This occupation is discovered within the well being and care sector and consists of the NHS and personal healthcare suppliers.
The broad goal of the occupation is to offer wonderful care to sufferers identified with most cancers by delivering prime quality and correct radiotherapy, taking into account sufferers’ emotional, psychological, and bodily wants by means of the phases of their most cancers therapy when at instances they might be extraordinarily susceptible. You can 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, resembling scanning and planning the sufferers’ radiotherapy. Therapeutic radiographers present the very best commonplace of technical follow and affected person care in an effort to deal with and help adults, youngsters and kids receiving radiotherapy (predominately for most cancers) utilizing a wide range of kinds resembling:
• 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 might or will not be 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 resembling hospitals and hospices.
An worker on this occupation might be answerable for planning, checking and utilizing imaging to ship correct radiotherapy in a compassionate and caring method. As an autonomous practitioner, they are going to have accountability for the affected person from the time of referral for radiotherapy by a most cancers specialist, by means 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
Information
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 steerage.
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K2: Legislative and medical governance frameworks wherein 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 follow, data and expertise.
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K4: The suitable radiation safety for self, sufferers, employees, college students and learners, and public, together with private protecting tools.
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K5: Learn how 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 medical setting in an effort to look after radiotherapy sufferers.
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K7: Learn how to establish dangers to sufferers, employees, college students and learners, and public security, and uphold knowledge safety. Report any points that 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 data and the affect of tradition, equality and variety in follow.
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K9: Learn how to hold personal data and expertise updated by means of Persevering with Skilled Growth (CPD).
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K10: Learn how to help college students and different professionals who’re actively studying radiotherapy practices.
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K11: Learn how to learn, interpret and precisely observe the therapy 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 follow 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 medical protocols and affected person care protocols, together with fundamental life help methods, the right way to deal safely with medical emergencies, medicines and self-management methods.
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K16: The affect of different most cancers remedies resembling, 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 submit therapy problems 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 therapy of most cancers.
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K18: Radiotherapy negative effects regarding the realm being handled and gives sufferers acceptable recommendation and steerage to handle these negative effects, referring to different professionals the place obligatory, following evidence-based recommendation the place acceptable.
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K19: The significance of top quality checking processes in making certain the very 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: Learn how to systematically consider sufferers’ therapy and guarantee findings are used to enhance sufferers’ expertise and medical outcomes.
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K21: The necessity for radiotherapy medical trials and analysis to help the on-going growth of the evidence-base for radiotherapy and the position of the therapeutic radiographer.
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K22: Learn how to construct and maintain skilled relationships each independently and collaboratively and perceive the roles of wider workforce members resembling 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 techniques and necessities, and what constitutes a reportable incident.
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K25: The requirement to keep up affected person confidentiality, hold correct affected person data and handle all different data in accordance with relevant laws, protocols and pointers.
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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 constraints of personal communication expertise 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 the right way to establish sufferers who might require extra psycho social help e.g. needle phobic or claustrophobic sufferers and the right way to refer them and course of entry to acceptable skilled and help companies.
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K29: A therapeutic radiographer’s accountability throughout 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 therapy on the premise of modified circumstances, the affected person withholding consent, and the SCoR consent steerage documentation.
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K31: Cyber safety pointers and native insurance policies and procedures.
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Expertise
S1: Interpret, apply and mirror on skilled codes of follow and laws in an effort to ship radiotherapy and care, and take accountability 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 incorrect inside personal scope of follow.
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S3: Preserve correct data of personal work.
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S4: Promote and defend the pursuits of sufferers, employees, and public in a radiation atmosphere 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 data to safeguard radiotherapy sufferers or the broader public, according to moral frameworks and search recommendation the place uncertain.
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S6: Promote well being and wellbeing, advising on lowering the chance of negative effects of radiotherapy.
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S7: Recognise affected person advocacy tasks, 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: Display efficient and acceptable communication expertise to construct rapport with sufferers and colleagues.
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S9: Work throughout the limits of personal data and expertise, and delegate appropriately.
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S10: Display updated CPD and lifelong studying associated to modern radiotherapy follow.
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S11: Help others and facilitate studying, together with evaluation and offering suggestions to learners.
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S12: Apply important pondering.
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S13: Assess and interpret therapy planning knowledge to tell determination making.
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S14: Participate in medical audit, contribute to service enchancment initiatives, use evidence-based analysis and medical trial outcomes to tell personal medical follow.
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S15: Ship with a excessive stage of talent 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 obligatory.
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S17: Assess sufferers’ medical situation previous to the process, and the place obligatory, use fundamental life help methods and deal safely with medical emergencies. Use efficient communication with the affected person to find out their suitability for the process, being attentive to 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 constantly excessive stage in an effort to ship secure 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: Appropriately establish and put together the affected person appropriately for the particular process and choose the right tools and a reproducible affected person place for the course of therapy, 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 data and different data in accordance with relevant laws, protocols and pointers.
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S25: Mirror on and be taught from medical incidents and complaints, and share studying with friends.
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S26: Signpost sufferers and their households to the affected person grievance course of, supporting them and colleagues throughout incidents and the reporting course of.
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S27: Use spatial consciousness and psychomotor expertise to finely manipulate the radiotherapy tools 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 therapy setup tolerances as outlined inside native radiotherapy protocols.
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S29: Use dexterity and extremely developed coordination and sensory expertise to soundly manoeuvre sufferers and tools, making an allowance for any postural constraints attributable to limitations in tools design.
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S30: Recognise verbal and non-verbal clues that point out the affected person might require emotional and psychological help.
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S31: Recognise that not all companies are acceptable to all sufferers in all conditions and reveal a capability to judge sufferers’ understanding.
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S32: Mirror on and recognise personal feelings and emotions and search medical supervision to make sure help, while coping with probably distressing and troublesome circumstances related to sufferers present process their therapy.
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S33: Recognise the differing help wants of most cancers sufferers who will not be cured.
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S34: Prioritise sufferers’ wants and recognise when personal data and expertise 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 might not have understood the consent course of, be unwilling to provide their consent, or not be capable of consent for themselves, referring on as acceptable.
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S36: Recognise when therapy must be suspended.
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S37: Use radiotherapy data expertise and pc tools.
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S38: Apply knowledge safety and affected person confidentiality in day by day medical follow and full related, concise, factual, therapy 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 folks in non-discriminatory methods.
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B5: Be keen to share data, be self-motivated, proactive, adaptable and dependable in an effort to ship the absolute best affected person care.
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B6: Be decisive and act with confidence when interacting with sufferers, employees 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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