Advice to radiography students


Ethics for radiography students involved in clinical work

Throughout the course students will receive clinical experience that will complement their academic studies. This experience will include rosters to rural hospitals in Victoria, major metropolitan teaching hospitals, other public and private metropolitan hospitals and private radiology practices. Interstate experience in Tasmania will also be available. Whilst students are expected to be appropriately supervised at all times when they are in the clinical setting, their conduct with patients must conform to professional expectations. Students are expected to uphold the ethical standards of practice established by the Australian Institute of Radiography (AIR) in its publication, Guidelines for professional conduct for radiographers. In essence the principles of conduct are based on 'respecting self-determination and autonomy, doing good and avoiding harm (nonmaleficence), being honest, keeping promises and maintaining confidentiality (respecting privileged information)' (Kowalczk and Donnett,1996). A thorough understanding of the AIR guidelines provided to students will assist them to determine proper conduct in specific situations.

The Medical Radiation Technologists Board of Victoria

Under the Health (Medical Radiation Technologists) Regulations 1997, graduates from all approved courses in radiography and medical imaging must register with the board to practise as a radiographer in the State of Victoria.

Liability of students

Students in all years of the course are required to undertake clinical studies in hospitals or clinics associated with the university. Normally students are under the control and supervision of clinical teachers which affords some protection to them in the event of them incurring liability towards any patient with whom they may have come into contact.
However students are strongly advised to apply to the Australian Institute of Radiography for student membership which will provide them with professional insurance protection in the unlikely event that they incur liability towards a patient.
All enrolled students, as members of the university's Sports and Recreation Association at Monash University, are automatically members of a personal accident insurance scheme. The current policy is restricted to claims resulting from accidents whilst a student is engaged in university/campus related activities. The administrative officer at the Sports and Recreation Association (telephone 9905 4101, fax 9905 4104) can provide further information.

Attitude to patients

During contact with patients, students will realise the need to develop sensitivity to patients' varying personalities and needs. Courtesy, kindness and sympathetic understanding are just as important in the care of the sick as are the technical skills which you will also be learning to acquire.

Personal conduct

Students must conduct themselves in a manner which is acceptable to patients and which does not undermine their confidence or endanger their health. A neat appearance together with a quiet and sympathetic demeanour inspires the patients' confidence and will be helpful in your work.

References

Australian Institute of Radiography Guidelines for professional conduct for radiographers AIR, 1995
Kowalczyk N and Donnett K Integrated patient care for the imaging professional Mosby, 1996

Health requirements

For the protection of other students and themselves, students in the radiography course should comply with certain precautionary procedures. These consist of confidential tests for immune status (including blood tests and skin tests), receiving vaccines and having X-rays where the evidence indicates these are appropriate and there are not specific contraindications in individual cases.
This policy is in accord with the National Health and Medical Research Council advice that educational institutions training students in health sciences should ensure that such students are protected as far as possible by vaccination against risks of infection.
The faculty recommends that all students accept responsibility for having up-to-date immunisations before commencing the radiography course. Immunisations recommended are diphtheria, tetanus, polio, measles, mumps, rubella, tuberculosis and hepatitis B.
Prospective students should note that on enrolment, students are provided with detailed written information and, as appropriate, counselling about the effect that HIV or hepatitis B infection may have on the ability of health care workers to practice their profession. In addition, arrangements will be made by the faculty for every student to have a personal consultation, early in the first year, with an infectious diseases physician. At this time, a check for each student's immunity to diseases such as tuberculosis will be conducted and students will be offered personal advice and counselling about infectious diseases and their personal health.