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How to use or fill out information sheet - safety questionnaire for MRI - Fraser Coast
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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal details in the 'PATIENT DETAILS' section. Fill in your surname, date of birth, given names, and approximate weight.
Review the instructions regarding jewellery and previous MRI scans. Ensure you have all necessary items before your appointment.
Answer the safety questions regarding previous MRIs, claustrophobia, mobility assistance, and any cardiac devices. Select 'Yes' or 'No' as applicable.
For each surgery-related question, provide details if you answer 'Yes'. This includes surgeries on your head, spine, torso, or any operations involving metal implants.
Complete the female-specific questions about pregnancy and breastfeeding if applicable.
Finally, confirm that all information is accurate and sign the form at the bottom along with the MRI technologist upon arrival.
Start filling out your safety questionnaire today for a seamless MRI experience!
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Who needs to be screened before entering the MRI environment?
Every person that enters the MRI room must be screened for possible contraindications that could affect their health and safety.
What is MRI safety measure?
As a patient, it is vital that you remove all metallic belongings in advance of an MRI examination, including external hearing aids, watches, jewelry, cell phones, and items of clothing that have metallic threads or fasteners.
What are the safety ideas for MRI?
3 Tips for Patients #1 Change Clothes to Prevent Injury. If a radiologist or technologist asks you to change, theyre looking out for you! #2 Leave Jewelry Including Gold! at Home. #3 Complete Your MRI Screening Form in Advance. Improved Safety Signage.
Why is the MRI safety questionnaire important?
The MRI questionnaire is designed to identify all potential implants and/or foreign bodies that the patient has. These are then assessed to decide whether there is a risk involved in scanning the patient. In cases where implants are common or well-known, radiographers will decide whether imaging can proceed.
What is the biggest safety hazard of MRI?
Potential Hazards and Risks Magnetic Field Risk The static magnetic field of the MRI system is exceptionally strong. Radio-frequency (RF) Field Risk The radio-frequency field may induce currents in wires that are adjacent or on the patient, causing skin burns.
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For the MRI scan, you must remove all body piercings, hair accessories, jewelry, hearing aids, credit cards, coins, and other metallic or electronic personal items (watches, phones, etc.). Please tell us if you cannot remove any of these items. To keep you as safe as possible, you must wear a hospital gown.
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Radiologic Technology Program Student Handbook Table
1. The student has completed the FSW MRI Screening Form prior to entering the safety zone and reviewed with an MRI technologist. Yes
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