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ISRRT_COVID-19_book

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imaging examinations or interventional procedures, management of human resources<br />

(divided into teams in anticipation of accidental exposures to <strong>COVID</strong>-<strong>19</strong> patients and the need<br />

to undergo quarantine processes, if necessary) and handling of imaging equipment (e.g., prior<br />

preparation and post examination disinfection process).<br />

As this was an unprecedented experience for all of us, there were minor setbacks along the<br />

way, such as equipment breakdown, lack of resources and others. Despite this, everyone<br />

stood united in support, and changes to the standard operating procedures (SOPs) were made<br />

to manage the new challenges. As Albert Einstein stated, "The world as we have created it is<br />

a process of our thinking. It cannot be changed without changing our thinking." <strong>COVID</strong>-<strong>19</strong><br />

pandemic has warranted for changes in our thinking, a paradigm shift, from our routine<br />

workflow, hospital protocols, patient care, training, assessments, and business models.<br />

The new norms in medical imaging<br />

Radiographers carrying out mobile radiography played an important role in performing<br />

bedside imaging (e.g., chest X-Ray) at the designated areas in order to prevent potential<br />

transmission during patient transfers to the imaging department. Prior to mobile<br />

examination, the equipment (tube head and arm only) was covered with plastic, especially<br />

when handling patients being nursed with a high flow mask / intubated / nebulizer. The image<br />

receptor (e.g., imaging plate / digital detector) was wrapped with a zip lock plastic bag and<br />

into another plastic bag to ensure double protection. The equipment was then disinfected<br />

post examination.<br />

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