Upload
dinhdien
View
214
Download
0
Embed Size (px)
Citation preview
Barbara E. Dixon
B.D.S., M.Sc., D.P.D.S., P.G.Cert.Ed..
*
*Direct Access has
many advantages,
however it has
opened up many
questions that as yet
have no answers
*
• What are the rules?
• What are the pitfalls?
*
I.C.R.P.
I.R.R. 1999
I.R.M.E. 2000
Radiological Standards in Primary Dental Healthcare
Selection Criteria for Dental Radiographers
Guidance notes for Dental Practitioners
On the safe use of x-ray Equipment
*
• Justification
• Optimisation
• Limitation
*
• Concerned principally with the
safety of workers and general
public
• Address equipment aspect of
patient safety
*
• Concerned with patient safety • Define Legal Person-
• Employer-
• Practitioner -
• Operator.
*
NO RADIOGRAPH SHOULD
BE TAKEN WITHOUT A FULL
EXAMINATION AND HISTORY
*
Providing the person requesting the
radiograph complies with the mandates of
I.R.M.E. and has successfully completed
the extended duties course in Radiography,
the are deemed competent to request the
appropriate radiograph
*
Do the regulations and
guidelines allow Therapists
and Hygienists to prescribe
radiographs ?
Referrers
The Referrer must be a registered
healthcare professional (a person who
is a member of a profession regulated
by a body mentioned in section 25(3)
of the National Health Service Reform
and Health Care Professions Act 2002).
Decisions on who is entitled to act as a
referrer should be taken at local level
Practitioners • The Practitioner must be a registered healthcare professional (i.e.
a person who is a member of a profession regulated by a body
mentioned in section 25(3) of the National Health Service Reform
and Health Care Professions Act 2002).
• The practitioner must be entitled by the Employer and may be
based on the type of medical exposure/radiotherapy treatment
and on specific circumstances.
• It may be appropriate to agree that certain non-medical health
professionals can act as a practitioner for diagnostic/radiotherapy
procedures depending upon the complexity of the
examination/treatment.
• The primary responsibility of the practitioner is to justify medical
exposures
Operators • The operator does not have to be a registered
healthcare professional but is required to be
adequately trained for their scope of practice as
detailed in Schedule 2 of the Regulations.
• The definition of operator is stated in IR(ME)R as
‘any person who is entitled, in accordance with
the Employer’s procedures, to carry out practical
aspects of radiography
*
• the referrer is normally a dental
practitioner
• from January 2001 it is not
permissible for a DCP to act as a
referrer
Additional skills which dental therapists could develop include:-
• administering inhalational sedation
• varying the detail of a prescription but not the direction of a
prescription
• prescribing radiographs
• carrying out tooth whitening to the prescription of a dentist
• removing sutures after the wound has been checked by a dentist
Dental therapists do not carry out a patient’s initial
diagnosis or take overall responsibility for planning a
patient’s treatment.
*
*
The Ionising Radiation (Medical Exposure) Regulations 2000 or IR(ME)R
recognise some professions as operators (i.e. as being able to take
radiographs) and some as prescribers. Dental hygienists and dental
therapists are recognised as operators but not as prescribers.
The GDC considers that prescribing radiographs is an appropriate additional
skill for hygienists and therapists but, at present, the dentist remains the
only member of the dental team who can prescribe radiographs.
THE JURY IS STILL OUT!