CT Contrast Reaction Readiness Audit

Inspection template for verifying CT contrast reaction preparedness, including pre-screening kit availability, eGFR review, and post-contrast monitoring readiness.

Pre-Contrast Screening Readiness

• Patient contrast screening form completed and reviewed before scan
  Confirm the screening form is present, completed, and reviewed by qualified staff before iodinated contrast is administered.
• eGFR reviewed within facility-defined timeframe for at-risk patients
  Verify eGFR or renal function review is documented when required by protocol for patients with kidney disease risk factors or other screening triggers.
• Allergy history and prior contrast reaction status documented
  Confirm prior contrast reactions, asthma, allergies, and other relevant risk factors are documented and visible to the imaging team.

Contrast Reaction Kit Availability

• Contrast reaction kit present in CT area and immediately accessible
  Confirm the reaction kit is stored in the CT suite or designated response location and can be reached without delay.
• Emergency medications stocked and not expired
  Verify required emergency medications are present per local protocol and all expiration dates are current.
• Airway and resuscitation equipment available and functional
  Confirm oxygen delivery supplies, suction, bag-valve-mask, and other response equipment are available and ready for use.

Staff Preparedness and Response

• Staff know emergency response steps for mild, moderate, and severe reactions
  Verify staff can describe the immediate actions required for contrast reactions, including stopping contrast, calling for help, and initiating emergency response.
• Emergency contact and escalation instructions posted and current
  Confirm the CT area has current contact numbers, code activation instructions, and escalation pathways posted where staff can see them.
• Required staff training or competency records current
  Verify staff assigned to contrast administration have current training or competency validation per facility policy.

Post-Contrast Monitoring Readiness

• Post-contrast observation area available for required monitoring period
  Verify there is a designated space or workflow to observe patients after contrast administration when monitoring is required by protocol.
• Vital sign and symptom reassessment supplies available
  Confirm blood pressure, pulse oximetry, and other monitoring tools needed for reassessment are available and operational.
• Documentation workflow supports reaction monitoring and escalation
  Verify the team can document contrast administration, monitoring findings, and any adverse reaction in the required record system.

Documentation and Sign-Off

• Deficiencies documented with corrective action owner and due date
  Record each non-conformance, assign responsibility, and set a due date for follow-up.
• Inspector signature completed
  Inspector confirms the audit findings are accurate and complete.