Hello,
Do any of you have experience with Radiologic Technicians accessing implanted ports (mediport, port-a-cath, etc.)? Our radiology department wants their CT techs to receive training to access ports, using this evidence:
- It is the opinion of the American Society of Radiologic Technologists that based upon current literature, the curricula set forth by ASRT, Society of Nuclear Medicine and Molecular Imaging and the National Educational Curriculum for Sonography, certification examination specifications by the ARRT, NMTCB and CCI, and recommendations by the American College of Radiology and where federal or state law and/or institutional policy permits it is within the scope of practice for medical imaging and radiation therapy professionals to access and administer medications through existing vascular access.
I am very uncomfortable with this, as I am being asked to train these techs. It appears to be within their scope if they have adequate training and competence, but something doesn't feel right about it to me. (Along the lines of just because someone can do something, doesn't mean they should.) In my own experience, the access of ports can be tricky, including putting your patient in multiple positions to obtain blood return. I am looking for evidence that either strongly supports this practice or supports the practice of trained RNs accessing ports.
Thank you for any information!
Trish Hayes, BSN, RN
This is within their scope of practice and with education AND training they can do it. These rad techs have a 2 or 4 year college degree just like nurses. Nurses require the same post-licensure education and training to do this. I see no reason as to why rad techs can not learn this. The 2016 INS Standards of Practice includes everyone doing all infusion therapy and vascular access now and does include these rad techs in the Scope of Practice standard. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Thanks, Lynn! Are you aware of any facilities that are doing this?
Trish Hayes, BSN, RN
I can't recall an example quickly. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
The wording "and to administer medications" bothers me. As long as the rad techs are trained and competent it shouldn't matter who accesses the port. I do think the medications they are allowed to administer should be defined as I can see an ICU nurse sending a labile patient on pressors to the scanner expecting the CT Tech to manage. Crazy things happen out there. How best to protect everyone involved though, I do not know.
That is why there are radiology nurses.
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861