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Clarification of requisition, order or prescription

 

Requisitions, orders or prescriptions that conflict with the MRT's clinical experience and judgment are clarified with the radiologist, oncologist or referring healthcare professional

 

+ 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.

+ References

  1. 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.
  2. 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.
  3. Charman IJ, ed. Issues in Provision of Care, Treatment and Services for Hospitals. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2008.
  4. 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.

 

 

Validation

May 30, 2012

 

 
Canadian Association of Medical Radiation Technologists
85 Albert St, Suite 1000, Ottawa, ON, K1P 6A4
phone: 613 234-0012 / 800 463-9729
fax: 613 234-1097
www.camrt.ca