Could You Be Pregnant? — Check Before X-ray, CT and Nuclear Medicine
The question asked of every female patient of childbearing age before every examination using ionising radiation, and what happens with each answer
What it is
The pregnancy check: who is asked (all females 12–55 unless clearly not applicable), how, the sign for the waiting room, the decision rule by answer and by examination type (low-dose extremity/chest vs abdominal/pelvic CT and nuclear medicine), and the record.
Where to use it
Every imaging reception and control room; the sign in every waiting area; on the request form. Evidence for: Hospital Standard 4 — radiation safety; Universal Floor — consent and information. Evidence for: Hospital Standard 4 — radiation safety; Universal Floor — consent and information. Evidence for: Hospital Standard 4 — radiation safety; Universal Floor — consent and information.
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
Imaging Justification and Dose Log
Contrast Media Reaction — Prevent, Recognise, TreatPrint to share.
