RADIOLOGY

SERVICE AND
MEDICAL
LABORATORY
SERVICES
DONE BY
1. Haileliul Endaweke
2. Abinet Getachew
TABLE OF CONTENT
1. Introduction
2. Written Policies and Procedures
3. Accessibility and Education
4. Supervision and Interpretation
5. Ultrasound and Radiological Services
6. Patient Care and Safety
7. Regulatory Compliance and Monitoring
8. Procedures and Reporting
9. Documentation and Labeling
10. Radiation Safety and Responsibility
11. Accessibility and Safety Provisions
12. Equipment Quality Assurance
13. Premises and Infrastructure
 INTRODUCTION
This presentation covers the comprehensive standards and practices for Radiology Services and

Medical laboratory, detailing the essential policies, procedures, and equipment requirements. These

standards are critical for ensuring safety, efficiency, and quality in radiological examinations and

services.
RADIOLOGY
SERVICE
STANDARDS AND
PRACTICES
 WRITTEN POLICIES AND
PROCEDURES
Frequency of Review

Policies and procedures are to be reviewed at least once every three years.

Minimum Inclusions

Must include safety practices, emergency protocols, adverse reaction management, critical patient management,

infection control, timeliness of diagnostic procedures, and a quality control program.

ACCESSIBILITY
AND Access to Policies
EDUCATION Policies and procedures must be accessible to all
radiology staff.

Medical Emergency Protocols

Written protocol for managing medical
emergencies in the radiological suite, with staff
well-instructed on their roles.
 SUPERVISION AND INTERPRETATION

Radiologist's Role
Radiologists to supervise and interpret all radiological procedures, with exceptions for trained specialists.

Preliminary Interpretation Timeline

All radiological examinations must be interpreted on a preliminary basis within eight hours.
 ULTRASOUND AND
RADIOLOGICAL SERVICES

Ultrasound Service Provision

Provided by radiologists or trained and certified health professionals.

Mandatory and Optional Services

Includes Digital X-Ray, Ultrasound, with optional CT, MRI, and

certain interventional procedures.

 PATIENT CARE AND SAFETY
Comfort and Transport Hazard-Free Environment Safety Precautions
Efforts made to keep patients waiting for Radiology service unit must be free of Maintaining proper safety precautions
services comfortable and timely notified
hazards to patients and personnel. against fire, explosion, electrical, and
for transport back to their units.
radiation hazards.
 Radiation Protection Authority Approval

REGULATORY Periodic inspection and approval from the Ethiopian

Radiation Protection Authority, with prompt correction of

COMPLIANCE identified hazards.

AND
MONITORING Radiation Exposure Monitoring

Periodic checks for radiation workers using exposure

meters or badge tests, documented.
PROCEDURES AND REPORTING
Fluoroscopes' Safety and Records
Modern safety design, operating procedures, and maintenance of records for fluoroscopes' output.

Medical Records and Reporting

Signed reports filed with patient's medical records and copies kept in the service unit.
Examination requests must include a reason.
DOCUMENTATION AND
LABELING
Reporting Form Information

Minimum information includes date, patient details,

findings, and radiologist's signature.

Preservation of X-ray Reports and Films

X-ray reports to be preserved or microfilmed, with films

labeled with essential information.
RADIATION
SAFETY AND
RESPONSIBILITY
Radiation Safety Program

Including timely reporting of safety findings, documented.

Accountability for Radiological Services

Professional responsible for claims arising from wrong

findings.
 ACCESSIBILITY AND SAFETY
PROVISIONS
Access to Radiology Services Safety Standards

Services should be accessible to all Provisions based on minimum criteria set by

requiring medical service units. the Ethiopian Radiation Protection Authority.

EQUIPMENT QUALITY ASSURANCE

Quality Control Tests

Quality assurance/control tests for radiological equipment must be
available.
PREMISES Design Requirements

• According to Ethiopian Radiation Protection Authority

guidelines.

Digital Image Archiving and Printing

• Policies and procedures for the availability of digital

image archiving and printing.

Room Requirements

• Minimum number and size of rooms to depend on

specific equipment requirements.
MEDICAL
LABORATORY
SERVICES
 POLICIES AND PROCEDURES
Laboratory Practices
Information Management
• Written policies and procedures for procedure manuals,
report times, quality assurance and control, equipment • Policies for paper-based or electronic laboratory

management, reagent management, specimen handling, information management systems (LIMS), including

normal ranges, safety, and documentation. periodic reporting, analysis, and archiving.

Standardization Monitoring and Evaluation

• Standardized data collection instruments, including request • Development of tools to assess SOP adherence, safety,
forms, report forms, specimen and results registers, and QA activities, laboratory performance, and services.
quality assurance records.
 OPERATIONAL GUIDELINES
Specimen Collection SOP Documentation and Amendments
• Procedures addressing collection requirements, sample • Documentation and communication of policies,
types, anticoagulants, volume, patient identification, and procedures for amendments, and validations of in-house
specimen storage. procedures.

Quality Assessments and Controls Laboratory Service Availability

• Routine quality assessments, procedure reviews, analysis • Policies for emergency services availability 24/7,
processes, quality control testing, and patient identification including holidays, and external quality control systems.
protocols.
PREMISES
Laboratory Environment
Organized, clean, safe handling of specimens and waste, adequate space, controlled temperature for
reagents and samples.

Facility Requirements
Safe environment, adequate lighting, ventilation, water and waste disposal, precautions for cross
contamination.

Design and Access

Suitable access for patients and deliveries, effective separation of laboratory sections, premises setups
including various dedicated rooms.
 SAFETY AND COMPLIANCE
Safety Guidelines Facility & Equipment Service and Complaints
No eating, drinking, or smoking in work Reliable water supply, continuous Review of contracts for services, record-
areas, protective clothing requirements, safepower supply, suitable work surfaces, keeping of complaints, nature,
disposal of samples, and environment lockable doors and cupboards, safe investigations, and resolutions.
protection. disposal systems.