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Radiographic Standard Operating Protocols RADIOGRAPHIC STANDARD OPERATING PROTOCOLS PRODUCED IN ACCORDANCE WITH THE ROYAL COLLEGE OF RADIOLOGISTS GUIDELINES (2007) AND DEPARTMENT PROTOCOLS. CLINICAL DIRECTOR: Dr J H Reynolds DATE: December 2015 REVIEW DATE: December 2017 Radiographic Standard Operating Protocols Revision 7 Active date :December 2015 Revision date : December 2017 Authorised by : Dr JH Reynolds P a g e | 1 META DATA TITLE Radiographic Standard Operating Protocols DATE DECEMBER 2015 Review date DECEMBER 2017 Created by Radiology (Clinical Director – Radiology) Stored Centrally Trust Intranet Revisions (details) 11/12/2014 Alteration to Mandible referral criteria 06/02/2015 Alteration to chest & Abdomen referral criteria following button battery ingestion safety alert December 2015 include Community dental Linked Trust Clinical Governance Strategies and IR(ME)R 2000 Procedures and protocols Policies Radiographic Standard Operating Protocols Revision 7 Active date :December 2015 Revision date : December 2017 Authorised by : Dr JH Reynolds P a g e | 2 TABLE OF CONTENTS INTRODUCTION .................................................................................................... 9 STANDARD RADIOGRAPHIC PROJECTIONS ............................................................ 11 SKELETAL SURVEY VIEWS ...................................................................................... 19 SKELETAL DYSPLASIA SURVEY ............................................................................... 20 RENAL SKELETAL SURVEY ..................................................................................... 21 MYELOMA SKELETAL SURVEY ............................................................................... 21 BONE AGE ............................................................................................................ 22 PROTOCOL FOR RADIOLOGY IN SUSPECTED NON ACCIDENTAL INJURY IN CHILDREN ............................................................................................................................ 23 RADIOGRAPHIC STANDARD OPERATING PROTOCOLS (GENERAL EXAMINATIONS) 27 EXAMINATION PROTOCOL NO 1 AREA: SKULL ..................................................... 29 EXAMINATION PROTOCOL NO 2 AREA: FACIAL BONES / ORBITS ............................ 30 EXAMINATION PROTOCOL NO 2 AREA: FACIAL BONES / ORBITS ............................ 30 EXAMINATION PROTOCOL NO 3 AREA MANDIBLE ................................................. 31 TEMPORO MANDIBULAR JOINTS .......................................................................... 31 EXAMINATION PROTOCOL NO 4 AREA: SINUSES .................................................... 32 EXAMINATION PROTOCOL NO 5 AREA: MASTOIDS ................................................ 33 EXAMINATION PROTOCOL NO 6 AREA: CERVICAL SPINE ....................................... 34 EXAMINATION PROTOCOL NO 7 AREA: THORACIC SPINE / LUMBAR SPINE ............. 35 EXAMINATION PROTOCOL NO 8 AREA: PELVIS/ HIP ............................................... 38 EXAMINATION PROTOCOL NO 9 AREA: SACRUM .................................................. 41 EXAMINATION PROTOCOL NO 10 AREA: CHEST .................................................... 42 EXAMINATION PROTOCOL NO: 11 AREA: THORACIC INLET .................................... 46 EXAMINATION PROTOCOL NO 12 AREA: ABDOMEN .............................................. 47 EXAMINATION PROTOCOL NO 13 AREA: KNEE ....................................................... 49 EXAMINATION PROTOCOL NO 14 AREA: ANKLE..................................................... 52 Radiographic Standard Operating Protocols Revision 7 Active date :December 2015 Revision date : December 2017 Authorised by : Dr JH Reynolds P a g e | 3 EXAMINATION PROTOCOL NO 15 AREA: FOOT ..................................................... 53 EXAMINATION PROTOCOL NO 16 AREA: FEMUR/ TIBIA/ FIBULA ............................ 56 EXAMINATION PROTOCOL NO 17 AREA: HAND ..................................................... 57 EXAMINATION PROTOCOL NO 18 AREA: WRIST ..................................................... 58 EXAMINATION PROTOCOL NO 19 AREA: ELBOW ................................................... 60 EXAMINATION PROTOCOL NO 20 AREA: SHOULDER .............................................. 61 EXAMINATION PROTOCOL NO 21 AREA: HUMERUS/RADIUS/ULNA ....................... 63 EXAMINATION PROTOCOL NO 22 AREA: MAJOR TRAUMA - (ATLS) ....................... 64 EXAMINATION PROTOCOL NO 23 AREA: COLONIC TRANSIT STUDIES ..................... 65 RADIOGRAPHIC STANDARD OPERATING PROTOCOLS (MOBILE AND THEATRE EXAMINATIONS) .................................................................................................. 67 MOBILE SCREENING PROCEDURES ........................................................................ 67 EXAMINATION PROTOCOL NO: 1 AREA: TEMPORARY PACEMAKER ....................... 69 EXAMINATION PROTOCOL NO: 2 AREA: ERCP ....................................................... 70 EXAMINATION PROTOCOL NO: 3 AREA: PIC/ HICKMAN LINE .................................. 71 EXAMINATION PROTOCOL NO: 4 AREA: ON TABLE ANGIOGRAPHY ........................ 72 EXAMINATION PROTOCOL NO 5 AREA: P.C.N.L. ..................................................... 73 EXAMINATION PROTOCOL NO: 6 AREA: RETROGRADE PYELOGRAMS .................... 74 EXAMINATION PROTOCOL NO: 7 AREA: CYSTOSCOPY ........................................... 75 EXAMINATION PROTOCOL NO: 8 AREA: URETERIC STENT ..................................... 76 EXAMINATION PROTOCOL NO: 9 AREA: URETEROSCOPY ....................................... 77 EXAMINATION PROTOCOL NO: 10 AREA: VASOGRAMS ......................................... 78 EXAMINATION PROTOCOL NO: 11 AREA: OPEN REDUCTION INTERNAL FIXATION .. 79 EXAMINATION PROTOCOL NO: 12 AREA: MANIPULATION UNDER ANAESTHETIC .. 80 EXAMINATION PROTOCOL NO: 13 AREA: LOCATION OF LOST INTRA-OPERATIVE EQUIPMENT ......................................................................................................... 81 EXAMINATION PROTOCOL NO: 14 AREA: REMOVAL OF FOREIGN BODIES .............. 82 EXAMINATION PROTOCOL NO: 15 AREA: ARTHROGRAMS ..................................... 83 EXAMINATION PROTOCOL NO: 16 AREA: REMOVAL OF METAL WORK ................... 84 MOBILE PLAIN FILMS ........................................................................................... 85 EXAMINATION PROTOCOL NO: 17 AREA: MOBILE CHEST ....................................... 85 EXAMINATION PROTOCOL NO: 18 AREA: MOBILE SKELETAL RADIOGRAPHY .......... 86 EXAMINATION PROTOCOL NO: 19 AREA: MOBILE ABDOMINAL RADIOGRAPHY ..... 87 Radiographic Standard Operating Protocols Revision 7 Active date :December 2015 Revision date : December 2017 Authorised by : Dr JH Reynolds P a g e | 4 RADIOGRAPHIC STANDARD OPERATING PROTOCOLS FLUOROSCOPY EXAMINATIONS ................................................................................................... 88 EXAMINATION PROTOCOL NO: 1 AREA: CONTRAST SWALLOWS / MEALS ............... 89 EXAMINATION PROTOCOL NO: 2 AREA: CONTRAST FOLLOW THROUGH ................ 91 EXAMINATION PROTOCOL NO: 3 AREA: CONTRAST ENEMA ................................... 92 EXAMINATION PROTOCOL NO: 4 .......................................................................... 95 AREA: SMALL BOWEL ENEMA ............................................................................... 95 EXAMINATION PROTOCOL NO: 5 AREA: GASTRIC BANDS ....................................... 96 EXAMINATION PROTOCOL NO: 6 AREA: HYSTEROSALPINGOGRAMS ...................... 97 EXAMINATION PROTOCOL NO: 7 AREA: UROLOGY CASES – ................................... 98 EXAMINATION PROTOCOL NO: 8 AREA: MYELOGRAMS ....................................... 100 EXAMINATION PROTOCOL NO: 9 AREA: SINOGRAMS / FISTULOGRAMS ............... 101 EXAMINATION PROTOCOL NO: 10 AREA: SIALOGRAMS – SUBMANDIBULAR/PAROTID .............................................................................. 102 EXAMINATION PROTOCOL NO: 11 AREA: ARTHROGRAM ..................................... 103 EXAMINATION PROTOCOL NO: 12 AREA: HERNIOGRAMS ................................... 104 EXAMINATION PROTOCOL NO: 13 AREA: VIDEOFLUOROSCOPY .......................... 105 EXAMINATION PROTOCOL NO: 14 AREA: LUMBAR PUNCTURE UNDER SCREENING CONTROL ........................................................................................................... 106 EXAMINATION PROTOCOL NO: 15 AREA: VIDEOPROCTOGRAPHY ....................... 107 EXAMINATION PROTOCOL NO: 16 AREA: INJECTION OF TUBES ........................... 108 EXAMINATION PROTOCOL NO: 17 AREA: IVU ...................................................... 109 EXAMINATION PROTOCOL NO: 18 AREA: EMERGENCY IVU .................................. 110 EXAMINATION PROTOCOL NO: 19 AREA: T TUBE CHOLANGIOGRAM ................... 111 INTERVENTIONAL/VASCULAR EXAMINATIONS ................................................... 112 EXAMINATION PROTOCOL NO: 1 AREA: PERIPHERAL ANGIOGRAPHY .................. 113 EXAMINATION PROTOCOL NO: 2 AREA: MESENTERIC ANGIOGRAPHY .................. 114 EXAMINATION PROTOCOL NO: 3 RE: ARCH AORTOGRAM .................................... 115 EXAMINATION PROTOCOL NO: 4 AREA: SELECTIVE CAROTID ANGIOGRAPHY ...... 116 EXAMINATION PROTOCOL NO: 5 AREA: RENAL ANGIOGRAPHY ........................... 117 EXAMINATION PROTOCOL NO: 6 AREA: PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAM (PTC) .................................................................................... 118 EXAMINATION PROTOCOL NO: 7 AREA: PERCUTANEOUS NEPHROSTOMY........... 119 EXAMINATION PROTOCOL NO:
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