This occupation is discovered within the well being and care sector and contains the NHS and personal healthcare suppliers.
The broad objective of the occupation is to offer glorious care to sufferers recognized with most cancers by delivering top quality and correct radiotherapy, making an allowance for sufferers’ emotional, psychological, and bodily wants by way of the levels of their most cancers remedy when at occasions they might be extraordinarily susceptible. You’ll be answerable for the affected person from the time of referral for radiotherapy by a most cancers specialist and can undertake pre-treatment preparation of radiotherapy sufferers, akin to scanning and planning the sufferers’ radiotherapy. Therapeutic radiographers present the best normal of technical observe and affected person care so as to deal with and help adults, youngsters and kids receiving radiotherapy (predominately for most cancers) utilizing a wide range of varieties akin to:
• exterior beam radiotherapy, a technique for delivering a beam or a number of beams of excessive vitality X-rays to a affected person’s most cancers;
• brachytherapy, a type of radiotherapy the place a sealed radiation supply (eg in a needle or tube) is positioned inside or subsequent to the affected person’s most cancers;
• stereotactic radiotherapy/radiosurgery which delivers a number of beams of centered radiation
• proton remedy, a sort of particle remedy that makes use of a beam of protons to ship a radiation dose to a affected person’s most cancers;
• superficial pores and skin radiotherapy, which makes use of X-rays or electrons to ship a radiation dose to a affected person’s most cancers.
Of their day by day work, an worker on this occupation interacts with most cancers sufferers, who could or is probably not cured, their carer(s), members of the general public and a spread of healthcare professionals eg physicists, dosimetrists, docs, nurses and dietitians, in a wide range of settings akin to hospitals and hospices.
An worker on this occupation will likely be answerable for planning, checking and utilizing imaging to ship correct radiotherapy in a compassionate and caring method. As an autonomous practitioner, they may have duty for the affected person from the time of referral for radiotherapy by a most cancers specialist, by way of to aftercare and on-going help after radiotherapy. They are going to be accountable professionally and legally for his or her actions and people they’re supervising.
KSBs
Data
K1: The HCPC Requirements of Proficiency for a therapeutic radiographer, the Society and School of Radiographers (SCoR) Code of Skilled Conduct and laws that informs moral frameworks and steering.
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K2: Legislative and scientific governance frameworks through which radiotherapy is delivered and the political, social, and financial elements impacting on well being and social care and radiotherapy service supply.
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K3: Limits of personal scope of observe, data and abilities.
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K4: The suitable radiation safety for self, sufferers, workers, college students and learners, and public, together with private protecting gear.
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K5: The way to respect and uphold the rights, dignity, values and autonomy of radiotherapy sufferers their households and carer(s).
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K6: Communication methods in a scientific setting so as to take care of radiotherapy sufferers.
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K7: The way to determine dangers to sufferers, workers, college students and learners, and public security, and uphold knowledge safety. Report any points which will affect by yourself capability and functionality to practise as a therapeutic radiographer.
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K8: Employer’s processes and procedures regarding consent, confidentiality, safeguarding and use of knowledge and the affect of tradition, equality and variety in observe.
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K9: The way to hold personal data and abilities updated by way of Persevering with Skilled Growth (CPD).
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K10: The way to help college students and different professionals who’re actively studying radiotherapy practices.
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K11: The way to learn, interpret and precisely observe the remedy plan and related imaging protocol.
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K12: The construction and performance of the human physique in well being and illness together with, anatomy and physiology, most cancers pathologies and mechanism of illness.
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K13: The radiobiological ideas on which the observe of radiotherapy relies.
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K14: The epidemiology, aetiology, threat elements and mechanisms of unfold of most cancers, and the indicators, signs and investigations that instigate a referral to a most cancers specialist.
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K15: Native and nationwide scientific protocols and affected person care protocols, together with fundamental life help strategies, how you can deal safely with scientific emergencies, medicines and self-management methods.
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K16: The affect of different most cancers therapies akin to, surgical procedure and chemotherapy on the planning and supply of radiotherapy. The affect of different elements together with the radiation dose, the timing and sort of radiotherapy, and publish remedy issues of radiotherapy to the affected person.
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K17: Radiotherapy physics, radiation beam interplay and picture manufacturing, together with the strategies for drug administration. The ideas of high quality management and high quality assurance associated to the correct supply and verification of excessive dose radiation for the remedy of most cancers.
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K18: Radiotherapy unintended effects regarding the realm being handled and presents sufferers acceptable recommendation and steering to handle these unintended effects, referring to different professionals the place vital, following evidence-based recommendation the place acceptable.
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K19: The significance of top quality checking processes in making certain the best requirements of affected person care and security are maintained, and the radiation dangers related to ineffective or repetitive checking processes.
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K20: The way to systematically consider sufferers’ remedy and guarantee findings are used to enhance sufferers’ expertise and scientific outcomes.
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K21: The necessity for radiotherapy scientific trials and analysis to help the on-going improvement of the evidence-base for radiotherapy and the position of the therapeutic radiographer.
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K22: The way to construct and maintain skilled relationships each independently and collaboratively and perceive the roles of wider group members akin to physicists, docs, specialist nurses, dietitians, and so forth. who work with radiotherapy sufferers.
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K23: Battle decision methods and when to use them.
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K24: The necessity for immediate reporting of radiation incidents, nationwide incident reporting programs and necessities, and what constitutes a reportable incident.
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K25: The requirement to take care of affected person confidentiality, hold correct affected person information and handle all different info in accordance with relevant laws, protocols and tips.
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K26: The significance of sustaining personal security and that of colleagues and sufferers when shifting and dealing with sufferers repeatedly all through the working day.
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K27: The restrictions of personal communication abilities when speaking with sufferers, their households or advocates who could also be coping with life-limiting or life altering diagnoses. Recognise when to hunt additional help and recommendation.
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K28: The holistic wants of the affected person while present process their radiotherapy, together with how you can determine sufferers who could require further psycho social help e.g. needle phobic or claustrophobic sufferers and how you can refer them and course of entry to acceptable skilled and help providers.
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K29: A therapeutic radiographer’s duty inside the interprofessional most cancers help service.
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K30: The process for acquiring legitimate consent, the implications of not acquiring consent, suspension of remedy on the idea of modified circumstances, the affected person withholding consent, and the SCoR consent steering documentation.
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K31: Cyber safety tips and native insurance policies and procedures.
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Abilities
S1: Interpret, apply and replicate on skilled codes of observe and laws so as to ship radiotherapy and care, and take duty for personal actions.
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S2: Handle threat and report and escalate issues about security, implement classes discovered, and be open when issues go mistaken inside personal scope of observe.
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S3: Preserve correct information of personal work.
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S4: Promote and defend the pursuits of sufferers, workers, and public in a radiation surroundings and adjust to native private dose monitoring procedures.
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S5: Recognise and reply appropriately to conditions the place it’s essential to share info to safeguard radiotherapy sufferers or the broader public, consistent with moral frameworks and search recommendation the place not sure.
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S6: Promote well being and wellbeing, advising on lowering the chance of unintended effects of radiotherapy.
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S7: Recognise affected person advocacy duties, act as a affected person advocate when acceptable and supply sufferers or their advocates with the knowledge essential to allow them to make knowledgeable selections.
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S8: Exhibit efficient and acceptable communication abilities to construct rapport with sufferers and colleagues.
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S9: Work inside the limits of personal data and abilities, and delegate appropriately.
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S10: Exhibit updated CPD and lifelong studying associated to modern radiotherapy observe.
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S11: Help others and facilitate studying, together with evaluation and offering suggestions to learners.
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S12: Apply crucial pondering.
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S13: Assess and interpret remedy planning knowledge to tell resolution making.
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S14: Participate in scientific audit, contribute to service enchancment initiatives, use evidence-based analysis and scientific trial outcomes to tell personal scientific observe.
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S15: Ship with a excessive stage of ability and accuracy, radiotherapy utilizing exterior beam radiation.
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S16: Make reasoned selections to proceed or stop radiotherapy, and to escalate the place vital.
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S17: Assess sufferers’ scientific situation previous to the process, and the place vital, use fundamental life help strategies and deal safely with scientific emergencies. Use efficient communication with the affected person to find out their suitability for the process, taking note of sufferers’ wants all through.
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S18: Precisely calculate and test affected person radiotherapy prescriptions and related knowledge.
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S19: Focus at a persistently excessive stage so as to ship protected and correct radiotherapy.
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S20: Assess, and adapt affected person setups, utilizing pictures and scans acquired following native protocols.
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S21: Justify selections within the planning of radiotherapy and be capable of recognise clinically acceptable radiotherapy plans.
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S22: Accurately determine and put together the affected person appropriately for the particular process and choose the proper gear and a reproducible affected person place for the course of remedy, together with manufacturing of affected person equipment.
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S23: Apply battle decision methods appropriately.
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S24: Report dangers and incidents, hold correct, complete and understandable information and different info in accordance with relevant laws, protocols and tips.
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S25: Replicate on and study from scientific incidents and complaints, and share studying with friends.
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S26: Signpost sufferers and their households to the affected person criticism course of, supporting them and colleagues throughout incidents and the reporting course of.
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S27: Use spatial consciousness and psychomotor abilities to finely manipulate the radiotherapy gear in addition to finely manipulating the affected person’s physique to align anatomy with the radiation beam.
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S28: Adhere to any remedy setup tolerances as outlined inside native radiotherapy protocols.
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S29: Use dexterity and extremely developed coordination and sensory abilities to securely manoeuvre sufferers and gear, taking into consideration any postural constraints on account of limitations in gear design.
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S30: Recognise verbal and non-verbal clues that point out the affected person could require emotional and psychological help.
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S31: Recognise that not all providers are acceptable to all sufferers in all conditions and show a capability to guage sufferers’ understanding.
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S32: Replicate on and recognise personal feelings and emotions and search scientific supervision to make sure help, while coping with probably distressing and tough circumstances related to sufferers present process their remedy.
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S33: Recognise the differing help wants of most cancers sufferers who is probably not cured.
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S34: Prioritise sufferers’ wants and recognise when personal data and abilities are not enough, referring on to the broader radiotherapy help community as acceptable.
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S35: Recognise verbal and non-verbal clues that point out the affected person could not have understood the consent course of, be unwilling to present their consent, or not be capable of consent for themselves, referring on as acceptable.
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S36: Recognise when remedy must be suspended.
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S37: Use radiotherapy info expertise and laptop gear.
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S38: Apply knowledge safety and affected person confidentiality in day by day scientific observe and full related, concise, factual, remedy documentation.
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Behaviours
B1: Act with honesty, integrity, openness, and respect always.
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B2: Act with empathy and compassion by being thoughtful of others’ emotions, particularly when making selections.
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B3: Stay calm and resilient when coping with distressing and emotionally difficult conditions, and be capable of handle personal emotional responses.
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B4: Behave respectfully and be non-judgemental by partaking with individuals in non-discriminatory methods.
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B5: Be keen to share data, be self-motivated, proactive, adaptable and dependable so as to ship the absolute best affected person care.
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B6: Be decisive and act with confidence when interacting with sufferers, workers and the general public.
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B7: Practise self-awareness by understanding personal feelings, limitations, strengths, weaknesses, and recognising the affect of non-public interactions on others.
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