Radiology services

Radiology

1.Infrastructure- as per AERB guide lines, waiting area,Ventilator above 2m height in Xray room, registration room or place ,dress change room or cubicle, dark room,storage area for xray films, AC provision  for digital units and CT, intercom facility, lead lining for  door and windows

2)Displays- Trilingual caution signage, caution signage for pregnant women , Scope of services- available and non available, department  layout, pregnant  women or planning pregnancy to inform , timing for routine xrays and reporting, duty roster - 24 hours services , numbering of department, user charges, Cashless investigation for JSSK beneficiaries, Process Flow Chart- for taking xrays, developing film, patient flow from receiving registration shooting film and reporting, AERB registration certificate  , policy to prioritize emergency cases, Quality policy, Quality Objectives

3)Training of staff in department - Radiation safety, Fire safety, BMW management, Hand hygiene , Procedure for handling MLC x-rays, Role in Disaster management , Process flow , register maintenance, Quality assurance and improvement, Buffer stock calculation , Quality indicators, SOP 

4)Staff Competence testing - operating xray equipment, hand wash, fire safety

5)External Quality Assurance - TLD badges,exposed  Xray films quality - technical aspects ,lead aprons for flouroscopy or CT 

Internal quality- exposed  Xray films- technical  aspects

6)Equipment maintenance- preventive and breakdown,  daily cleaning procedures , equipment log , breakdown register 

7)Employee safety measures - TLD badge , Lead screen, Lead apron, Lead shields 

8)Patient and environment safety- caution signage, warning red light during film exposure, xray room closed at the time of radiation exposure, female attender for women, attender for children and lead apron for escort, LMP to be recorded during registration for all women in child bearing age group, BMW as per guidelines , Handing over Taking over register for IP, Emergency tray for invasive procedures and dyes 

9)AERB registration

10) Standard formats - i) Requisition- provisional diagnosis or indication to be written, type of x-ray and view and doctor's sign

ii)Reporting format - signed by Radiologist or competent  specialist  

11)Identification of patient and service provider- Registration- UHID, x-ray film - name of patient, side- left or right , sign of radiographer, report - sign of reporting person, sign of MO in requisition 

12)Copy of  SOP , AERB guidelines

2)Display- Instructions for patient preparation

Ultrasound imaging

1)Display 

I)Display of PNDT Act - 3 boards

ii)Scan license - all scan machines serial no. included .Form B.

iii)Training Certificate if Sonologist performing 

iv))Scope of services- available and non available

v)Instructions for preparation of  patient eg. full bladder for pelvic scan , for placenta previa 

vi)Timings -routine and 24 hours availability of service vii)IEC for patients . One female attender  allowed .

2)Format- i)Requisition form- include  indication, type of scan ,sign of MO ii)Reporting format - or at least a seal. Sign of sinologist/radiologist iii)Form F iv)consent form in Tamil 

3)Scan register- include date and time , impression, sign of performing doctor 

4)Form F to be sent to JD office every month through the Office . Acknowledgment to be obtained and kept in file. 

5)Machine maintenance- preventive and breakdown. Calibration . Equipment log. User manual 

6)Training of all Obstetricians in pregnancy scanning 

7)Copy of PNDT Act to be available 

8)Infrastructure - separate scan room , toilet facility . Ultrasound is an important Critical machine which should be available in Obstetric Casualty in all CEmONC centres. 

9)Waste management- green and yellow bins 

10)Linen change policy