DEPARTMENT OF RADIOLOGY POLICY ON THE ADMINISTRATION

DEPARTMENT OF RADIOLOGY POLICY ON THE ADMINISTRATION OF IV CONTRAST MEDIA Policy Intravenous contrast material is to be administered by a qualified physician or trained radiologic nurse. A radiologist or radiology resident/fellow will administer all other parenteral contrast material. The supervising physician will prescribe the nature, dose and rate of contrast administration. The patient’s risk status will be assessed prior to contrast administration, so as to determine the type, quantity and dose of contrast to be administered. Standard recommendations for

these injections will be available in the area where these procedures are performed. During and following the injection, the administering individual will remain with the patient to observe for possible reactions. Emergency equipment and emergency pharmaceuticals must be available. All individuals administering contrast must be trained in the emergency protocols as per Departmental Policy. A radiological technologist may prepare the contrast media and prepare the delivery unit (syringe, power injector, etc.). Consent Informed consent will be obtained by the requesting physician or the radiologist in the department. Prior to contrast administration the patient or guardian is required to sign an informed consent explicitly stating that the risks, benefits, and alternative choices have been thoroughly explained to, and understood by the patient or appropriate guardian. Consents are obtained by the designated physician in the department or by medical or surgical House staff. Registered nurses and Radiologic Technologists are permitted to witness consents. All personnel administering contrast are required to confirm the presence of a consent prior to injection Classifications Two choices are available: 1. Conventional contrast media 2. Low osmolality media (LOCM) Complications Iodinated intravenous contrast agents, used for radiologic procedures, possess a small risk of reactions, which can range in...

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