Named MRMD, defined clinical authority, qualifications and written responsibilities.

Named MRSO with operational responsibility and escalation coverage.

Access to MRSE expertise for technical risk assessment and unusual cases.

Controlled policies accessible to all shifts and reviewed at least annually under the local program.

For routine operations, document a Level 2 MR technologist per scanner and an additional Level 1/2 MR person in Zone III available to respond; review complex and remote staffing models separately.

Identify Zones I–IV; supervise Zone III through Level 2 MR personnel and restrict entry.

Check entry controls, hazard signage and always-on magnet warnings for the installed system.

Document patient, staff, caregiver and visitor screening with a defined update process. Screen conscious nonemergent patients twice, including at least once by Level 2 personnel.

Use a final review by qualified MR personnel before entry/scanning; reconcile changes.

Provide interpreters and an escalation pathway when history is unreliable or incomplete.

Verify every item entering restricted areas; ferromagnetic detection complements screening.

Resolve device identity, components, leads and authoritative labeling before clinical review.

Match all device conditions to scanner, coils and planned exam; do not extrapolate between field strengths.

Hold unresolved cases for MRMD/designated expert review; prior successful MRI is insufficient evidence.

Assess clothing, skin contacts, conductive loops, patches, cables and padding.

Inspect coils and connections; remove unused conductive items and unconnected coils from the bore.

Fit suitable protection; use plugs and muffs together whenever possible and verify function.

Test the call device, maintain observation/communication and respond promptly to heat or distress.

Address guardian history, developmentally appropriate private screening and monitoring.

Use a documented clinical benefit/risk pathway; distinguish noncontrast MRI from GBCA decisions.

Define occupational activities and restrictions through current MR and employee-health guidance.

Assess prior reactions and agent-specific risks; verify order, agent, dose and appropriate renal-risk pathway.

Maintain trained response capability, reaction supplies, extravasation workflow and patient instructions.

Define monitoring, rescue, recovery, discharge and MR-qualified support for sedation/anesthesia.

Verify two identifiers, ordered exam, laterality when relevant and clinical handoff.

Use approved coil/surface cleaning, MR-appropriate PPE and waste-handling workflows.

Provide MR instruction before assigned work or entry; distinguish Level 1, Level 2 and escorted non-MR roles. Provide ACR-recommended annual education for designated Level 1 and Level 2 personnel.

Document annual MRI technologist training on the required safety topics.

Train transport, EVS, security, facilities and other entrants for their role and escort requirements.

Demonstrate skills and define what happens when training or authorization lapses.

Rehearse medical, fire and security response, preserving access control and moving resuscitation to the designated safe area.

Distinguish scan stop, electrical shutdown and magnet quench; follow system-specific authority and indications.

Where applicable, inspect cryogen/quench vent systems on the approved schedule and control work near discharge points.

Qualified medical physicist or MRI scientist evaluates MRI performance and documents results annually.

Test acquisition displays annually for required performance characteristics.

Maintain OEM-based service and periodic checks of equipment, safety interfaces and repaired items.

Capture thermal injuries with or without actual burns and route them for review.

Capture unintended ferromagnetic entry and associated injuries as distinct measures.

Encourage good-catch reporting; assign accountable owners and verify effectiveness after closure.

Review trends, screening audits, training coverage and unresolved safety findings with leadership.