ROLE OF A NURSE IN NEURORADIOLOGY

EXAMINATION
Yuyun Yueniwati
Radiology Department Faculty of Medicine University of Brawijaya
Saiful Anwar Hospital Malang

THE GOAL OF NURSING:

...is to promote, restore, maintain and enhance the
health of individuals and groups in the community.

The Nurses Board of South Australia (2006)

NURSING IS . . .

... a science and an art.

The Nurses Board of South Australia (2006)

THE SCIENCE IS . . .

. . . the body of nursing knowledge and the

technical aspects of clinical practice.

The Nurses Board of South Australia (2006)

THE ART IS . . .

. . . the establishment of a caring relationship through

which the nurse applies nursing knowledge and skill.

The Nurses Board of South Australia (2006)

NURSES ARE:

Assist in the Imaging Process:

- Ensure the correct person receives the correct image
- Ensure the patient/client is safe and able to undertake to procedure
- Monitor the patient/client through out the procedure
- Report additional precautions the person may require to the imaging personnel
- Hand over the outcome and ongoing requirements to the wards, emergency
department
- other health care team

CARE GIVERS
- Ensure that Additional Precautions are adhered to
- Maintain a safe work environment for themselves, the other staff and the patient/client
Hazards are identified, reported and rectified
Triage the clientele into an order of priority, when necessary

ADVOCATES
Ensure that patients/clients:
o Understand the need for the Imaging that is requested
o Are informed and that if necessary a Consent is obtained
o Liaise between patient/client and Radiographer/Radiologist
o Arrange for continuing treatment/monitoring after interventional
imaging and/or procedures

MODALITIES
-

General X-ray
Angiography and Vascular Access (PICC lines etc.)
Ultrasound
CT (Computerised Tomography)
MRI (Magnetic Resonance Imaging)
Nuclear Medicine

GENERAL X-RAY
Nurses:
- Assist in the positioning of people for their imaging, including when sliding people
onto the X-ray table
- Changing people when necessary for the imaging, or if they are soiled (blood,
incontinence etc.)
- Utilising lifting machines to transfer people from wheelchair to the X-ray table

GENERAL X-RAY

ANGIOGRAPHY

Scrub to assist Radiologist/Radiology Registrar with the interventional

procedures
- Monitor patient/client throughout the procedure (Pulse, Blood Pressure,
Intravenous Therapy etc.)
- Ensure documentation is completed by all staff where required
- Hand over to the following health care team the requirement of the patient
after an interventional procedure

ANGIOGRAPHY

Normal Angiography

(Oldnall 2007)

ANGIOGRAPHY SUITE

Specials Room

ANGIOGRAPHY SUITE

Angiography Room

PICC LINE INSERTION

Nurse position
- Peripherally Inserted Central Catheter (PICC)
- Utilised for long term venous access
- Reduces the need for multiple Intravenous (IV) Cannula
- Often for Haematology, Intensive Care and Cancer Services patients
- Also for those people with Cystic Fibrosis

PICC LINE

PICC Line on X-ray

chris-says (2006)

PICC LINE

Various PICC Lines

Massachusetts General Hospital (2007)

ULTRASOUND
Assist in the positioning of patients
- Assist with interventional procedures:
- - Biopsies
- - Drainage of Fluid Collections
- - Chaperone when intimate examinations are performed

CT SCAN

Ensure the person understands the need for the CT Scan

Assist in the positioning of the patient for the CT Scan
Ensure an intravenous (IV) cannula is inserted and patent (working)
Ensure an Intravenous Contrast Checklist is completed and reviewed by a
Radiologist/Radiology Registrar

CT SCAN
-

Draw up and administer Intravenous Contrast if required for the CT Scan

Assist in the treatment of Reactions to the Intravenous Contrast
Ensure Documentation is completed by the relevant staff
Assist with interventional procedures:
- - Biopsies
- - Drainages of fluid collections
- - Myelograms, Facet joint Injections etc.

CT SCAN ROOMS

- Assist in administering Patient care (Bed pans, Suction etc.)

- Transferring patients onto/off of the MRI Scan table

T1WI

T2WI

FLAIR

DWI

Dark on T1WI, bright on T2WI and FLAIR, very bright on DWI

NUCLEAR MEDICINE
Assist the Nuclear Medicine Technicians and the Radiologists
Prepare the patient for procedures
Insert, or arrange, for the insertion of intravenous (IV) cannula
Take blood
Administer medications
Continue nursing care
Ensure documentation is completed by the relevant staff
Arrange for the transportation from the department

NUCLEAR MEDICINE

Advanced Diagnostic Radiology (2006)

NUCLEAR MEDICINE

PET Scanner
(Philips Gemini)

Koninklijke Philips Electronics (2004-2007)