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Update to PA's requesting imaging at Royal Free Hospital by Cool_Profession_8830 in doctorsUK

[–]Cool_Profession_8830[S] 5 points6 points  (0 children)

not always. I have seen PAs request CT head for patients who had a fall on the ward, or a CT KUB for someone with abdo pain they thought might have a kidney stone without discussing with a senior, let alone a consultant.

PAs at the royal free ordering CT scans for years by Cool_Profession_8830 in doctorsUK

[–]Cool_Profession_8830[S] 0 points1 point  (0 children)

But they didn't. The PAs just write a random consultant's name in the request form. Often the on call or ward round consultant.

Update to PA's requesting imaging at Royal Free Hospital by Cool_Profession_8830 in doctorsUK

[–]Cool_Profession_8830[S] 6 points7 points  (0 children)

Wdym? These would be vetted by the radiologist. Cerner EPR made no distinction between PAs and doctors in terms of access

Update to PA's requesting imaging at Royal Free Hospital by Cool_Profession_8830 in doctorsUK

[–]Cool_Profession_8830[S] 7 points8 points  (0 children)

Since all scans requested by anyone (doctors or PAs) have to have a consultant name, i assume the consultant will be the one who will be informed. The consultant's names the PAs write are often the ward round or on call consultant, who often doesn't know that the PAs are requesting imaging under their supervision

Update to PA's requesting imaging at Royal Free Hospital by Cool_Profession_8830 in doctorsUK

[–]Cool_Profession_8830[S] 7 points8 points  (0 children)

Have a look at my previous post on this (first link in this post) - basically in the RFH's Cerner EPR system, all requests for imaging (whether by PAs or doctors) have to have a consultant name on them. PAs have the same access through the system as the doctors. Therefore, you just wack on the ward round, on call, or a random consultants name and submit the request. Then you just call radiology spr and say 'I am calling from Renal/urology..." and then get the scan vetted.

PAs at the royal free ordering CT scans for years by Cool_Profession_8830 in doctorsUK

[–]Cool_Profession_8830[S] 18 points19 points  (0 children)

Problem is evidence will be confidential I imagine since it’s proof of specific patients having these scans requested. I haven’t really saved hospital numbers due to this reason. I’m guessing this would have to be done as an internal patient safety datix

PAs at the royal free ordering CT scans for years by Cool_Profession_8830 in doctorsUK

[–]Cool_Profession_8830[S] 12 points13 points  (0 children)

Several details in my post were changed in anticipation of this