SErIES IAEA HumAn HEAltH SErIES IAEA Hum

(f)
(g)
(h)
(i)
(j)
(k)
(l)
(m)
(n)
(o)
Ask radiological medical practitioners to provide examples of images of
examinations that are tailored to address patient problems (routine and
specific);
Interview radiographers or radiological medical practitioners/physicians
who are in-training, to discuss protocols for supervision and handling of
unexpected imaging findings or for technical difficulties;
Examine images for completeness of labelling and technique details;
Check records for patient- and examination-specific documentation of, for
example, contrast usage and scan parameters;
Check records for notes regarding administration of medication for, for
example, sedation and resuscitation;
Review policies and procedures for infection control;
Check room cleanliness and facilities for disposal of general and
contaminated waste;
Interview staff regarding their awareness of, and adherence to, policies and
procedures related to infection control, including sterilization protocols;
Check for provision of sharps protection;
Observe the conduct of relevant examinations for compliance with operator
technique, adherence to sterile techniques, patient safety, etc.
4.2.3.3. Clinical care, patient sedation/anaesthesia and contrast agents
The audit team should:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
Check that all elements of clinical care are provided for, with written
records of monitoring of vital clinical signs, maintenance of IV equipment,
drainage catheters, etc.;
Check the physical environment for patient safety and privacy;
Check the policy for use of sedatives and anaesthetics;
Identify the designated staff members and discuss their role in the
maintenance of drugs, gases and equipment for sedation and anaesthesia,
and their inventories;
Check policies and procedures for storage and administration of contrast
agents, as well as staff authorization, dose protocols, etc.;
Discuss contrast protocols with staff;
Check for policies and procedures for the management of untoward events
such as contrast medium reactions and cardiopulmonary collapse;
Identify the designated staff members and discuss their role in the
maintenance of resuscitation drugs, gases and equipment, and their
inventories;
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