Document ID: chunk:federal_register_of_legislation:F2020L00351:schedule:1:p6
Version: federal_register_of_legislation:F2020L00351
Segment Type: schedule
Provision Reference: sch 1 (pt 6/7)
Character Range: 41685–44937

refers to anything administered to a patient:
    •          to create or enhance a diagnostic quality image; and/or
    •          where imaging is used as part of an interventional procedure.

Part 3—Procedure standards

Standard 3.1   Diagnostic Imaging Protocol Standard

The diagnostic imaging practice must have documented protocols which describe the required projections, list of anatomy to be visualised, contrast injection requirements and/or positioning required for the acquisition of optimised quality images.

Required Evidence

Documented protocols for routine diagnostic imaging procedures or groups of diagnostic imaging procedures rendered at the diagnostic imaging practice, with evidence that they have been reviewed a minimum of once per accreditation cycle, which include all necessary information for the proper conduct of the examination taking into account any specifications for the required qualifications, experience and specialisation of the personnel.  Where specific tasks are delegated to members of the imaging team, the protocols shall indicate any specific circumstances under which personnel shall seek further guidance and/or input from the supervising medical practitioner.

Standard 3.2   Optimised Radiation Technique Charts Standard

A diagnostic imaging practice which uses ionising radiation must ensure that patient radiation exposure is kept as low as reasonably achievable (ALARA) by selecting equipment and techniques for diagnostic imaging procedures sufficient to provide the required clinical information.

Required Evidence

A technique chart, consistent with the ALARA principle, for each unit of ionising radiation equipment located at the diagnostic imaging practice.

Ionising radiation equipment where settings are entered manually:
    •          evidence must be supplied that demonstrates the settings have been reviewed and authorised by a qualified person, annually for each episode.

Ionising radiation equipment where settings are embedded in the software and operators select a protocol:
    •          evidence must be supplied that demonstrates the underlying settings have been reviewed and authorised by a qualified person annually.

For each item of screening fluoroscopy equipment:
       * a copy of a log of screening times, and evidence that the log has been reviewed by a qualified person annually.

For each item of interventional angiography equipment:
       * evidence that system generated dose metrics have been logged and reviewed by a qualified person annually. If the interventional angiography equipment is not capable of generating dose metrics alternatively a copy of a log of screening times, and evidence that the log has been reviewed by a qualified person annually should be provided.

The practice must establish a program to ensure that radiation doses administered to a patient for diagnostic purposes are:
    a)      annually compared with diagnostic reference levels (DRLs) for diagnostic procedures for which DRLs have been established in Australia; and
    b)      if DRLs are consistently exceeded, reviewed to determine whether radiation protection has been optimised.

Part 4—Post procedure standards

Standard 4.1   Communicating Results and Reports