Professional ethics and ethical decision making: Rad Tech
. Professional ethics and ethical decision making are fundamental responsibilities of every radiologic technologist.
Each day you'll work with patients who place their trust in you during stressful or uncertain situations. As a radiologic technologist, you're responsible for more than producing high quality images.
You're also responsible for using sound judgment, protecting patient trust, and acting in ways that reflect the values of the profession.
Professional ethics help guide your decisions and responses to ethical challenges. Now professional ethics are essential in radiologic sciences because you'll routinely face situations that require sound judgment, respect for patient dignity, and protection of patient trust.
As a member of the healthcare team, you'll work closely with patients who may feel anxious, vulnerable, or uncertain about their care.
Professional ethics provide a framework to support safe, respectful, and compassionate patient care. Ethics, laws, and morals work together in your practice, but they're not the same thing.
Ethics are standards of conduct established by a profession that describe the values, responsibilities, and standards expected of its members.
They guide how you handle confidentiality, communicate with patients, and maintain professional boundaries. For example, you may want to reassure a worried patient by explaining what you think an image shows.
However, professional ethics require you to avoid providing interpretations or medical advice beyond your scope of practice.
Instead, you can explain the exam process and direct diagnostic questions to the radiologist or referring provider. Radiologic technologists must follow the code of ethics, which are published by the American Registry of Radiologic Technologists, or ARRT.
On the other hand, laws are formal rules that establish standards of behavior, such as the laws that require that patient information is kept confidential and shared only with authorized individuals.
Morals differ from ethics and laws in that they're personal beliefs shaped by individual conscience and life experiences.
For example, your morals may guide your belief that it's especially important to show extra patience and respect when caring for older adult patients because of values you learned from your family or community.
Ethical decision making and moral reasoning are shaped by the values and judgments that guide how you respond to real situations and imaging.
Ethical theories provide different ways of thinking about what makes an action right or wrong. Two foundational ethical theories help guide ethical thinking.
Consequentialism focuses on outcomes, and action is considered right if it leads to the best overall result for the patient.
Non-consequentialism focuses on the action itself. Certain behaviors are expected because they reflect responsibility and respect for the patient, regardless of the outcome.
There are also other ethical approaches used in healthcare, such as principle-based ethics, which relies on core ethical principles such as beneficence, non-maleficence, justice, and respect for patient autonomy.
A four-step ethical analysis process can help you make clear choices when caring for patients. For example, imagine you're performing a radiographic examination on an older adult patient who has difficulty standing.
The patient insists on remaining upright for the image, but you're concerned that they may lose their balance and fall during the procedure.
The first step is to identify the problem. You want to respect the patient's wishes, but you also have a responsibility to protect the patient from harm and provide safe care.
Next, you develop alternative solutions. You may consult with a colleague about other options that would maintain patient safety while still obtaining the needed images.
Then you select the best solution. You decide to use positioning aids and additional support so the patient can participate in the exam while reducing the risk of injury.
Finally, you defend your selection. Your decision respects the patient's preferences while prioritizing safety and acting in the patient's best interest.
Ethical relationships in clinical practice involve navigating your responsibilities to both patients and the healthcare team.
With patients, ethical dilemmas often center around dignity, confidentiality, consent, and communication. You protect dignity by respecting a patient's vulnerability, maintain confidentiality by sharing information only with those directly involved in care, and support consent by explaining procedures and giving patients an opportunity to ask questions.
You also keep your communication within your professional role. For example, if a patient asks whether they will need surgery after an exam, you can explain the purpose of the imaging procedure and encourage them to discuss treatment options with their physician.
This response provides support while maintaining appropriate professional boundaries. You'll also manage ethical relationships with members of the healthcare team by demonstrating collaboration and respect.
You contribute to team-based care by communicating accurately and avoiding actions that could create confusion or conflict.
Your goal is to support a respectful professional environment where effective teamwork helps ensure safe patient-centered care.
Now, like all healthcare professionals, radiologic technologists are human, and errors can happen despite good intentions.
What matters is how you respond when they occur. Professional ethics call for accountability and transparency.
When a mistake happens, rather than hiding the error or hoping it goes unnoticed, you acknowledge it, report it through the appropriate channels, and take steps to help prevent it from happening again.
Ethical practice also means speaking up when you encounter situations that could compromise patient care. For example, if you notice a patient identification discrepancy in unsafe practice or a potential error in the imaging process, it's your responsibility to bring the concern to the attention of the appropriate team members according to facility policy.
By being honest, responsible, and willing to report concerns, you'll help create a culture of trust and safety. Addressing mistakes appropriately not only supports patient care, but also strengthens professional accountability and teamwork within the healthcare team.
All right, as a quick recap, Professional ethics help guide the decisions and actions of radiologic technologists. They provide a framework for delivering safe, respectful, and compassionate patient care while maintaining patient trust and dignity.
Understanding the differences among ethics, law, and morals helps you make thoughtful decisions and uphold professional standards.
Ethical theories and a structured decision-making process can help you navigate challenging situations and choose actions that support patient well-being.
Professional ethics also guide how you interact with patients, colleagues, and the healthcare team. When ethical challenges or mistakes occur, responding with honesty, accountability, and transparency helps keep patient welfare at the center of professional
- "Introduction to radiologic and imaging sciences and patient care (8th ed.). " Elsevier (2021)
- "Patient care in radiography: With an introduction to medical imaging (11th ed.). " Elsevier (2021)
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