Clinical Medicine Research 2015; 4(3-1): 1-4 Published online February 27, 2015 (http://www.sciencepublishinggroup.com/j/cmr) doi: 10.11648/j.cmr.s.2015040301.11 ISSN: 2326-9049 (Print); ISSN: 2326-9057 (Online) Variation of Radiographic Protocols: An Examination of Practice During Radiography of Axial and Appendicular Skeleton in the Accra Metropolis-Ghana Antwi W. K. * , Gawugah J. N. K., Kyei K. A., Opoku S. Y., Arthur L., Anim Sampong S., Ofori E. Batsa S. Department of Radiography, School of Biomedical and Allied Health Sciences, University of Ghana, Korle-Bu, Accra, Ghana Email address: wkantwi@chs.edu.gh (Antwi W. K.) To cite this article: Antwi W. K., Gawugah J. N. K., Kyei K. A., Opoku S. Y., Arthur L., Anim Sampong S., Ofori E. Batsa S.. Variation of Radiographic Protocols: An Examination of Practice During Radiography of Axial and Appendicular Skeleton in the Accra Metropolis-Ghana. Clinical Medicine Research. Special Issue: Radiographic Practice Situation in a developing Country. Vol. 4, No. 3-1, 2015, pp. 1-4. doi: 10.11648/j.cmr.s.2015040301.11 Abstract: Background: Protocols provide a baseline for audit opportunity as well as evidence for clinical governance, since the use of protocols ensure compliance with documented scope of professional practice. Objectives: We determined the existence and variations of radiographic protocols for radiographic examinations of axial and appendicular skeleton in X-ray departments within the Accra Metropolis and also to establish whether there were variations in the projections taken among the departments for these examinations. Methods: A questionnaire containing mostly open ended question, was given to the radiographers who were in-charge of the departments and those in charge of the various clinical rooms of the selected hospitals and polyclinics to complete. Codes were assigned each of the departments, the examinations and the sets of projections indicated for the examinations. The data gathered was analyzed using SPSS version 16 software and presented in tabular and graphical forms. Results: In all eight X-ray departments were studied. Majority (80%) of the respondents indicated having protocols. All respondents agreed to the technical fact that examination protocols must be written and documented and copies made available in all clinical rooms. Conversely, only 20% of the respondents representing 25% of the departments surveyed had examination protocols document. Conclusion: Radiographic examination protocols were lacking in most departments. There was lack of understanding among Radiographers in the departments without protocols about the concept of examination protocols and so confused it with radiographic technique. The absence of protocols led to variations in the projections taken among the departments. It also negated the radiographers’ knowledge of radiographic techniques through the choice of wrong projections for some of the examinations, affecting the examination results and hence patient outcome. Keywords: Protocols, Examination, Variation, Technique; Projections 1. Introduction Right radiographic techniques and projections are vital for efficient patient management. To achieve this, radiographers and all practitioners in the field of medical imaging are required to work within agreed framework of practice termed protocol [1]. A radiographic examination protocol is an accepted and documented procedural guideline or framework which stipulates how and/or what must be done in a given situation of clinical care [1]. Protocol, in the science of medicine, is a formal set of documented rules and procedural guidelines which may be adhered to during a particular research experiment, investigation or a course of treatment [2]. Although radiographic protocols are used as guidelines, they are however not rigid [3]. A view by Wolvekamp, [4] agrees with in indicating that protocols could be adapted to better fit special circumstances but strongly stressed on one basic rule that: “the patient’s life should not be compromised or jeopardized by the radiographic examination.” General radiographic technique indicates that routine radiographic examinations are carried out in two projections at right angle to each other, thus antero-posterior/postero-anterior (AP/PA) and lateral projections. These are termed basic views [4]. Basic are taken whenever an examination is requested with additional views taken only when the condition of the patient