving and changing MRI coils during MRI sessions

• Following referral, appointing, justification, authorisation and reporting processes for relevant patient pathways, such as emergency department patients, GP referrals, in-patients and out-patients
• Inputting, accessing or amending patient and other data on radiology management systems, portering systems, PACS, hospital information systems
• Completing examination data on radiology management systems as per protocol and checking images on PACS
• Accessing pathology systems to check patient results pre-procedure. Making results available for the clinician to review. Flagging if results are unavailable to reduce/prevent delays. (It is the final responsibility of the operator undertaking the examination to check the information is correctly in place).
• Ensuring that the patient episode and correct data are on the modality list and that the correct examination is selected for image capture

• Understanding and recognising roles and responsibilities within the clinical imaging team, ensuring accurate communication flow and information transfer
• Liaising with patients and carers, porters, wards, ambulance service and referrers to support patient flow and ensuring correct examination information is available
• Answering or referring queries
• Performing the required LMP/patient ID/patient safety checks, and resolving issues. It is the final responsibility of the operator undertaking the examination to check this information is correctly in place

• Planning and prioritising own workload within scope of practice and the department’s operational policy
• Providing support for manual handling and patient positioning during examinations
• Performing required physiological measurements, reporting and recording results appropriately
• Performing protocol-driven diagnostic imaging examinations within own scope of practice on co-operative patients using:
  – static and mobile fluoroscopic equipment
  – x-ray equipment
  – ultrasound machines
  – MRI scanner
  – CT scanner
  – Dexa machine
  – nuclear medicine equipment
• Assessing images for technical quality and diagnostic suitability, taking action as per scope of practice and legal entitlement, for example performing repeats, seeking registered radiographer support and advice where images fall short of diagnostic quality
• Referring patient to another registered practitioner for image interpretation:
  – where patient is leaving the department to their home
  – refer to supervising radiographer  
  – where patient is immediately attending an outpatient clinic, other department or remains an in-patient
  – refer for review by a registered practitioner/medical practitioner
  – the reviewing practitioner/registered radiographer takes responsibility for identifying urgent or unexpected findings and taking appropriate action
• Completing examination on radiology management systems and ensure images are available as expected on PACS
• Supporting protocol-driven fluoroscopic examinations:
  – image-guided routine pain clinics during normal working hours  
  – image-guided manipulation of extremities in theatre  
  – routine lists when working with an advanced practice radiographer (or other trained equipment operator)
• Leading training of other members of staff in areas of expertise.

Supporting medicines use

• Acting as a second checker for the registered professional
• Preparing equipment for administration of intravenous medicines by registered professionals where legal mechanisms allow 
• Administering oral medicines after supply by a registered professional where legal mechanisms allow9
• Cannulating patients and flushing with a pre-filled saline syringe classified as a medical device where local processes allow
• Removing cannulas in line with protocols
• Observing patients before, during and after contrast agent injections/ interventional procedures and provide appropriate care
• Observing patients and taking patient observations

• Supervising and training students within their scope of practice
• Assessing students/trainees, giving feedback for improvement
• Performing health promotion activities