AimThe objective is to analyze the occupational radiation dose experienced by medical workers in the Cardiac catheterization Lab in Bahrain and evaluate their adherence to established radiation safety protocols. Material and methodsRetrospective analysis for the Hp(10) and Hp(0.07) doses over a five-year (2017–2021). Descriptive analyses conducted for both annual dose and cumulative data across all years for all healthcare workers. A questionnaire was administered to evaluate their adherence to radiation safety protocols. Descriptive statistics were conducted for all responses and ANOVA was conducted to discern differences in best practices across various demographics groups. ResultsNo single dose exceeded the dose limits and 89.4% of the workers received Hp(10) and Hp(0.07) radiation doses of less than 2 mSv. The overall mean and range of the annual Hp(10) and Hp(0.07) radiation dose over the 5-year study period for all workers were 1.07 (9.50-0.01) and 0.64 (11.30-0.02), respectively. The overall mean and range of the annual Hp(10) and Hp(0.07) (mSv) for cardiologists were 1.79 (9.50-0.04) and 1.42 (11.30-0.07), respectively. The survey showed inconsistent practices and gaps. In best practice scoring, physicians had highest score and cardiovascular technologists scored the lowest. ConclusionIt is important to emphasize proper radiation safety practices for healthcare professionals to reduce the risk of long-term repeated exposure. Commitment to radiation safety is shows the dedication to providing high-quality care and adhering to radiation safety practices is an ethical obligation towards patient. There is a need for tailored training on radiation safety and enforcement of safety measures.