Hospital Practice 2 2 Specialties in a Teaching

Hospital Practice 2 2. Specialties in a (Teaching) Hospital 3. Hospital Workforce & Administration 4. Responsibilities of the Radiographers

Types of Specialties n n n General medicine Surgery Cardiology/Cardio-thoracic Surgery Neurology/Neurosurgery Obstetrics Gyneacalogy Opthalmology ENT Paediatrics Radiology Pathology Histology n n n n n Endocrinology Orthopaedics Dentistry Psychology/Psychiatry Gastro-enterology Urology/Genito-Urinary Surgery Haematology Dermatology Oncology Radiotherapy

National Hospital Workforce Director Deputy Director Medical Consultants Deputy Director (AS) Medical Staff Administrative staff Others Clerical Staff Supporting staff Nursing Staff Paramedical Staff Supporting Staff (Minor staff)

Categories of Medical Staff n n n Physician Surgeon Anaesthetist Radiologist Pathologist Paediatrist Rheumatologist Ophthalmologist Psychiatrist Dermatologist Endocrinologist n n n n n Gynaecologist Obstetrician Neurologist Gastroenterologist Urologist Pathologist ENT specialist Radiotherapist Oncologist

Categories of Paramedical Staff n n n Radiographers (Diagnostic/Therapeutic) – Radiological Technologists Physiotherapist Occupational Therapist Medical Laboratory Technologists Pharmacists n n n Ophthalmic technicians Electro Encephalographic Technicians (EEG) Electro Cardiographic Technicians – Cardiographers (ECG) Dental Technicians Dispensers Midwives

Administrative Staff Director Deputy Director Chief Accountant Hospital Secretary Chief Administrative Officer AO 1 AO 3 Accountant 1 AO 2 Accountant 3 Shroffs Clerical staff Accountant 2

Clerical Staff (Health Management Assistants) CAO AO Chief Clerk Section head clerk Personnel management Section head General administration Section head Salaries Section head supplies Clerks

Supporting (Minor Staff) AO Head Overseer Section A Attendants Overseer Section B Sanitary staff Porters Overseer Section C

Medical Staff Director Deputy Director Consultant Registrar SHO HO HO

Nursing Staff Director Deputy Director Chief Nursing Officer (CNO) Nursing Officer 1 Nursing Officer 2 Nursing Officer 3 Sister 1 Sister 2 Senior Nurses Junior Nurses Student Nurses

Para Medical Staff (e. g Radiographers) Director Consultant Radiologist In Charge Registrar Consultant Radiologists Radiology Trainees Principal School of Radiography Tutors Students Superintendent Radiographer (Special grade) Section heads Senior radiographers Junior Radiographers

Divisions in Radiology/Medical Diagnostic Imaging n General Radiography n Plane radiography Tomography n n Fluoroscopy n n n Conventional Digital Contrast Radiography CT scanning MRI n n n Nuclear Imaging/Medicine Ultrasound Scanning Computerized Radiography Digital Radiography Interventional Radiology

Radiotherapy Techniques & Instrumentation n Brachytherapy n n n Radioisotopes Radiopharmaceuticals Teletherapy n n n Cobolt Therapy Megavoltage X-ray therapy Linear Accelerators CT Simulation Moulding /Masking PETCT n Chemotherapy - Non Radiation Technique

Responsibilities of Radiographers/RTs To be an effective member of the Team of Health-care Professionals who work in consort to maximize patient wellness n Responsibilities towards the Department/Institution n Responsibilities towards the patient n

Responsibility As a member of the Health care team n The Radiographer is governed by a Code of Ethics and Principles of Professional Conduct (Note : - To be discuss in detail later)

Responsibilities towards the Department/Institution As a government servant, to work according to the rules and guidelines as given in the Establishment Code and the Financial Regulations. n If in a private hospital to follow their rules and regulations n To carryout the duties as laid down in the ‘Duty List’ of Radiographers n

Responsibilities towards the patient To protect the patient’s rights n To provide appropriate patient care when he/she is in the imaging/treatment department or undergoing a diagnostic/therapeutic procedure. n To provide adequate patient protection from unnecessary radiation or any other sort of hazard when he/she is in RT’s care. n

En of Lesson 2