Patient Care, Safety and Professional Ethics
This domain tests patient identification, communication, consent, confidentiality, immobilization, contrast safety and professional conduct. The focus is safe, respectful care within the radiographer's scope.
Core rules
- Verify identity using at least two identifiers before every examination. Confirm the clinical question and pregnancy status when relevant.
- Obtain informed consent according to local policy; consent is a process, not only a signature. Respect refusal and capacity assessment.
- Protect confidentiality and share information only with authorized persons.
- Explain the procedure, position safely, use immobilization only when necessary and monitor the patient during and after contrast.
- Recognize contrast reactions, extravasation and vasovagal syncope; stop, call for help and follow protocol.
Worked example
An anxious patient with limited Arabic is scheduled for a contrast CT. The reasoning is to verify identity, use a qualified interpreter, explain the injection and ask about previous reactions, renal disease and pregnancy. A signed form alone does not prove understanding. If the patient refuses, document the refusal and inform the referring clinician rather than proceeding.
Traps
Do not rely on bed labels alone for identity. Do not treat confidentiality as optional when a relative asks. Do not restrain a competent refusing patient. Do not delay emergency help to finish the scan. Do not assume a mild reaction cannot progress.