Radiology Staff & Roles
Objective
The Radiology Unit provides timely, high-quality diagnostic plain radiography to support clinical decision-making across all clinic units. As a primary care facility without on-site specialist imaging, plain radiography serves as a critical first-line diagnostic tool.
Staff in Xray Unit
Juru X-Ray
JXR Nooraini bt Othman
Head Unit, Radiology
JXR
JXR Nurhidayu bt Abd Manap
JXR
JXR
JXR Rafidah bt Md Johar
JXR
JXR
| Staff Count | Role | Location | Responsibilities |
|---|---|---|---|
| 👤👤👤 | Radiographers | Room 7 | X-ray imaging, CR operation, DICOM upload to Orthanc PACS↴, radiation safety |
| 👤 | Health Assistant (PPK) | Room 7 | Patient escort, positioning support, queue management |
| 👤👤👤 | Registration Staff | Counter 12–15 | External referral registration, QMS issuance, location status update |
| 👤👤+5 | Referring Doctors (MO/FMS) | Rooms 1–6 | Imaging orders, clinical verification, image review, critical escalation |
For the full clinic staff directory with master overview table, see KKBM Organisation Structure↴.
Roles & Responsibilities
1. Radiographers (JXR) — Room 7
X-Ray Imaging
- Conduct diagnostic plain radiography for patients referred from all clinic units.
- Covers a range of projections including chest, extremities, spine, and abdomen.
- Prioritises urgent cases flagged by referring doctors.
System Operation
- Operate the Fujifilm CR system for image acquisition, processing, and editing.
- Perform routine calibration checks and report equipment faults promptly.
Image Quality & Labelling
- Ensure each image meets diagnostic quality standards with correct patient labelling before archiving.
- Repeat exposures only when clinically necessary and document the reason.
- Reject substandard images and re-acquire before DICOM transfer.
DICOM Archiving
- Transfer completed DICOM images to Orthanc PACS↴ for local storage and clinician retrieval.
- Verify successful upload before releasing the patient.
- Maintain a manual log as backup during system downtime.
Radiation Safety
- Maintain and enforce radiation safety protocols including shielding, dose minimization, and pregnancy screening.
- Conduct pregnancy status checks on all female patients of reproductive age before exposure.
- Ensure lead aprons and gonadal shields are applied where appropriate.
2. Health Assistant (PPK) — Mobile
Patient Escort
- Escort patients to and from the radiography suite.
- Assist wheelchair and bed-bound patients with safe transfer into the room.
- Ensure elderly or mobility-impaired patients are accompanied at all times.
Positioning Support
- Assist with patient positioning when required to achieve correct radiographic projection.
- Support the radiographer during weight-bearing or awkward-angle views.
Queue Management
- Monitor and coordinate the patient queue outside Room 7 to maintain orderly flow.
- Communicate estimated wait times and direct patients to the correct seating area.
3. Registration Staff — Counter 12–15
External Referral Registration
- Register patients arriving with external referral letters for X-ray services.
- Verify referral letter details including patient identity, referring facility, and requested examination.
- Flag incomplete or expired referrals to the duty officer before proceeding.
QMS Number Issuance
- Issue Queue Management System (QMS) numbers to direct patients to the correct waiting area.
Location Status Update
- Update patient location status in CCMS to reflect transfer to the Radiology Unit.
4. Referring Doctors (MO/FMS) — Rooms 1–6
Imaging Orders
- Create imaging orders in SystmOne with the correct clinical indication and body region.
Clinical & Safety Verification
- Confirm clinical indication and screen for pregnancy status before imaging proceeds.
Image Review
- Review DICOM images via the Orthanc PACS web interface on consultation room workstations.
Critical Finding Escalation
- Initiate escalation protocol for critical or unexpected radiological findings requiring urgent action.
Equipment & Systems
Imaging Equipment
Fujifilm CR System
- Digital computed radiography system used for image acquisition, processing, and quality editing.
- Produces CR cassette-based exposures that are digitised and reviewed on-screen before DICOM transfer.
- Supports a range of projections including chest, extremities, and spine.
Orthanc PACS Server
- Open-source DICOM server deployed locally in the Radiology Unit for image archiving and browser-based retrieval.
- Accessible from any consultation room workstation via the clinic's internal network without requiring specialist PACS software.
- Configured to receive uploads directly from the Fujifilm CR system after each study.
Consultation Workstations
- Browser-enabled computers in Doctor Rooms 1–6 for reviewing DICOM images via Orthanc web interface
- Live x-ray review and dicom manipulation from consultation room.
Consumables & Safety
Lead Aprons & Shielding
Thyroid and gonadal shields for pregnancy screening and dose minimization
Thermal Printer
Used to print X-ray films for external referrals and hospital transfers only
Registration Book & Log Sheets
Manual backup documentation for external cases and downtime scenarios
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