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Radiology Department Scope of Services

The radiology department provides x-ray services and customizes care by scheduling patients, conducting investigations, and reporting results while ensuring radiation and patient safety. Services are managed according to standard operating procedures, guidelines, and regulations like those set by the Atomic Energy Regulatory Board. The radiology staff includes radiologists, technicians, nurses, and housekeeping.
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100% found this document useful (1 vote)
892 views7 pages

Radiology Department Scope of Services

The radiology department provides x-ray services and customizes care by scheduling patients, conducting investigations, and reporting results while ensuring radiation and patient safety. Services are managed according to standard operating procedures, guidelines, and regulations like those set by the Atomic Energy Regulatory Board. The radiology staff includes radiologists, technicians, nurses, and housekeeping.
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© All Rights Reserved
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SCOPE OF SERVICE

The goal of the department is... To ensure that radiology services are available and
delivered as per patients’ needs in a safe and
effective manner
The scope and complexity of services provided Radiology department provides x-rays services
by this department is...

The methods used in order to customize Scheduling and preparing patients for radiology
services are.... investigations, conducting investigations and
reporting them.
Ensuring radiation and general safety
The extent to which the level of care/ services All steps are managed as per this SOP, good
provided meets customer needs are: practice guidelines& statutory regulations
Regulatory agencies relevant to this service… Atomic Energy Regulatory Board (AERB)
Staffing plan is... Radiologist, Technician (Technologist), Nurse,
Housekeeping

Title: Radiology policy,


Objective: To ensure a consistently high level of service to each patient served and to
ensure compliance with regulatory and quality standards.

Job responsibility: Staff of Radiology department.

Abbreviations:
HIS: Health information system
RIS: Radiology information system

Description:

1. Radiology services shall comply with all national standards and laws.
2. Radiology services shall be provided to meet the needs of the patients.
3. Radiology services shall follow a comprehensive radiation safety program,
and this shall be incorporated into the Hospital safety program.
4. Radiology services shall follow standards procedures for identifying and
investigation patients. These procedures shall be detailed in the Radiology
Standard Operating Procedures (SOP).
5. Radiology personnel shall be qualified and experienced as per the scope of
services of the Radiology services.
6. All tests done by the Radiology services shall be reported within time frames
established in the Radiology SOP.
7. All Radiology equipment shall be acquired, inventoried and maintained as
per the Radiology SOP.
8. The Radiology Coordinator shall be responsible for developing, implementing
and maintaining the Radiology SOP. Responsibilities shall also include
administrative oversight, maintaining quality control programs,
recommending and reviewing all outside sources of Radiology services.
9. The Radiology services shall develop, implement and maintain a Quality
Control Program.
10. The Radiology services shall maintain a roster of experts in specialized
diagnostic areas and the experts shall be contacted when needed.

________________________________________________________________
Title: Appointment & dispatch procedure.

Objective: To provide a system for scheduling patients for Radiology investigations.


Job responsibility: Radiology staff.

Abbreviations:
HIS Hospital information system
OPD Outpatient Department

Description:

1. OPD/OUTSIDE PATIENTS
1.1. The customer care officer schedules the patients if a call is received. A
scheduling register is maintained in the department. Instructions regarding
procedures, preparation, billing are also given that time. After 8 pm, the on call
technologist gives the appointments
1.2. Patients also come without prior appointment directly to the radiology
department. Patients are taken for imaging exams on the same day depending
upon the availability and the preparation requirements. They may also come
with scheduling according to their convenience if preparation is required.
1.3. The patient carries a requisition form or valid doctor’s prescription regarding
the type of scan desired, clinical information etc. Information about preparation
required for the scan is also given at the time of appointment.
1.4. The details of the appointments are recorded in a register.

1.5. the technician checks the HIS every 30 minutes.


1.6. The exam indications, type of exam or procedure are discussed, and
recommendation is given by the radiologist.
1.7. A time slot is given for the same day according to the urgency and availability of
equipment.
1.8. The patient is then sent to the Radiology & Imaging department as per the time
slot, on call from the Radiology department; the technician on duty confirms the
requisition and performs the test accordingly.
1.9. If there is any change in the test performed due to clinical requirements the
technician will communicate this to the customer care officer/ staff nurse to
make the necessary changes in the HIS

2. GENERAL INSTRUCTIONS
2.1. All patients are instructed to bring all their previous investigations, discharge
summaries and physician’s notes.

3. REPORTING
3.1. Reports for inpatients are issued as per BH. In case of non-routine hour
investigations, a verbal or a written provisional report is provided. All casualty
scan reports are communicated urgently and subsequently a written provisional
report is also issued.
3.2. All outpatient reports are issued as per BH standards. In case of any
examination which requires reference search, second opinion, the same is
communicated to the patient and he is kept informed about the availability of
the report.
3.3. Patient recall for outpatients – If the Radiologist needs to repeat the scans or
requires additional history of a patient to aid in reporting- the patient needs to
be recalled, the customer care officer (radiology) or the technician on duty will
call the patient on the available contact number and recall the patient with
proper explanation for the need of the same.

4. DISPATCH
4.1. All Radiology & Imaging Studies-
4.2. All outpatient Radiology & Imaging reports are dispatched by 12noon next
working day.
4.3. Patients requiring urgent reports are given priority. The urgent reports are
communicated by telephone to their physician’s soon after their examination &
review by the Radiologist.
4.4. The technician will dispatch the films to the Radiology reception desk for
dispatch.
4.5. The dispatched scans are recorded in dispatch register.

________________________________________________________________
________________________________________________________________
Title: Patient preparation, scheduling and protocol for x-ray examinations.

Objective: To streamline patient handling for x-ray examinations.


1.1. Fixed X-ray
1.1.1. Switch on the main from the power panel
1.1.2. Switch ON from control panel
1.1.3. Machine will take 2 to 3 minutes to get ready
1.1.4. Trial exposure is done to check for exposure with low MA
1.1.5. Machine is ready for procedure
1.1.6. After Procedure Machine is repositioned and switched off.

2. PATIENT PREPARATION
2.1. Plain X-ray
2.1.1. Plain x-rays do not require any preparation. In case of X- Ray Abdomen,
patient must come prepared as instructed by the physician.
3. X-RAY PROCEDURE
3.1. Scheduling
3.1.1. Plain X-rays are not appointed and done on walk-in basis for outpatients.

3.2. Pre-investigation protocols


Outpatients
3.2.1. The patient arrives at the x-ray reception with the request form and bill

3.3. Method of investigation


3.3.1. X-ray
[Link]. The housekeeping in X-ray calls the patient according to the serial
number allotted.
[Link]. The X-ray technician identifies the patient by checking his name
and ID number and takes the patient inside the X-ray room.
[Link]. The technician begins by positioning the patient for the X-ray and
giving necessary instructions to the patient.
[Link]. If x-ray of a child or an unstable patient has to be obtained, the
attendant is asked to support the patient. The technician gives lead
apron to the attendant for radiation protection.
[Link]. Once the patient is positioned properly, the technician obtains the
x-ray, feeds the patient information in the computer system and prints
the x-ray image.

4. ISSUE/DISPATCH
4.1. If the patient wants the wet films to show to his physician, he contacts the X-ray
reception. The admin assistant dispatches the film and documents it in the
nominal register and asks the patient to return the film for reporting.
4.2. Once the patient returns the x-ray folder, he is asked to collect the reports after
four hours and within one month.
4.3. To collect the x-ray reports the patient contacts the x-ray reception and shows
his bill receipt.
4.4. The admin assistant dispatches the final reports after taking patient/ attendant’s
receiving in the nominal register and marks ‘Dispatched’ on the patient’s copy
of the bill.

5. REPORTING TIMELINES
5.1. As per Bridge Health Operating System

Common questions

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The integration of Health Information Systems (HIS) and Radiology Information Systems (RIS) supports radiology operations by streamlining scheduling and reporting processes. HIS facilitates real-time updates on patient appointments, resource availability, and staff schedules, aiding in efficient patient management . RIS complements these functions by ensuring the systematic documentation of radiology procedures and results, which aids in quick and accurate report generation and dispatch . This integration reduces errors, enhances communication, and supports informed decision-making through the availability of comprehensive and updated patient records .

Managing patient information and reporting timelines is essential for the efficient operation of a Radiology department. All patient information, including previous investigations and physician’s notes, is meticulously documented and cross-referenced to ensure accuracy . Reporting timelines are clearly defined, with urgent cases prioritized and communicated directly to the respective physicians. This process ensures accountability and timely delivery of results . Reporting systems are in place to guarantee that provisional and final reports are issued within specified timeframes, enhancing the reliability and credibility of radiology services .

Timely and accurate reporting in radiology is ensured by adhering to established timelines for issuing reports, prioritizing urgent cases, and maintaining effective communication channels with physicians and patients . This includes issuing verbal or written provisional reports outside normal hours and ensuring final reports follow soon after . Delays in reporting can lead to extended patient anxiety, treatment delays, and potentially impact clinical decision-making and patient outcomes, emphasizing the importance of these structured processes .

The patient scheduling system enhances efficiency by ensuring that appointments are managed through a centralized register and HIS, maintaining timely updates and confirmations by checking the system every 30 minutes . It improves patient experience by allowing flexible scheduling for patient convenience and urgent cases are prioritized to facilitate timely diagnosis and care . This systematic approach also reduces wait times and ensures that necessary preparations and protocol information are communicated clearly to patients .

The Radiology Coordinator is responsible for developing, implementing, and maintaining the Radiology Standard Operating Procedures (SOPs) to ensure that all radiology services comply with national standards and laws. This includes administrative oversight, maintaining quality control programs, and recommending and reviewing all outside sources of radiology services . Their role is essential in ensuring high-quality service delivery and compliance with regulatory and quality standards across the department .

Radiation safety programs are critical in the operational framework of a Radiology department because they safeguard the health of both patients and staff by minimizing exposure to harmful radiation. These programs are incorporated into the overall hospital safety program to ensure the safe use of radiology equipment and compliance with regulatory standards like those outlined by the Atomic Energy Regulatory Board (AERB). They involve training personnel, using protective gear, and adhering to safe operating procedures, thus ensuring that radiology services are not only efficient but also safe .

Regulatory agencies, such as the Atomic Energy Regulatory Board (AERB), provide guidelines and standards that ensure the safe and effective use of radiology services. The Radiology department ensures compliance by adhering to these regulations through comprehensive SOPs, a radiation safety program, and continuous staff training . The department also maintains quality control programs and periodic reviews, ensuring that all operational activities meet the statutory requirements for safety and efficiency .

Patient identification and preparation involve multiple steps to ensure accuracy and patient safety. Patients are scheduled and instructed regarding the necessary preparations, particularly for specialized tests like abdominal X-rays which may require specific preparations . Upon arrival, patients are identified through request forms and ID verification. Technicians check the patient’s name and ID number before proceeding with the examination, thus ensuring that each test is accurately linked to the appropriate patient . Proper procedure instructions are given, and protective measures are applied, especially for children and unstable patients .

Urgent report requests are handled by providing priority to these cases within the radiology department. Reports are communicated directly to the requesting physician via telephone immediately after examination and radiologist review. Urgent cases are intentionally expedited in their processing to ensure that critical decisions can be made promptly . Dispatched urgent scans and reports are recorded meticulously, and the films are delivered through the reception desk to ensure accountability and traceability .

Radiology services are customized to meet patient needs by scheduling and preparing patients for investigations, conducting the required tests, and reporting the results effectively. The department follows all national standards and incorporates a comprehensive radiation safety program into the hospital safety framework. Safety and compliance are ensured through adherence to Radiology SOPs, maintaining qualified staff, and acquiring and maintaining equipment as per guidelines .

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