INTRODUCTION

Department of Radio-diagnosis provides comprehensive imaging solutions in the area of conventional radiology, cross-sectional imaging and emergency radiology services.

Radio-diagnosis department is located in the basement. All the equipments are located at functionally independent rooms and operated by qualified and trained technicians and doctors.

Standard Operating Procedure for Intervention Procedures In The Department of Radio- diagnosis

After due consultation with faculty members of the department, following protocol is being laid down as Standard Operating Procedure as regards Intervention Procedures (Ultrasound/CT guided procedures- diagnostic and therapeutic)

Inpatient and Outpatients are required to go to the Radiology Reception with the requisition slip filled by the referral doctors. The Radiographer / Receptionist should show the requisition slip to the Radiologist in-charge for screening of the patient and allocation of appointment dates.

At the time of giving the appointment, fitness of the patient is determined by overall general condition and checking serum Hb, platelet, PT-INR levels which is done within 1 month prior to the procedure. If the patient meets the fitness criteria, they are given appointment dates as per availability.

The procedures are to be undertaken by appointment and during working hours only. The procedures will be performed between 9:00am to 3:00pm only so as the sample to reach Pathology department before closure of their working hours.

The procedures will be performed under supervision and guidance of the Radiologists who is experienced and well conversant with the technique.

At the time of appointment, on duty JR/SR of Referring Department and Nursing Staff will assist the procedures after obtaining due consent.

A nursing assistant must be present during the procedure to assist the doctors. It will be his/her duty to keep emergency tray with all the necessary drugs ready. It is also imperative on the part of nursing staff on duty to keep emergency tray ready and see for expiry of drugs, on daily basis, which need to be discarded if expired.

The referring physicians/surgeons are requested to send their doctor-JR/SR who is competent to manage any complication which may arise during the procedure in the interest of patient care. It will be their duty to ensure that the sample obtained after the procedure, which is earmarked for pathological examination reaches immediately after the procedure for onward transmission.

The Radiologist will write procedural notes on a separate sheet of paper in duplicate and retain its copy in the department for record.

The referring the Department JR/SR will be responsible for the post- procedural follow-up and keep faculty member informed.

 Pre-procedure preparation:

•       Informed written consent.

•       Coagulation profile to be checked.

•       Blood group.

•       Nil per oral for 4Hrs. prior to the procedure.

•       Responsible Bystander/ Relative should accompany the patient to the department.

Post-procedure:

•       IV cannula to be introduced on All Post-procedural care.

·       Vital signs to be monitored for at least 3 hrs after the procedure.

·       Additional X-ray/CT scan/ultrasound to be repeated if required after the procedure.