+ MRT obligation to the patient
- MRTs are obliged to implement only those procedures and treatment plans which, in their clinical experience and judgment, are in the patient’s best interest.1
- MRTs should not implement any procedure or treatment plan they have concerns about and should take appropriate action to deal with these situations.1
- MRTs take appropriate action when they believe the interests of patients are being compromised.2
- When a decision is made to clarify a requisition, order or prescription, it is important that it is systematic and thorough:3
- MRTs are familiar with and follow institutional policies for dealing with differences in opinion, where they exist
+ Seeking clarification
- Where possible, certain information may be completed by the MRT (e.g., omissions to pertinent history which may be obtained through interview)
- Most other issues can be resolved by discussing the concern directly with the responsible healthcare professional.
- Discussions are more productive when they are collaborative and non-judgmental, meaning the MRT should:2
- Be prepared, gather thoughts beforehand
- Identify the concern clearly and concisely
- Support concerns with a clear rationale and best evidence
- Share and discuss alternative solutions
- Be open to hearing the other professional’s point of view
- Keep the patient’s best interest in mind
- If the situation is not resolved with the responsible healthcare professional, then the issue is discussed with an immediate superior and/or addressed with the appropriate parties in accordance with local policies and guidelines.4
- If the procedure or treatment needs to be modified or substituted for another, the MRT ensures details are justified and documented.
+ Documenting concerns and resolutions
- Discrepancies regarding the care of the patient are properly documented, including:4
- Date and time of the contact
- MRT’s name
- Name of the healthcare professional contacted
- Depending on the nature of the concern and facility policy, documentation may also include an incident report.
- Canadian Association of Medical Radiation Technologists. Code of Ethics. Available at: http://www.camrt.ca/mrt-profession/professional-resources/code-of-ethics/. Accessed April 20, 2016.
- College of Medical Radiation Technologists of Ontario. Standards of Practice. Available at: https://www.cmrto.org/what-we-do/professional-practice/standards-of-practice/. Accessed April 19, 2016.
- Charman IJ, ed. Issues in Provision of Care, Treatment and Services for Hospitals. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2008.
- College of Nurses of Ontario. Practice Guideline: Disagreeing With the Plan of Care. 2009. Available at: http://www.cno.org/Global/docs/prac/41017_fsDisagreeing.pdf. Accessed April 4, 2012.