Department of Radiology
DEPARTMENT OF RADIOLOGY
QUALITY OF CARE POLICY AND OPERATIONAL GUIDELINES
NHA/CD/QOCP/RAD/001
Dr. M. Yidi
HEAD OF DEPARTMENT
1.0 Introduction
- Vision Statement:
To provide optimal radiological and imaging diagnostic services for qualitative healthcare delivery in National Hospital and beyond.
- Mission Statement
Our mission is to provide caring, compassionate and high quality Medical imaging and image-guided therapy services to improve the quality of life for our patients and their families.
2.0 QUALITY ASSURANCE POLICY:
Radiology Department has in place a set of processes to ensure quality services are delivered consistently and support the hospital in a cycle of continuous improvement of standards of care.
- Patients are X-rayed under strict supervision of an experienced Radiographer.
- Radiological equipments are calibrated regularly and their maintenance records are constantly updated.
- Producing high quality diagnostic imaging while ensuring adequate patient safety.
- Ensuring consistent reliable reports are generated.
- Enforcing the use of the thermoluminescent dosimeter ( TLD) badge.
- Monitoring and acting on feedback from referring physicians and patients.
3.0 Strength of the department
– Dedicated and well trained radiologists, radiographers and other supporting staff with a wealth of experience.
– Continuing and increasing focus on sub-specialization.
– Cross-coverage in both subspecialty and non-subspecialty areas.
– Active collaboration in training and research.
Multi-disciplinary team approach to patient management and care
– Availability of state-of the art radio-diagnostic equipment.
SERVICES PROVIDED BY THE DEPARTMENT OF RADIOLOGY
Radiological investigations and procedures are performed on patients of all ages including non-ambulatory patients.
Diagnostic Imaging and interventional services include:
– General Radiography.
– Contrast and Barium studies
– Ultrasound and vascular US
– Magnetic Resonance Imaging (MRI)
– Breast Imaging
– Computed Tomography (CT)
– Ultrasound and CT guided biopsy
4.0 Operational Guidelines:
- Radiological examination and procedures are performed based on scheduled appointment, according to priority and on emergency basis. Patients visitation is based on NHA guideline for such services care
- All requests are subject to validation by staff Radiologist.
INTRAVENOUS CONTRAST POLICIES
- Contrast Administration is performed according to hospital and departmental protocols with appropriate supervision by Unit Consultant.
- Appropriate premedication in patients with known/suspected allergic reactions.
- Appropriate actions are undertaken in case of contrast reactions and extravasation of contrast.
- Laboratory testing requirements (i.e Electrolyte, urea and creatinine) conducted in patients in whom contrast administration is considered.
- These contrast policies are applicable in CT, specials and MRI.
5.0 WEEKLY ACTIVITIES AND SCHEDULE:
HOURS OF IMAGING/REPORTING
| General Radiology (Work Hours) | 8:00am – 4:00pm (Mon – Fri) Covered by Teams comprising of Consultants/Residents & Principal Medical Officers | 7 days a week. |
| General Radiology (Call Hours) | 4pm – 8:00am (Mon-Sun/Public Holidays) covered by radiologists on call comprising Consultant, Senior & Junior Registrars. | 7 days |
| Mammography | 8:00am – 4:00pm (Mon – Fri) covered by team of Radiographers comprising of Principal Radiographers, Senior Radiographers, Junior Radiographers and Interns. | |
| Radiography/Contrast /Barium Studies | 8:00am – 4:00pm (Mon – Fri) covered by team of Radiographers comprising of Principal Radiographers, Senior Radiographers, Junior Radiographers and Interns. | 7 days a Week |
| Call Hours | 4:00pm – 8:00am (Mon – Fri) 8:00am – 8:00pm Saturday/Sunday/Public Holidays covered by Radiographers on call comprising Principal Radiographer, Senior & Junior Radiographers and Interns. | |
| Film/Specials Reporting | 8:00am – 4:00pm (Mon –Fri) covered by Team of Doctors (Consultant Radiologist, Senior Registrars). | 7 days a Week |
| Call Hours | 4:00pm – 8:00am (Mon – Fri) 8:00am – 8:00am (Saturday/Sunday/Public Holidays). |
6.0 ORGANIZATIONAL CHART
7.0 HEALTH & SAFETY POLICY
– All radiation doses to patients are kept as low as reasonably achievable
(ALARA principle).
– Ensuring no radiation dose exceeds the appropriate dose limit for an individual.
– Regular calibration and maintenance of all radiology equipment.
– Prominent signage in the different units of the department with safety precautions.
CT AREA
– Out of bound to pregnant women.
– Radiologists validation of patients to undergo CT scan.
– Physiological parameters are ascertained before the administration of
Intravenous contrast.
– Patients are properly counseled and their consent is sought prior to CT scan.
– Appropriate premedication in patients with known suspected allergic reaction.
MRI AREA
– Signage at the entrance of the MRI scanner room, work station and reception.
– Restricted items are prevented from being brought into the MRI area which includes electronic devices.
– Medical implant (aneurysm clips, medication pumps) which could lead to
cancellation of procedure.
– Questionnaire to be filled by patients/relatives to undergo MRI study
SPECIALS ( CONTRAST/BARIUM STUDIES)
– Patients booked for Hysterosalpingography are advised to apply the ten day rule to exclude pregnancy and prevent intravasation of contrast.
– Patients are screened to know the appropriate study, contrast or barium which will be validated by a Radiologist.
ULTRASOUND
– FAST scan is done for trauma patients to minimize waiting time.
STAFF
– A quality control officer who is a Senior Radiographer ensures thermoluminescent dosimeter (TLD) batches are read regularly to monitor staff radiation dose.
– We maintain National Hospital Safety & Health guidelines.
8.0 Policy on Minimum Standard:
– While adhering to minimum standard of National Hospital, we don’t exceed national dose limit of ionizing radiation.
– Issuance of result is in line with the departmental Turn Around Time (TAT).
– Critical findings are conveyed to the physician as soon as identified.
– All our radiographers and radiologists are fully licensed to practice.
– Indemnity Insurance for all staff.
9.0 Staff list
| S/N | NAME | QUALIFICATIONS | RANK |
| CONSULTANTS | |||
| DR. BABAKOLOBE A.M | MBBS, FWACS, FMCR | CHIEF CONSULTANT | |
| DR. OLATUNJI O.O | MBBS, FWACS | CHIEF CONSULTANT | |
| DR. UMAR A.A | MBBS, FMCR | CHIEF CONSULTANT | |
| DR. JIMOH .K(on leave of absence) | MBBS, FWACS | CHIEF CONSULTANT | |
| DR. AKINTOBI .A. | MBBS, FWACS | SNR. CONSULTANT | |
| DR. DAJI .F. | MBBS, FMCR | SNR. CONSULTANT | |
| DR. YIDI .A.M | MBBS, FMCR | CONSULTANT | |
| DR. AGAJA E.O | MBBS, FWACS | CONSULTANT | |
| DR. ACHILEFU .C | MBBS, FWACS | CONSULTANT | |
| MEDICAL OFFICERS/REGISTRARS | |||
| DR. NWOBODO .C | MBBS | PMO | |
| DR. ONYEGBUNA .C | MBBS, FWACS | PMO | |
| DR. IHENSEKHIEN .P | MBBS | PMO | |
| DR. PAUL E.N. | MBBS, FWACS | SR | |
| DR. NWAFOR .A | MBBS, FWACS | SR | |
| DR. ONUH .J.(on leave of absence) | MBBS, FWACS | SR | |
| DR. IKE-UGWOKE | MBBS, FWACS | SR | |
| DR. WACHAP | MBBS, FWACS | SR | |
| DR. ASOGWA | MBBS | SR | |
| DR. AKANDE | MBBS | SR | |
| DR. MOMOH .E. | MBBS | SR | |
| DR. NWORDU .V. | MBBS | SR | |
| DR. IKUSANU | MBBS | SR | |
| DR. OKOYE P.N. | MBBS | SR | |
| DR. BELLO .F.M. | MBBS | SR | |
| DR. UMENZE | MBBS | SR | |
| DR. IBITEYE .T. R. | MBBS | SR | |
| DR. ADEBOYE | MBBS | SR | |
| DR. SAAD | MBBS | REG | |
| DR. ACHUSI | MBBS | REG | |
| DR FAIZA ABUBAKAR GIREI | MBBS | REG | |
| DR BAMANGA HAUWA | MBBS | REG | |
| DR. UKPETE | MBBS | REG | |
| DR. BINANG | MBBS | REG | |
| DR. ANI | MBBS | REG | |
| DR. AZUBUIKE | MBBS | REG | |
| RADIOGRAPHERS | |||
| UCHENNA DIKE | AD, RADIOGRAPHER | ||
| ANIEBO NONYELUM (on leave of absence) | AD, RADIOGRAPHER | ||
| CHARLES UBI | AD, RADIOGRAPHER | ||
| ONWUJEKWE EMEKA C.(on leave of absence) | AD, RADIOGRAPHER | ||
| KALU-NWAFOR CHINELO | AD, RADIOGRAPHER | ||
| RAMATU UMAR ALI | |||
| MOHAMMED MANSUR A | SENIOR , RADIOGRAPHER | ||
| SANI SAMSUNA | SENIOR, RADIOGRAPHER | ||
| LIWHAN UGBIZI | RADIOGRAHPER | ||
| HABIB ABBA | RADIOGRAHPER | ||
| SULEIMAN | RADIOGRAHPER | ||
| JOHN | RADIOGRAPHER | ||
| DARKROOM | |||
| JAMES EKAHEM | CHIEF DARKROOM TECHNICIAN | ||
| BLESSING ERNEST | DARKROOM ASSISTANT | ||
| SALIHU YAHAYA(on leave of absence) | DARKROOM ASSISTANT | ||
| VICTOR JEZE (on Annual leave) | DARKROOM ASSISTANT | ||
| SECRETARIES | |||
| EROMOSELE ELIZABETH .O.O. | PRINCIPAL CONFIDENTIAL SECRETARY | ||
| SUNDAY .D. MARK | CONFIDENTIAL SECRETARY | ||
| BOYIBI HELEN | OFFICE ASSISTANT | ||
| HEALTH ASSISTANTS | |||
| NAOMI | HEATH ASSISTANT | ||
| MURKTHAR | HEATH ASSISTANT | ||
| EZEKIEL | HEATH ASSISTANT | ||
| RITA | HEATH ASSISTANT |
Contact email: hod.radiology@nationalhospital.gov.ng