Tuesday, September 18, 2007

Monday 17th September 2007 - What a Busy Day!

Well as mentioned in previous weeks Mondays are renouned for bieng busy, you have a wave of Friday and Saturday Night Out injuries followed by the Sunday morning football injuries just to start the day off.

Additionally theres a Barium List and a Consultant Radiologist all in the department, I was spoilt for choice today with where I wanted to go and decided i would float between Barium and Casualty patients, as I woudl get chance to go into Ultrasound later in the week.

The day was busy and the pataints visiting were relentless the normal FOOSH and metatarsal injuries with a far few querry fracture requests, many of the images producing no fractures or dislocations later in the morning.

However the first six images were fractured and this gave me an opportunity to have a go at reporting the image, the Radiographer watched me position, acquire and develop the image, she then asked me to find a fracture and demonstrate where the site is (if there was one) and tell her in reporting language.

As soon as I was asked this the feeling of panic appeared and struggling became the chosen word! The fractures were demonstrated and i managed to talk through some of the images alright, but my descriptions were just too long.

Too trya nd understand how a simple effective report is wrote i sat with teh visiting consultant and watched as he described the fracture site and the result it had on the joint, in this case it was an ankle with a comminuted fracture of the lateral malleolus which had produced a talar shift medially suggestive of ligament disruption or something along those lines. It is pretty amazing to sit there and watch as a consultant can report five or more films in a short space of time, this was an great chance to watch as the AABCs system or a variation of such is applied.

We knew that the afternoon was not going to slow down either with M.I.U (Casualty) refferring and a Ortho Clinic waiting to refer the hard work was only just beginning, as the bell started to ring the department went crazy. I decided that it wa stoo busy for me to be taught and offered to complete and admin role to help speed up the Radiographers at work.

As they brought their cassettes through I would label them and process the images, placing them on the light box and labelling them up, as well as this finding out when they had their last image and producing volume and attendance labels.

The workload did not slow down until four o clock when I was allowed to image a number for standing knees as it seems to be something i appear to have become quite good at. That was it for a very busy day.

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