outpatient breast biopsy via mri

Session Abstracts JOURNAL OF RADIOLOGY NURSING

Virtual CT Colonoscopy is safe, minimally invasive ra-diological procedure that examines the colon for pre-cancerous polypsdperformed on patients who wouldnot be able to, or choose not to receive conventionaloptical colonoscopy. The purpose of this study was tocompare the effectiveness of a pre-recorded telephoneline with the current standard of direct patient educa-tion with the nurse by telephone. After adjusting forage and gender, there was no evidence to indicate sigi-ficant group difference in mean anxiety score as well asscores for patient satisfaction and compliance, demon-strating a comparable preference for personal contactwith the nurse.

PS 005Treatment of Retinoblastoma with Direct OpthalmicArtery Chemotherapy

Marguerite Davoren, BSN,RN, Children’s Hospital Boston,Boston, MA; E-mail: marguerite.davoren@childrens.harvard.edu

Co-Presenters: Floreen Knight, BSN, RN, CPN;Rosemary Golvin, MS, RN, CPNPAn innovative interventional radiology technique hasbeen recently developed to treat advanced retinoblas-toma in children. Over 350 children each year are diag-nosed with retinoblastoma, most under the age of five.This treatment allows access to the opthalmic artery tospecifically target the tumor and infuse a chemothera-peutic agent. Direct infusion of the chemotherapeuticagent minimizes ocular and systemic toxicity. Previ-ously removal of the eye was the standard treatmentto prevent metastasis. Direct opthalmic artery chemo-therapy may allow these children to avoid enucleation.This poster describes the presenters’ experience withthis promising new approach and outlines the nursingimplications for this procedure.

PS 006Outpatient Breast Biopsy via MRI

Barbara Hall, Johns Hopkins Hospital, Baltimore, MD; E-mail:bbaileya@jhmi.edu

Radiology nursing has progressed in the numerousways our nursing skills can be utilized. For the pastyear and a half or Outpatient Radiology departmenthas been performing breast biopsies using MRI for im-aging guidance. Certain patients are selected to un-dergo a core biopsy or needle localization rather thanusing just ultrasound. The criteria used to select thesepatients will be discussed in the poster presentation.In addition, the presenter will provide a description

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of the patient flow once the patient arrives in the de-partment: obtaining consent, nursing assessment, oralsedation, positioning patient in the scanner, and whatthe biopsy procedure entails. A multidisciplinary teamapproach is used in getting the patient through the pro-cedure. There will also be a review of the written dis-charge instructions that are given to the patient.Forms used in the process will be presented.

PS 007Annual Competencies: Organization, Staff Motivation,and Implementation

Jennifer Karp, BSN, RN, Northwestern Memorial Hospital,Chicago, IL; E-mail: jkarp@nmh.org

Every area of radiology is growing and changing everyday. From new technology to meeting ever-changingpatient and family needs, organizational changes, andintegrating evidence-based practice changes into the ev-eryday work environment, radiology departments mustensure their registered nurses are knowledgeable andhave the skills, training, education, and experienceneeded to perform in a competent manner. This posterwill show how to organize, motivate staff, and imple-ment nursing competencies on a yearly basis for orien-tations hospital wide, and department-specific training,and how to add new areas of learning needs and train-ing to your yearly competencies.

PS 008MRI Safety ‘‘Initiating a Time Out Procedure’’

Tracy Lamb, BSN, RN, CRN, Christiana Care Health System,Newark, DE; E-mail: tlamb@christianacare.org

Co-Presenters: Barb Griffin, RN; Nicole Harris, RT,R(MR)MRI is a diagnostic exam that is performed in a poten-tially hazardous environment. Many life threateningand fatal accidents still occur. This has caused ongoingconcern for patient and staff safety in the MRI setting.In an effort to improve our safety process, a ‘‘time out’’procedure was developed to help reduce the risk of pa-tient and staff injury. An MRI staff member is assignedas a team leader to ensure that ancillary staff is awareof the potential risks associated with MRI. The timeout procedure consists of a two-step verbal confirma-tion to ensure that all parties are cleared and safe toproceed with the MRI procedure.This poster will demonstrate how the time out proce-dure was developed and implemented to raise MRIsafety awareness.

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