This occupation is discovered within the well being and care sector and contains the NHS and personal healthcare suppliers.
The broad function of the occupation is to supply wonderful care to sufferers recognized with most cancers by delivering prime quality and correct radiotherapy, bearing in mind sufferers’ emotional, psychological, and bodily wants by the levels 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, akin to scanning and planning the sufferers’ radiotherapy. Therapeutic radiographers present the best customary of technical observe and affected person care with the intention to deal with and help adults, youngsters and kids receiving radiotherapy (predominately for most cancers) utilizing quite a lot of types 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 targeted 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 every 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 variety of healthcare professionals eg physicists, dosimetrists, docs, nurses and dietitians, in quite a lot 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 are going to have duty for the affected person from the time of referral for radiotherapy by a most cancers specialist, by 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 Faculty of Radiographers (SCoR) Code of Skilled Conduct and laws that informs moral frameworks and steering.
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K2: Legislative and medical governance frameworks by which radiotherapy is delivered and the political, social, and financial components impacting on well being and social care and radiotherapy service supply.
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K3: Limits of personal scope of observe, data and expertise.
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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 medical setting with the intention 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 impression by yourself capability and functionality to practise as a therapeutic radiographer.
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K8: Employer’s processes and procedures referring to consent, confidentiality, safeguarding and use of data and the impression of tradition, equality and variety in observe.
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K9: The way to preserve personal data and expertise updated by 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 comply with 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 rules on which the observe of radiotherapy is predicated.
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K14: The epidemiology, aetiology, danger components 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 primary life help methods, deal safely with medical emergencies, drugs and self-management methods.
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K16: The impression of different most cancers therapies akin to, surgical procedure and chemotherapy on the planning and supply of radiotherapy. The impression of different components 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 rules 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 unwanted effects referring to the realm being handled and affords sufferers acceptable recommendation and steering to handle these unwanted effects, referring to different professionals the place mandatory, following evidence-based recommendation the place acceptable.
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K19: The significance of top quality checking processes in guaranteeing 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’ 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 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 workforce members akin to physicists, docs, specialist nurses, dietitians, and so on. 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 take care of affected person confidentiality, preserve correct affected person data and handle all different data 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 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 determine sufferers who might require further psycho social help e.g. needle phobic or claustrophobic sufferers and refer them and course of entry to acceptable skilled and help providers.
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K29: A therapeutic radiographer’s duty 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 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 mirror on skilled codes of observe and laws with the intention to ship radiotherapy and care, and take duty for personal actions.
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S2: Handle danger and report and escalate issues about security, implement classes discovered, and be open when issues go flawed inside personal scope of observe.
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S3: Preserve correct data of personal work.
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S4: Promote and defend the pursuits of sufferers, workers, 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, in step with moral frameworks and search recommendation the place not sure.
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S6: Promote well being and wellbeing, advising on lowering the danger of unwanted 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 data essential to allow them to make knowledgeable selections.
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S8: Show 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: Show 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 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 observe.
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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 mandatory.
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S17: Assess sufferers’ medical situation previous to the process, and the place mandatory, use primary 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 persistently excessive stage with the intention to ship secure and correct radiotherapy.
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S20: Assess, and adapt affected person setups, utilizing photos and scans acquired following native protocols.
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S21: Justify selections within the planning of radiotherapy and be capable to recognise clinically acceptable radiotherapy plans.
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S22: Appropriately 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 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, preserve correct, complete and understandable data and different data in accordance with relevant laws, protocols and tips.
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S25: Mirror on and study 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 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 therapy setup tolerances as outlined inside native radiotherapy protocols.
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S29: Use dexterity and extremely developed coordination and sensory expertise to securely manoeuvre sufferers and gear, taking into consideration any postural constraints as a consequence of limitations in gear 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 providers 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 presumably distressing and tough 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 now not adequate, 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 present their consent, or not be capable to 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 know-how and pc gear.
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S38: Apply knowledge safety and affected person confidentiality in every day medical observe 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 to handle personal emotional responses.
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B4: Behave respectfully and be non-judgemental by participating with folks in non-discriminatory methods.
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B5: Be keen to share data, be self-motivated, proactive, adaptable and dependable with the intention to ship the very 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 impression of private interactions on others.
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