Was the patient changed into MRI safe hospital approved attire?

Hospital provided: gowns, pajamas, scrubs etc..

Were personal belongings locked up and secured?

No personal items should be brought to the MRI department.

Examples: toys, jewelry, cell phones, iPad, air pods etc. 

Were the patients' LARs present with them in MRI Zones 3 and 4? If so, were they changed into hospital-approved, MRI-safe attire, and were their personal belongings properly secured?

If the patients arrives without a LAR select N/A

Was a time-out performed including: conducting a verbal review of the MRI Screening Form(s) (Patient and Non-Patient if applicable), clarify any outstanding concerns, and perform a visual inspection of the patient, LAR, and/or accompanying care providers for metal, non-MRI-safe clothing, or other prohibited items?

For all ambulatory patients was the Metrasens Screener used for the patient and their accompanying LAR?

Non Ambulatory patients select "N/A"

For non-ambulatory patients, did a Level 2 MRI Technologist perform a visual inspection after transfer, ensuring no hidden objects - such as phones, metal items, or monitoring devices - are present on or beneath the patient?

If the patient is ambulatory select "N/A"

Were all patients, accompanying LARs, and care providers screened properly per MRI departmental policies?

Additional comments