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.

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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↴.

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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.

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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.

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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.

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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.

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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