Contrast Media Administration Safety Checklist
Comprehensive contrast media safety checklist including allergy screening, renal function assessment, and extravasation prevention.
- Industry: Healthcare
- Frequency: Every contrast procedure
- Estimated Time: 10-15 minutes
- Role: Radiology Tech/Nurse
- Total Items: 31
- Compliance: ACR Manual on Contrast Media, FDA Guidance, Hospital Radiology Policy
Pre-Screening
Risk assessment
- Allergy history reviewed?
- Previous contrast reaction history?
- Premedication given if indicated?
- Renal function assessed (eGFR)?
- Metformin held if indicated?
Informed Consent
Patient consent
- Informed consent obtained?
- Risks and benefits explained?
IV Access Assessment
Access verification
- IV access adequate?
- IV site assessed before injection?
- Blood return verified?
Post-Injection Monitoring
Patient monitoring
- Patient monitored during injection?
- No extravasation observed?
- Monitored for allergic reaction?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
Medication Safety & Management
Verify medication handling and administration practices
- Medications stored securely and at proper temperature?
- Controlled substances properly secured and counted?
- No expired medications in stock?
- High-alert medications properly labeled?
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Why Use This Contrast Media Administration Safety Checklist?
This contrast media administration safety checklist helps healthcare teams maintain compliance and operational excellence. Designed for radiology tech/nurse professionals, this checklist covers 31 critical inspection points across 8 sections. Recommended frequency: every contrast procedure.
Ensures compliance with ACR Manual on Contrast Media, FDA Guidance, Hospital Radiology Policy. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Contrast Media Administration Safety Checklist cover?
This checklist covers 31 inspection items across 8 sections: Pre-Screening, Informed Consent, IV Access Assessment, Post-Injection Monitoring, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed every contrast procedure. Each completion takes approximately 10-15 minutes.
Who should use this Contrast Media Administration Safety Checklist?
This checklist is designed for Radiology Tech/Nurse professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.