Management of Radiology and Imaging services for hospital administrators.

1. MANAGEMENT
OF
RADIOLOGY
AND
IMAGING SERVICES
By, Sandra Sabu

2. CONTENTS
1 Introduction
2 Planning
3 Location
4 Equipments
5 Layout
6 Function/objectives
7 Safety consideration
8 Staffing
9 Licenses

3. Introduction
One of the focal point of any
hospital or medical centre.
Requires very careful planning and
vision.
Radiolog services can be
diagnostic or therapeutic.
Radiology and Imaging services means those services within
a hospital or a diagnostic centre that uses different types of
radiations for diagnosing the diseases of patients or to do
radiotherapy.
Definition

4. Location
Preferably on ground floor
Should be easily accessible to OPD
patients, In-patients, emergency
department.
Planning
Identify opportunities/ need
2 types of radiology centres :
Radiology department within a hospital setting
Dedicated radiology centres, that works on referrals
1.
2.

5. Equipments
Digital X-rays
Fluroscopy units
Mammography unit
DEXA unit
USG unit
1.5 T/ 3 T MRI
Digital subtraction
angiography unit
PET
CT

6. Reception area
Changing rooms & toilet
Layout
Reception area
USG
USG
USG
Reporting room
Changing
rooms &
toilets
MRI
Investigation rooms
Reporting rooms
PET/
CT
Mammo-
graphy
DSA
X-ray/
Fluro
DEXA

7. 1
2
3
To provide comprehension
high quality imaging and
radiology services
Providing high quality
therapeutic radiology
Training, research,
development
Functions/
objectives

8. For radiation protection
ALARA concept is used
Plan radioprotection
prior to construction
Promote awareness
among patient and public
Promote awareness
among doctors and
staff
Safety Considerations

9. Optimization of X-rays, CT
scans
Patients shielding
Minimum area of exposure
Periodic quality control and
calibration of X ray machines
For
patient
safety

10. Distance between the control panel and
unit minimum 3 mtrs.
Radioprotection aprons, lead gloves,
masks, thyroid collars
Use of radiation monitoring devices, TLD
badges/ films
For the safety of staff

11. Department away from main traffic
1
Good brick/concrete wall, 1.5 ft thick
2
Hazard signs & restricted area
demarcation
4
Lead covering 1.5 mm thick on wall
3
Radiation warning board
5
For the safety of public

12. Man-power planning depends on
Workload
Types of services
Timing of services
Staffing
There should be a standard operating
procedure for all category of staff for
smooth organizational functioning.

13. Head of Radiology
Sr. Consultant
Jr. Consultant
Sr. Resident
Jr .Resident
Doctors
Tech. Supervisor
Sr. Technician
Technician
Jr. Radiographer
Darkroom assistant
Darkroom attendant
Technical staff
ANS
Sister In-charge
Staff Nurse
Nursing
Receptionist
Clerks
Store keeper
Helper
Nursing attendant
Others
Staffing

14. Licenses
Radiology services can be only done with proper license or registrations
Trade license
Clinical establishment act
Certificate from Biomedical Waste Disposal Body (CPCB)
Waste generation certificate from pollution board of that particular state
NOC from state fire department and local municipality office

15. Thank you!