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British Journal of Radiology 74 (2001),684-689 © 2001 The British Institute of Radiology

Review article

Maximizing the benefit–minimizing the risk: the developing role of radiographers in performing intravenous injections

L Y Keenan, BSc1, C Muir, MPhil, DMU, DCR(R)1 and L M Cuthbertson, BSc(Hons), DCR(R)2

1Radiology Department, Vale of Leven District General Hospital, Alexandria, Dunbartonshire G83 0UA and 2Health Faculty, City Campus, Glasgow Caledonian University, Glasgow G4 0BA, UK

Performance of intravenous (iv) injections as part of radiographer role development has become fundamental to the operational management of diagnostic imaging departments in the UK. Through discussion of appropriate areas, this review aims to highlight current issues pertaining to iv injection. More importantly, the framework described could be transposed to other existing or future areas of role development. Within a validated system of delegation, utilization of radiographers' skills in an expanded role improves allocation of resources and may increase radiographer motivation and provide career enhancement. Professional body accreditation as well as civil and employment law provide clear guidelines on medicolegal implications, valid consent and accountability. Implementation of an iv administration policy, based on Royal College of Radiologists guidelines, includes proper delegation of duties and safe administration of substances. This should help ensure acceptance of vicarious liability by an employer. Failure to adhere to these established guidelines could leave employers and radiographers vulnerable to medicolegal action. Furthermore, evaluation of radiographer performance, facilitated by clinical governance and departmental audits, should ensure effective and safe practice whilst minimizing associated risks. Evidence-based radiography will provide the necessary drive for future changes in practice as well as further expansion of the radiographer's role.






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