ABILITY OF NURSE IN SCENARIOS REQUIRING CLINICAL SAFETY: CHEST RADIOGRAPHY IN THE ICU
Chest radiography is present everyday in intensive care units (ICU). Together with physical examination, laboratory tests and the electrocardiography, is used as a tool for assessing the patient's clinical condition.
Chest radiography uses ionizing radiation and the nurse must have knowledge and training necessary to manage an effective diagnostic procedure. This involves training on radiation protection measures to ensure its safety and the patient. The nurse also performs radiological images, as a necessary element of patient assessment. The ICU nurse does not always have sufficient knowledge in relation to radiology, radiation dose and safety and radiation protection measures.
Therefore, the nurse should be trained to be able to identify nursing interventions in relation to the chest radiography to specify the activities and incorporated into protocols to ensure clinical safety.
The study was carried out to identify the importance of nursing action to ensure patient safety in relation to the chest radiography in the ICU.
The needing conducted to a literature review to study nursing activities in relation to the chest radiography in the ICU, and how which are the risks and deficiencies identified in relation to this procedure. Subsequently, we have identified nursing interventions related with the procedure.
The results of the search and analysis of literature shows that there are knowledge gaps that can lead to situations where increasing the risk of overexposure to radiation for both the patient and the professional himself.
The management of radiological tests in general and especially in chest radiography in the critical patient setting, identifies various aspects of training related to nursing interventions to consider:
Preparing the patient for testing, this also includes providing the same information to a conscious patient or family information.
Environmental management: comfort.
Environmental management: safety and worker safety ensure the radiation protection measures for the nurse and the patient, avoiding unnecessary exposure or X-rays or repeat them.
Medication administration: intravenous contrast injection management.
Basic assessment of the image obtained: enables swift action against medical diagnostic process signs of abnormality.
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