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Run: CT Contrast Reaction Readiness Audit

Use this CT Contrast Reaction Readiness Audit template to verify pre-screening, emergency kit readiness, staff response steps, and post-contrast monitoring b...

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Pre-Contrast Screening Readiness

Patient contrast screening form completed and reviewed before scan critical (required)

Confirm the screening form is present, completed, and reviewed by qualified staff before iodinated contrast is administered.

Yes No N/A

eGFR reviewed within facility-defined timeframe for at-risk patients critical (required)

Verify eGFR or renal function review is documented when required by protocol for patients with kidney disease risk factors or other screening triggers.

Yes No N/A

Allergy history and prior contrast reaction status documented critical (required)

Confirm prior contrast reactions, asthma, allergies, and other relevant risk factors are documented and visible to the imaging team.

Yes No N/A

Contrast Reaction Kit Availability

Contrast reaction kit present in CT area and immediately accessible critical (required)

Confirm the reaction kit is stored in the CT suite or designated response location and can be reached without delay.

Yes No N/A

Emergency medications stocked and not expired critical (required)

Verify required emergency medications are present per local protocol and all expiration dates are current.

Yes No N/A

Airway and resuscitation equipment available and functional critical (required)

Confirm oxygen delivery supplies, suction, bag-valve-mask, and other response equipment are available and ready for use.

Yes No N/A

Staff Preparedness and Response

Staff know emergency response steps for mild, moderate, and severe reactions critical (required)

Verify staff can describe the immediate actions required for contrast reactions, including stopping contrast, calling for help, and initiating emergency response.

Yes No N/A

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.

Yes No N/A

Required staff training or competency records current critical (required)

Verify staff assigned to contrast administration have current training or competency validation per facility policy.

Yes No N/A

Post-Contrast Monitoring Readiness

Post-contrast observation area available for required monitoring period critical (required)

Verify there is a designated space or workflow to observe patients after contrast administration when monitoring is required by protocol.

Yes No N/A

Vital sign and symptom reassessment supplies available

Confirm blood pressure, pulse oximetry, and other monitoring tools needed for reassessment are available and operational.

Yes No N/A

Documentation workflow supports reaction monitoring and escalation critical (required)

Verify the team can document contrast administration, monitoring findings, and any adverse reaction in the required record system.

Yes No N/A

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.

Yes No N/A

Note (optional)

Inspector signature completed

Inspector confirms the audit findings are accurate and complete.

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