Monday was a very busy day in A&E, as expected, but alas not a single NOF was to be seen! However, I worked with some excellent Radiographers who shared their skill & knowledge when I was carrying out numerous adapted techniques for various requests. The nuggets of info is helping me achieve good technique in both patient positioning & exposure settings. This has really helped my confidence in tackling more challenging requests. For instance, today there was a trauma patient, on a trolley, who was involved in a road traffic accident (RTA) who needed x-rays of the C, T & L spine!. Well, myself & my fellow student (also doing her PBM on NOF) picked up the request card, OK'd it with a radiographer and went ahead and carried out the examination. Although we weren't 100% confident we thought that we would carry out the imaging since sometimes being thrown in at the deep end is the only way to learn!. Despite having a couple of radiographers & a nurse watching us we took our time & between us carried out an AP C1/C2 (peg) view, Swimmers view, AP & HB lateral C, T & L-spine! The images were all of very good diagnostic quality & the radiographer overseeing the examination commented that any spine trauma requests this week will be passed on to both of us! During my second year of clinical placement I would have avoided such a situation but now I honestly feel very comfortable taking on any requests and asking for help from the radiographers when I need to.
Oh yes, as my fellow student & I were getting ready to finish for the day today 2 NOF's arrived at 4.50pm! We decided to stay behind & help carry out the imaging. The patient I x-rayed had a sub-capital fracture which is exactly what I needed for my PBM. As such I intend to try & follow up on this patient's journey this week, i.e. go to the orthopedic ward, theatre, etc.
Introduction - What's a PBM?
As part of the final year of study for a degree in Diagnostic Radiography, the students have to arrange a three week clinical placement in a hospital of their choice. The placement is intended to give the student an opportunity to investigate an area or aspect of diagnostic radiography that he/she finds particularly interesting. The module is assessed by means of the student writing a reflective journal about his/her learning experience during the placement and also a poster presentation demonstrating key learning points from the placement, i.e. applying theory to practice. To achieve this each student must set some learning objectives that are professionally relevant to the chosen area of interest. For my PBM, I have chosen to investigate the management of a patient suffering a fracture of the neck of femur. I have chosen my placement within a large, teaching hospital in the Midlands. In the interests of confidentiality the hospital, department, staff or patients will not be identified. My objectives for this module are as follows:
1. To explore the different types of fractures associated with sub-capital fracture and how a patient may present
2. To examine different treatment & management options for a patient with a fractured neck of femur
3. To investigate the different types of prosthesis used for fractured neck of femur
1. To explore the different types of fractures associated with sub-capital fracture and how a patient may present
2. To examine different treatment & management options for a patient with a fractured neck of femur
3. To investigate the different types of prosthesis used for fractured neck of femur
Tuesday, September 11, 2007
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