This customizable document, MRI Patient Screening, is taken from MCN Healthcare’s Imaging Services Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from MRI Patient Screening:

	PURPOSE: To protect the patient from possible hazard related to MRI exam. POLICY: The Patient Screening Form will be reviewed for completeness and patient's signature prior to entry into the scan room. Non-emergent patients shall be screened twice, providing two separate opportunities for them to answer questions about any metal objects they may have on them, any implanted devices, drug delivery patches, tattoos and any electrically, magnetically or mechanically activated devices they may have. The American College of Radiology recommends that implanted cardiac pacemakers and implantable...
Second excerpt:
	...attending physician and Radiologist agree to proceed with the MRI scan, appropriate clinical and medical staff must be immediately available to respond to a patient emergency. If the patient is unconscious or unable to answer questions, question the patient's family member or surrogate decision maker. In cases where patient history is unclear or if the patient/patient representative is unsure, other means shall be used to determine if the patient has implants or other devices that could...