Run Radiology Pause and Verify — Free

Patient Identification

Patient identity confirmed using two identifiers critical (required)

Confirm the patient using two approved identifiers, such as full name and date of birth, against the order and wristband.

Yes No N/A

Order matches patient and scheduled exam critical (required)

Verify the imaging order, patient chart, and scheduled exam match the patient present in the room.

Yes No N/A

Relevant chart or requisition available

Confirm the requisition, protocol notes, or chart information needed to complete the exam is available at point of care.

Yes No N/A

Patient able to participate in verification

Document whether the patient can verbally confirm identity and exam details; if not, note the alternate verification method used.

Procedure and Laterality Verification

Ordered procedure confirmed critical (required)

Verify the exact exam/procedure to be performed matches the order and protocol.

Yes No N/A

Laterality confirmed when applicable critical (required)

Confirm right/left/bilateral laterality for exams where side matters, including imaging markers and order details.

Yes No N/A

Body part / anatomic site confirmed critical (required)

Verify the anatomic site to be imaged matches the order and patient indication.

Yes No N/A

Protocol or special instructions reviewed

Confirm any protocol notes, positioning instructions, sedation requirements, or special imaging instructions have been reviewed.

Yes No N/A

Contrast Safety Review

Contrast required for exam critical (required)

Document whether contrast is required for the ordered exam.

IV access established and patent critical (required)

Confirm IV access is present, appropriate for the ordered contrast, and patent before administration.

Yes No N/A

Contrast readiness confirmed critical (required)

Verify contrast type, dose, injector setup, and any required premedication or lab review are complete before the scan.

Yes No N/A

Contrast allergy or prior reaction reviewed critical (required)

Review the chart and patient report for prior contrast reaction, allergy history, or premedication needs.

Yes No N/A

Pregnancy and Safety Screening

Pregnancy screening completed when applicable critical (required)

Confirm pregnancy screening was completed according to facility policy for patients of childbearing potential and the ordered exam type.

Yes No N/A

Pregnancy status documented critical (required)

Document the pregnancy status result or exemption reason per policy.

Radiation or contrast safety concerns escalated critical (required)

Document whether any pregnancy, allergy, renal, sedation, or other safety concern was escalated to the radiologist or ordering provider before proceeding.

Yes No N/A

Time-Out Completion

Time-out performed immediately before imaging critical (required)

Confirm the pause-and-verify step occurred immediately before the scan or procedure started.

Yes No N/A

All team members acknowledged verification critical (required)

Confirm the technologist and any assisting staff verbally acknowledged the patient, exam, laterality, and safety checks.

Yes No N/A

Proceed authorized critical (required)

Document whether the exam may proceed after verification or whether it was held for correction/escalation.

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Run: Radiology Pause and Verify

Patient Identification

Procedure and Laterality Verification

Contrast Safety Review

Pregnancy and Safety Screening

Time-Out Completion

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