I know I’m a few days late with this, but i’ve been enjoying my off duty – post #MedShift! As with the last time I did this, I thought it might be an idea to collate all my posts into a sort of journal, and so here they are…recorded yet again for posterity:
- After off duty days it’s time to return to #MedShift with 4 long days, 1 x 10-8 shift today then 3 x 8-8 days #NotMyFavourite @SCoRMembers
- Starting the day in #Outpatients – GP referrals & clinic follow-ups. Can be anything from head to toe! #BringItOn @SCoRMembers #Medshift
- Time for an early tea then off to A&E for the final part of the #MedShift – quite often the busiest part of the day! #DeepJoy @SCoRMembers
- #Medshift 1 of 4 done ✅ 3 more to go! Last part of the shift wasn’t all that bad thankfully. Hometime. Shower, tea n’ tele ☺️👍 @SCoRMembers
- Handover from nightshift ✅ Rooms cleaned ✅ Resus trolley checked ✅ Left AED to come to #Outpatients again #MedShift day 2 👍 @SCoRMembers
- Am in #FractureClinic this morning and just been shown how to do a standing axial calcaneum ✅ #EverydayASchoolDay #MedShift @SCoRMembers
- #MedShift ends with a #traumacall – no plain film imaging required as patient going to CT! Handover to nightshift ✅ Hometime! ✅ @SCoRMembers
- #MedShift 3/4 underway & it’s the weekend so running X-Ray’s from AED. Inpatients, mobiles, theatres the lot! #SeeWhatGives! ✅ @SCoRMembers
- Halfway through the #MedShift, just finished lunch & theatre have called – just an MUA today ✅ Off I go! 👍 @SCoRMembers #ChangeOfScenery
- Straight from the MUA to another theatre & an emergency pacing – not done one of those in a while #BitRusty 😱 ✅ #MedShift @SCoRMembers
- Home at last, after a long #MedShift! Lots of portables today. ITU, amongst others keeping us busy, as per usual! 🛀 time! ✅ @SCoRMembers
- Tired only scratches the surface of how I feel 2day 😴 Let’s hope a large brew & 3 x Weetabix enable me to get to #MedShift 4/4 @SCoRMembers
- Couple of knees ✅ couple of portable chests ✅ resus trolley checked ✅ #MedShift 4/4 well & truely underway! @SCoRMembers
- 2 patients, 2 fractures. One the worst fracture I’ve ever seen, the other just a minor one. Shaping up to be a varied #MedShift @SCoRMembers
- Back from theatre – 2 x MUAs ✅ Time to do the processing from the day’s theatre cases (x5) – #RealitiesOfTheJob #MedShift @SCoRMembers
- Head-to-toe X-rays ✅ Portables ✅ Trauma Calls ✅ Theatre ✅ #MedShift complete! Now for some off duty days! 👍🎉🎈#OverAndOut @SCoRMembers
- The ☀️ is shining, yet I still feel like I have a hangover – without the headache! Thankfully no #MedShift today! 😂 #shattered @SCoRMembers
The great thing about doing this is the interaction I get from my tweets, as well as me being able to share things about what it’s really like to be an allied health professional.
You certainly don’t learn this kind of stuff from a textbook!
I hope you enjoyed. Until the next time.
This week, after securing the relevant permissions form my boss and the communications people at work, I finally took the plunge and joined the increasing number of health professionals that are using #MedShift. I was a tad wary of using it to start with to be honest – and still am, come to that – because of the obvious issues relating to confidentiality and such like. However, this week when I was on nights I decided to tentatively dip my toes in the #MedShift ocean and below I have collated the results:
Night 1 of 4
- 1 of 4: Handover from day shift – no outstanding portables, equipment OK(ish) I’m on 2000-0800. Let’s do this!
- Woo hoo! It’s Monday! 4hrs into the and 4 trauma calls so far!
- Halfway through the and after a challenging trauma patient it’s now time for a break – and relax
- Urgent portable req. for ward pt. vs. need for a CXR on ITU – 1 radiographer available – solution? Call ITU & OK to wait
- Trauma calls, portables throughout the hospital, usual A&E patients & just 1 minor issue to handover to day shift. Job done!
- Now for the worse bit of a – the drive home
- Home safe Shower, tea, toast, and some tele to unwind, thence ta bed for this ‘r 1 down, 3 to go! Night peops!
Night 2 of 4
- This is the time in a when you just want to be at home in bed Not long to go thankfully!
- sweet ! 2 down & 2 to go! After the necessary ablution & food it will be time 4 the best part of a – BEDTIME!
Night 3 of 4
- A splash of Issey Miyake and I’m good to go! 3 of 4 here I go! (Other EDTs are available! )
- Off on my first portable of the shift – elderly male too unwell to come down to the department. Not uncommon on a
- Another chest/abdo request! Prob the most common combination imaging request! Male, abdo pain, vomiting, obstruction, query perf
- Back from another portable – this time an elderly lady with difficulty breathing & definitely too unwell to come down to dept
- Into the “golden hour” – the final hour of the Soon be time for & after this
- When you get home & realise there are chunks of the journey you just don’t remember – not good Just 1 more to go
Night 4 of 4
- Tonight’s final will be fuelled by 2 sausage butties and fragranced by Ted Baker
- Second “Chabdo” of the ! More to come of that I would bet my mortgage on
- The ‘Q’ word is something we don’t mention – a bit like the Scottish play
- I do mine erect, how about you? I’m talking ‘s of course!
- Last & I’ve yet to do probably the 2nd most common combo of foot&ankle – most unusual!
- Before I set off for the 1st & toward the end of this final shift!
- Preparations for departure! 4 of 4 done! Hope you’ve enjoyed my first foray into L8rs!!!
So there you have it – a set of nights in a nutshell. Hopefully you’ve enjoyed taking a look at them to get a glimpse of what it’s like as a radiographer on nightshift. I’ll continue to use #MedShift as and when, but I don’t intend to tweet every shift, all shift! It’s more to give an insight into the work we do – as not everyone knows what a radiographer is and does 🙂
Hopefully newly qualified radiographers can also get an idea of what lies ahead when they start on shift!
Oh well, as ever, feedback always appreciated!
As has become customary following one of my theme weeks, this week’s #TOTW is a summary of all the tweets related to the theme – that being CPD, so here they all are:
- (22/2) p. 118, ‘Patient obesity & the practical experience of the plain radiography professional’
- Article in online May edition of (22/2), p. e137 ’radiographic technique for HBL hip radiography’
- Article in May edition of (22/2) p. 131, ‘Exploring the transition from student to practitioner’
- Have you used the Norwich course recently? If not, check it out!
- These updated & free e-learning resources can be accessed via this link from
- Article in May edition of (22/2), p. 194, ‘X-ray exposures in contemporary radiographic practice’
- Article in February edition of (22/1),(2016) p. 50 on ‘Labelling patients’
- Article in the April edition of I&TP, ‘Accurate diagnosis is vital for patients,’ on quality of , p. 5 ,
- Article in the March edition of I&TP, ‘Working with Radiation,’ on radiation and culture in p. 22
I hope those of you actively involved in radiography have, and will continue to find this a useful resource for CPD 🙂
More theme weeks are planned for the coming months. Feedback appreciated – as always!
“Hi, my name’s Ben. I’m one of the radiographers and i’ll be taking your X-rays today. Is that OK?”
That’s how I greet pretty much each and every one of my patients. It tells them who I am; what my role is; what i’ll be doing and most importantly of all, seeks their permission to proceed with the examination. Whether it’s “just” a chest X-ray or an examination that requires me to touch them in areas that most people would reasonably consider their personal space, gaining consent is an essential part of my role as a qualified health professional. It is not something I do because it’s nice, courteous and reasonable to do, but moreover it is required by the codes of conduct of The Society and College of Radiographers (SCoR) of which I am a member, and also the Health and Care Professions Council (HCPC) with whom I am registered as an allied healthcare professional.
The reason for me telling you all this, is because of the tweet I have chosen as my #TOTW:
is not something to be regarded as optional – it is not
If you’re interested to find out more, then take a look at the link and watch the short video to see what its all about. As I tell all the students that we teach, introducing yourself and gaining consent is a necessity, not just a nicety!
Until the next time…
How quickly the week passes by and it’s time for yet another #TOTW! This week I have decided to flag up the new NICE guidelines that are out for consultation:
New guidelines from up for consultation including those on &
The documents might not make for a riveting read, but if like myself you are involved in the care of patients either in a pre-hospital or hospital setting, then it would be worth casting your eye over them. They will give you an idea of what NICE’s current thinking is in regard to the management of major trauma services and fractures.
The link above is to the webpage of the Society of Radiographers’ which will in -turn take you to the NICE website and provide the guidelines, both in full and in summary that you might care to have a look at.
Like I said above, it might not be sexy, but then a lot of the stuff that we do as allied health professionals just isn’t!
As a former school master was once keen on saying, “read, learn and inwardly digest!” Isn’t that right Mr. Jackman? I hope he agrees from “up above!”
Until the next time…
Adding to the #TipsForNewRads that have been appearing on #SoMe over the last couple of weeks, I thought I might add to the mix with a list of things to know when going to theatre. I know that students will already have experienced going to theatre as part of clinical placement, but some may not have spent as much time in there as others. It is by no means an exhaustive checklist, more general observations from my time in theatre to date!
Anyways, here goes:
- Take part in the team brief if you can. I always join in if i’m up in theatre when it’s going on. You often find out more information about the patient and also what the surgeon is intending to do, and how.
- Always introduce yourself to theatre staff you’ve not met before.
- Check your image intensifier is clean before using it. Not all people are as thorough as you may be when it comes to cleaning – blood gets EVERYWHERE on a C-arm!
- If you’re unsure of how to go ahead with a procedure, or for example it may be a surgeon you’ve not worked with before, NEVER be afraid to ask what they want, or how they want you to position your image intensifier and monitors.
- You are an integral part of the operating team, not just an add-on, so get involved! Don’t just restrict yourself to the radiography side of things. You should help in the transfer of patients, clean up between cases, make notes if asked, get things if you aren’t busy x-raying. The more you get involved, the more the theatre staff will appreciate you and help you when you need.
- At the end of the procedure, if you are unsure which images to save, then again, just ask the surgeon – never assume!
- Always clean your image intensifier after use and leave it in a state which you would like to use it.
- If you don’t send and/or process the images from your case yourself, it is your responsibility to ensure that this gets done.
- Always communicate with the main department. Theatre lists change all the time. You may have just popped up to theatre for a “quick” MUA, only to find out that they need you all day! It helps whoever is in charge of running X-ray for theatres to plan the day if you keep in touch with them.
- ENJOY! Theatre radiography is a great part of your role as a diagnostic radiographer. You get to meet and be part of several different theatre teams. You will learn a lot!
There you have it! Like I said, not everything you need to know, but hopefully a useful list for newbies! Please feel free to comment on what i’ve said, or add your own handy hints!
Hey, hey, hey!
Welcome to my very first #TOTM or as you have probably already guessed “Tweet Of The Month!” On the first day of each new month I will be selecting a tweet from the previous month that stands out for me as one of my favourites. It might be an existing #TOTW as in this case, it might be a favourite, or it might even be a tweet that after trawling through my month’s worth of tweets I re-discovered and felt it deserved a chance!
Anyways, here it is, my #TOTM from May:
I hope it gives you another opportunity to take a look at some of the great work that the Society of Radiographers and it’s members do. There are a growing number of us, along with other allied health professionals that are trying to make the most of social media to keep in touch and to share knowledge, whilst in the meantime having fun in the process!
Thanks for all your continued support. I hope you continue to get in touch, like, share, and follow me and my endeavours!
Here’s to June and all it brings…other than my 40th birthday that is!