Medico-Legal Examination of a Radiography Incident

Medico-Legal Examination of a Radiography Incident Patients’ safety is of huge paramount when undergoing diagnostic treatment. It is the participating staff’s fiduciary duty to ensure patients do not sustain any injury during this process. But however, sometimes mistakes happen and when injuries occur, there could be repercussions. These mistakes could be as a result of negligence, no up to date training and incompetence. According to the Management of Health and Safety at Work†¦(date), all employees are required to perform their job safely without causing any harm to patients and also, it is the employers obligation and duty to give adequate training, clear information and instructions to employees, in order for them to carry out their roles diligently. In reference to the court scenario, the incident that occurred between the patient, student radiographer and the supervising radiographer shall be discussed and related to the medico-legal aspects, scopes of practice and ethics and other principles related to the health and social care environment. So also, the actions of the radiology manager and the manual handling expert would be discussed. Student Radiographer From the court room video, it is obvious that the student radiographer and the radiographer did not have good communication. Mr Lung, the patient, was transferred from the Porter to the student radiographer but the supervising radiographer was not there to make sure the student did the right checks. The student inspected the wheelchair, in which Mr Lung was brought to the department and confirmed it was safe. The student also went ahead to do the identity checks and risk assessment and during this period, the radiographer still was not there to supervise. The student radiographer, as a result of the risk assessment done on the patient, decided to do an AP (Anterior Posterior) view chest x-ray. The radiographer came along after the student had just finished the risk assessment on Mr Lung and was about to take an AP view of the chest. The radiographer never asked the student to update him on what she had done so far. He went ahead to ask the Mr Lung to stand for PA (Posterior Anterior) view of the chest x-ray, without carrying out a proper risk assessment and ascertaining Mr Lung had the capability of standing for the x-ray. Ehrlich and Daly (2009) states a radiographer should assess situations, exercise care, discretion and judgement. He should assume responsibilities, professional decisions and act in the best interest of the patient. Although he decided to do PA view on the patient in order to get the best image of the patient’s chest, he compromised Mr Lung’s safety by asking him to stand, without doing a proper risk assessment on him. â€Å"The Society’s Code of Professional Conduct states: You must communicate effectively and appropriately with patients, introducing yourself and giving relevant information during their examination or treatment† (sor.org). â€Å"The importance of interacting effectively with the patient is critical to the radiographer as well as to the patient. Those techniques greatly improve the quality of the radiology image, as well as the patient’s care† (Adler and Carlton, 2003) Although the radiographer is known to have good years of experience in his field, the student should not have hesitated to query his judgement of asking the patient to stand, despite the patient’s condition or told him that she had done a risk assessment of the patient standing and the patient would not be able to stand. While the patient was standing, the radiographer moved the wheelchair behind the patient and told him to sit when he felt the need. The patient sat down when he needed to sit down but unfortunately, the wheelchair rolled back and turned around, causing the patient to land on his hip and suffered from NOF (Neck of Femur) fracture. The A and E consultant also confirmed this but however the NOF fracture could have been made easier as a result of bone degeneration, associated with old age (Gunn, 2007). But, this accident should not have occurred if proper risk assessment and precautions were undertaken. As one of Dutton et al, ( 2013) ethical principles; non-maleficence: the radiographer is obligated to practice in a safe manner at all times. To further disapprove of the radiographer’s action, which affected the patient, (Dutton et al, 2013) gave another principle; paternalism. This simply means a radiographer is justified to take action in instances in which not acting would do m ore harm than the lack of patient input into the decision. This however was not the case, as the potential outcome (good view of the chest) did not justify compromising the patient’s health The patient suffered pain as a result of negligence on the part of either the student radiographer not being able to assess the wheelchair’s safety or the supervising radiographer forgetting to apply the brake. The radiographer claimed the accident was not his fault, as he applied the brake when he placed the wheelchair behind the patient. This could mean the wheelchair tyres had low pressure. If this were true, he could have realised the low pressure in the tyre when he did the safety checks on the wheelchair. And if indeed the wheelchair were unsafe when transferred to the student radiographer and she did not do the right assessment, the supervising radiographer will still be held responsible because the job was delegated to the student radiographer. According to NLIAH (2010), â€Å"delegation is the process by which you (delegator) allocate clinical or non-clinical treatment or care to a competent person (delegate). However the delegator remains responsible for the overall management of the service and accountable for the decisions and actions of the delegate†. After the accident occurred, the supervising radiographer told the student to agree to the fact that the brake to the wheelchair was applied before placing it behind the patient, otherwise, they both would be in trouble. The student radiographer felt coerced into supporting his false intention, as she believed the brake was not applied. Dutton et al (2009), in one of their ethical principles; autonomy- states â€Å"the right of all persons to make rational decisions free from external pressure†. Coercing the student radiographer made her feel bullied and harassed. According to Bullying and Harassment at Work (2014), it is the employer’s duty to prevent bullying. It is an â€Å"offensive, intimidating, malicious or insulting behaviour; an abuse or misuse of power through means that undermine, humiliate, denigrate or injure the recipient. Bullying could lead to retaliation, anxiety, humiliation, or demotivation. All these could lead to stress, loss of self-confidence and self-esteem†. The next day after the incident, the student radiographer followed one of the guidelines of dealing with bullying and harassment at work, by confiding in someone and expressing her emotions of her feeling bullied (Dignity at Work Policy, 2012). This person was her practice educator and she listened without judgment. She transferred the case to the radiology manager for investigation. When accidents occur at work, these are meant to be reported in the accident report form. In the NHS, Datix reporting is used, where incidents are reported on a web-based system that can be used by anyone with access to the NHS net. Some of the information required includes details of the incidence and people involved. Reporting Incidents, Disease and Dangerous Occurrences Regulation (RIDDOR, 2013) is a law that requires employers and other people who are in control of work premises to report certain incidents. This is a legal requirement and it informs the enforcing authorities (Health and Safety, and Local Authorities) about deaths, injuries, occupational disease and dangerous occurrences, so they can identify where and how risks arise and whether they need to be investigated. Moreover, when the radiographer reported this incident in the datix system, it was reported that the wheelchair had its brake on, which was a false. He did this consciously just because he did not want to be in trouble or disciplined.

French culture Essay

France is a Western Europe country with a population of approximately 60. 4 million people as by July 2004. France has a diversity of religions but the dominant religion is Roman Catholic with Jewish religion having the least followers (Kwintessential, 2010). These preliminary diversities in ethnicity and religion signal a diverse French culture. This paper discusses French culture by looking into different beliefs and attitudes common to French people. Language is also a central part of French culture as well as other important values. A diverse French culture Every people have their identity which is mainly entrenched in their culture. The French are not exceptional for the French culture is rich in almost all dimensions. The culture is usually best felt when you explore philosophy or by looking at the unique literary and art work. The input of French people in philosophy is outstanding with prominent philosophers like Rene Descartes (1600s) prided as the pioneers of modern philosophy. Montaigne is also a renowned sixteenth century philosopher who is celebrated for his ability to institute as part of art. Other French philosophers include Voltaire, Pascal and Jean-Jacques Rousseau (LERC, 2010). Having such renowned philosophers indicate that the French culture has been very influential not only in European countries but also in the Western nations and practically the whole world. A people’s art is a mirror of the people and what their values are all about. French art is in the form of literature, theatre as well as other forms of art. Some of the art works are very old thus portraying a rich history of the French culture. Some of the French artists who are known worldwide include Claude Monet who is known for his contribution to impressionist art which is an impression of ones view about nature (Cauderlier, 2009). Other artists include Edouard Manet, Auguste Renoir and Armand Guillaumin. The cathedrals of France such as the Notre Dame and Chartres cathedral are popular structures that showcase French artistry. In particular, the Notre Dame cathedral has its walls decorated with statues as well as gargoyles. On the other hand, Chartres cathedral has its windows made of about 3,000 m2 of stained glass (LERC, 2010). All these are magnificent features of the French art work. Writing, poetry and theatre make up a beautiful French literature. France prides of the Academie francaise which is made of prominent writers. The Hunchback of Notre Dame was for instance the work of novelist Victor Hugo in the 1800s. Among other French writes whose works have been influential in development of culture include Alexandre Dumas and Charles Baudelaire (LERC, 2010). In poetry, the works of Ronsard and Lamartine regarding nature and love are still influential (French Language, 2010). French theatre is also a unique symbol of French culture. For instance, Moliere has several comedies which portray the vanities of human nature as a satire. Other playwrights include Racine and Corneille. These pieces of literature unique to French people are a source of pride and identity to the French people thereby displaying one aspect of their culture. Language is an important aspect in the French culture. French is the predominant language with about 88 percent of the communicating through French with even most of the rest speaking French and another language. Other spoken languages which are spoken by a small percentage of people include German dialects, Flemish, Italian, Catalan dialects, Breton and Basque. Immigrants have such dialects as the Corsu, Kabyle as well as Antillean Creole (Kwintessential, 2010). French people not only utilize verbal communication but they also regularly use non-verbal communication mainly in form of gestures. For instance, an eye contact is mainly used to signify equality or to act as a cue for friendship request. Shaking hands among acquaintances is also highly regarded by French people. Specific gestures are used for counting (using fingers starting from the thumb) whereas covering ones mouth with the hands indicates making an apology or an acknowledgement that one has made a mistake (LERC, 2010). French people also have their food which is unique and defines them. French cuisine varies mainly according to regions in France as regions influence availability of food. The most common traditional meal is the baguette and cheese accompanied by wine. Other meals have several courses with an air of sophistication. Since each region has different ingredients, each region seems to specialize in such ingredients but the foods have commonalities such as use of olive oil and tomatoes. In addition to the influence of local availability, French foods also vary depending on the influence of bordering countries and immigrants (sauerkraut common Alsace which borders Germany) Lunch break usually takes about two hours for most people (FPSi, 2010) The French society also has unique family and societal values, customs and etiquettes which are an important feature of the French culture. The family is highly valued and they are families are composed of few children. The roles of each family member are clearly defined with the parents being guardians and providers. The extended family offers support either financially or emotionally. French people usually develop open and polite dealings with family members and friends. Exchange of gifts bears some given etiquettes. For instance, one is not supposed to give an even number of flowers. Nevertheless, number thirteen is said to be unlucky and therefore such a number of flowers should not be given. It is also a requirement to open gifts immediately they are received (Kwintessential, 2010). French people are time conscious and they value keeping time. For instance, one is not supposed to be late for dinner for an invited dinner for more than ten minutes without prior explanation for being late. There are unique table manners such as being a requirement to finish food in ones plate. Business is usually conducted formally and courtesy is among the most important etiquettes. For a person who cannot speak French, it is always preferable for them to apologise if they are to establish a meaningful relationship. Dark-coloured suits are recommended for as business wear for men while women can do with either business suits or if it has to be a dress, then it must be elegant and having soft colours (Kwintessential, 2010). This is an exemplary culture as it has been adopted in the business environment virtually all over the world. Conclusion French culture is interesting, unique in many ways and has influenced other cultures in the world. The philosophy, art and literature are renowned worldwide and are an identity for the French people. French culture is also clearly defined in language, foods, general etiquettes in the society as well as unique business etiquettes. The French culture is undoubtedly interesting and influential especially if one considers every minor detail of the culture. As French, one finds reason to be proud of their culture which is outstanding even in the modern world. Bibliography Cauderlier, A. (2009). Monet. Retrieved 12, May 2010 from http://giverny. org/monet/welcome. htm FPSi. (2010). French food culture. Retrieved 12, May 2010 from http://www. france-property-and-information. com/french_food. htm French Language. (2010). French culture. Retrieved 12, May 2010 from http://www. frenchlanguageguide. com/french/culture/ Kwintessential. (2010). France-French culture, customs and etiquette. Retrieved 12, May 2010 from http://www. kwintessential. co. uk/resources/global-etiquette/france-country-profile. html LERC. (2010). French culture, communication and gestures. Retrieved 12, May 2010 from http://lerc. educ. ubc. ca/LERC/courses/489/worldlang/french/frenchcultandcomm. html

Educational Websites Essay

Sturgeon Point Productions is offering website tie-ins with every educational video title in our catalogue, at no additional cost. What that means for you is more of our award-winning content for your students and a wider reach for in-depth coverage of your preferred subjects for teachers to use in their lesson plans. Our company has taken top-notch web production team to work with our producers and staff to create interactive multi-media-tie-ins for all our future educational titles. As educators who will be using these sites ,our company would like to hear from you about the kinds of features you would like to see as we move forward in development ,as well as get a general consensus on which subjects in our current library would be helpful to you to have as an interactive web component . The following features are available; †¢Historic interactive timelines †¢In-depth photos taken on the set during the film †¢Interactive educational games †¢Fast facts and flashcards †¢Quizzes and essay exams When submitting request for website development for your current films and videos from our company, please list: 1. The title in which you are interested 2.The name of the class and subject 3.Online tools you would like to see created The video bellow provides an overview of our online content. For additional information, feel free to contact us at webmaster@sturgeonpointproductions.com or call us at (305)-555-0121 during the following days and times: Monday -Thursday day 9 a.m. to 3 p.m. Friday 9 a.m. to 1 p.m. Saturday 10 a.m. to noon

Women and the Military - 1125 Words

Women and the Military Statistics show that the U.S. armed forces currently employ over 229,000 women in its various branches (Donnelly 8). This figure had been increasing exponentially for over 30 years. It s no surprise to men that women are becoming an important factor in the U.S. military and now occupy every position expect those on the front lines. With the infiltration of women in the services in 1972, great controversy has arisen and has become a highly argued issue (Donnelly 8). I believe that women should not only be permitted to be employed in the military, but also should be able to fight on the front lines of combat. For centuries women have been under great scrutiny due to their physical ability,†¦show more content†¦Another excuse from those against women in combat deals with menstruation. We all know women menstruate once a month. It is an inconvenience at most, but will not hinder the ability to perform as a soldier. There are some cases in which cramps and bleeding can be cause to skip class or work and those instances would be dealt with case by case. Most women, however, can take painkillers to be relieved from symptoms. Obviously, these women would need to have the means to change feminine products every 6 to 8 hours, but that can be done. I think many military men blow this way out of proportion. They forget men also need to be hygienic in these circumstances. An uncircumcised man must keep himself clean or risk infection. Is he then to be taken out of the battle field because of his foreskin (Davis 9)? The last excuse the military uses is that men will not be combat effective if they see women dying in battle. Seeing anyone die can be traumatic. Seeing an aftermath of a bombing in which innocent men, women and children are killed is traumatic (Davis 10). War itself is traumatic, and I doubt the assumptions that seeing women die will be too much for a man to go on. 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