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The practice standards define

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define the practice and establish general criteria to determine compliance.

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Practice standards are authoritative statements established

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by the profession for judging the quality of practice, service, and education

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it is inappropriate

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to assume that professional practice is the same in all regions of the United States.

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Community custom, state statute or regulation may

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dictate practice parameters

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Wherever there is a conflict between these standards and state or local statutes and regulations

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the state or local statutes and regulations supersede these standards

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A radiographer should

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exercise individual thought, judgment and discretion in the performance of the procedure

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General Stipulation

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Federal and state laws, accreditation standards necessary to participate in government programs, and institutional policies and procedures supersede these standards

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Scope of Practice

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Individuals demonstrate competency to meet state licensure, permit, or certification requirements defined by law for radiography; or maintain appropriate credentials.

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The scope of practice delineates

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the parameters of the radiography practice.

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The scope of practice of radiography includes:

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Performing diagnostic radiographic procedures. Corroborating patient's clinical history with procedure. Maintaining confidentiality.

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Preparing the patient for procedures

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providing instructions to obtain desired results, gaining cooperation, and minimizing anxiety.

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Clinical Performance Standards

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define the activities of the practitioner in the care of patients and delivery of diagnostic or therapeutic procedures.

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The clinical performance standards incorporates

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patient assessment and management with procedural analysis, performance, and evaluation.

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Standard One

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collects pertinent data about the patient and the procedure. Information about the patient's health status is essential in providing appropriate imaging and therapeutic services.

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Standard Two

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analyzes the information obtained during the assessment phase and develops an action plan for completing the procedure. Determining the most appropriate action plan enhances patient safety and comfort, optimizes diagnostic and therapeutic quality, and improves efficiency.

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Standard Three

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provides information about the procedure and related health issues according to protocol. Communication and education are necessary to establish a positive relationship.

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Standard Four

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performs the action plan. Quality patient services are provided through the safe and accurate performance of a deliberate plan of action.

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Standard Five

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determines whether the goals of the action plan have been achieved. Careful examination of the procedure is important to determine that expected outcomes have been met.

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Standard Six

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implements the revised action plan. It may be necessary to make changes to the action plan to achieve the expected outcome.

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Standard Seven

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reviews and evaluates the outcome of the procedure. To evaluate the quality of care, the practitioner compares the actual outcome with the expected outcome

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Standard Eight

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documents information about patient care, the procedure, and the final outcome. Clear and precise documentation is essential for continuity of care, accuracy of care, and quality assurance.

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The quality performance standards define

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the activities of the practitioner in the technical areas of performance including equipment and material assessment, safety standards, and total quality management.

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Quality Performance Standards Standard One

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collects pertinent information regarding equipment, procedures, and the work environment. The planning and provision of safe and effective medical services relies on the collection of pertinent information about equipment, procedures, and the work environment.

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Quality Performance Standards Standard Two

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analyzes information collected during the assessment phase to determine the need for changes to equipment, procedures, or the work environment. Determination of acceptable performance is necessary to provide safe and effective services.

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Quality Performance Standards Standard Three

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informs the patient, public, and other health care providers about procedures, equipment, and facilities. Open communication promotes safe practices.

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Quality Performance Standards Standard Four

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performs quality assurance activities. Quality assurance activities provide valid and reliable information regarding the performance of equipment, materials, and processes.

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Quality Performance Standards Standard Five

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evaluates quality assurance results and establishes an appropriate action plan. Equipment, materials, and processes depend on ongoing quality assurance activities that evaluate performance based on established guidelines

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Quality Performance Standards Standard Six

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implements the quality assurance action plan for equipment, materials, and processes. Implementation of a quality assurance action plan promotes safe and effective services.

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Quality Performance Standards Standard Seven

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assesses the outcome of the quality management action plan for equipment, materials, and processes. Outcomes assessment is an integral part of the ongoing quality management action plan to enhance diagnostic and therapeutic services.

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Quality Performance Standards Standard Eight

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documents quality assurance activities and results. Documentation provides evidence of quality assurance activities designed to enhance safety.

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The professional performance standards define the

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activities of the practitioner in the areas of education, interpersonal relationships, self-assessment, and ethical behavior.

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Professional Performance Standards Standard One

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strives to provide optimal patient care. Patients expect and deserve optimal care during diagnosis and treatment.

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Professional Performance Standards Standard Two

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evaluates personal performance. Self-assessment is necessary for personal growth and professional development.

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Professional Performance Standards Standard Three

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acquires and maintains current knowledge in clinical practice. Advancements in the profession require additional knowledge and skills through education.

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Professional Performance Standards Standard Four

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promotes a positive, collaborative practice atmosphere with other members of the health care team. To provide quality patient care, all members of the health care team must communicate effectively and work together efficiently.

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Professional Performance Standards Standard Five

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adheres to the profession's accepted ethical standards. Decisions made and actions taken on behalf of the patient are based on a sound ethical foundation.

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Professional Performance Standards Standard six

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participates in the acquisition and dissemination of knowledge and the advancement of the profession. Scholarly activities such as research, scientific investigation, presentation, and publication advance the profession.

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The advisory opinions are

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interpretations of the standards intended for clarification and guidance for specific practice issues.

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What is the ethical problem here?

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Ethical dilemma

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What should Arnado do, if anything?

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After isolating the issues, either inform the patient or inform the provider, or do nothing. There are pros and cons for each one.

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Which of the ethical principles may be applied?

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Beneficence, nonmalfecence, role fidelity, and veracity

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Does Arnado's professional code of ethics address this situation in any way?

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Principle 1 (responds to patient needs); Principle 5 (acts in the best interest of the patient), Principle 9 (reveals confidential information only as required by law or to protect the welfare of the individuals or the community).

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What "duty" does Arnado owe to himself, the patient, the physician, the institution, and his profession?

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Duty of Beneficence

ASRT The Practice Standards for Medical Imaging and Radiation Therapy – Flashcards

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