Abstract
Introduction: Following the outbreak and increasing numbers of coronavirus (COVID-19) cases in Nigeria, healthcare professionals are at the forefront in dealing with the pandemic. Radiographers are among the first line care givers. The study is aim to assess the level of preparedness of the Radiography sector in Nigeria.
 Methods: A prospective cross-sectional survey was conducted using self-completion questionnaire. The questionnaire was generated on the 26th of March 2020, using online Google forms consisting of closed and open ended questions. Paired t-test statistic was used to compare the difference between "Before and After" changes in departmental protocols, using the SPSS statistical software, version 20. Statistically significant level was set at 0.05.
 Results: A total of 107 radiographers from across the country responded to the questionnaire. Of these, 78(72%) were male and 27.1% female, giving a male to female ratio of 3:1. Following the outbreak of COVID-19, 86% of the respondents report that there have been changes in the departmental procedures. Sixty-seven percent said "No" to the availability of an appointment system, guidelines to reduce human to human contact(57%) and auditing for suspected COVID-19 cases (58.9%). Only 16(15%) of the respondents had received emergency training towards the fight against COVID-19. Of these, 6(37.5%) were trained in patient care, only 1(6.3%) on emergency response while 9 (56.3%) received training in limiting human to human transmission.
 Conclusion: Findings in this study, suggest inadequate preparedness, with evidence of inadequate provision of equipment (Mobile X-ray and Ultrasound machines) for the diagnosis and management of cases in departments and isolation centers. In addition, emergency training on COVID-19 issues is low. The foregoing calls for adoption of urgent and immediate remedial measures.
 Implications for practice: This study identify areas of practice that may detract from achieving optimum service delivery and safety during the pandemic.
Highlights
The coronavirus outbreak, known as COVID-19, was first reported in December 2019 in the city of Wuhan, Hubei province, located in the central part of China
Implications for practice: This study identify areas of practice that may detract from achieving optimum service delivery and safety during the pandemic
Information deducted from the current study shows that there have been changes in Departmental protocols or procedures following the onset of COVID-19 (Figure 3&4), with an increase in the use of face masks from 24.3% before to 89.7%( p < 0.01), there is a little difference in (p < 0.01) the use of gloves among radiographers before and after the COVID-19 outbreak (75.7% and 93.5% respectively).This may be an indication of a response to the pandemic, rather than a proactive preparation for its advent
Summary
The coronavirus outbreak, known as COVID-19, was first reported in December 2019 in the city of Wuhan, Hubei province, located in the central part of China. In an earlier research conducted in China, in January 2020 by Bastola et al, [10], it was reported that among 41 patients that were confirmed positive to the COVID-19, half of them had underlying diseases such diabetes (20%), cardiovascular disease (15%), and hypertension (15%). Their symptoms were mainly fever (98%), cough (76%), and fatigue (44%). Other severe complications included respiratory distress syndrome (29%), RNAaemia (15%), acute cardiac injury (12%), and other secondary infections. Of the total infected patients, 32% were admitted to an Intensive Care Unit (ICU) and the death rate was 15% [10]
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