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made available to the patient prior to the examination. The patient should be<br />

given the opportunity and adequate time to ask questions about the examination<br />

and its risks, including radiation exposure in pregnancy, and what other<br />

examinations are available. The patient should be aware that they have the option<br />

to refuse the examination or to withdraw their consent at any time.<br />

The consent of the patient to undergo examination should be obtained and<br />

documented as appropriate.<br />

4.1.1.5. Pre-procedure screening and preparation<br />

Policies and procedures should be in place to identify the clinical conditions<br />

relevant to the hazards of specific radiological examinations, such as:<br />

—Contrast media contraindications (e.g. netforium);<br />

—Latex and food allergies;<br />

—Renal impairment;<br />

—Pacemakers and aneurysmal clips;<br />

—Anti-coagulant therapy;<br />

—Pregnancy status.<br />

Policies and procedures should also be in place to identify patient<br />

conditions that may affect safe conduct of the examination, such as:<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

Age;<br />

Infections, particularly with regard to cross-patient contamination, for<br />

example, with multiresistant Staphylococcus aureus (MRSA) bacteria;<br />

Mobility and transport issues;<br />

Sedation and anaesthesia support.<br />

Scheduling and patient preparation should be modified in response to these<br />

clinical conditions.<br />

There should also be processes in place to ensure that examination-specific<br />

preparation processes (e.g. fasting) are communicated accurately to patients and/<br />

or their carers, and that the facility has procedures for managing patients who are<br />

inappropriately prepared.<br />

4.1.1.6. Scheduling<br />

Timely scheduling is the next step. Staff with appropriate clinical training<br />

should be responsible for prioritizing examinations.<br />

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