mri safety “initiating a time out procedure”

1
Virtual CT Colonoscopy is safe, minimally invasive ra- diological procedure that examines the colon for pre- cancerous polypsdperformed on patients who would not be able to, or choose not to receive conventional optical colonoscopy. The purpose of this study was to compare the effectiveness of a pre-recorded telephone line with the current standard of direct patient educa- tion with the nurse by telephone. After adjusting for age and gender, there was no evidence to indicate sigi- ficant group difference in mean anxiety score as well as scores for patient satisfaction and compliance, demon- strating a comparable preference for personal contact with the nurse. PS 005 Treatment of Retinoblastoma with Direct Opthalmic Artery 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, CPNP An innovative interventional radiology technique has been 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 to specifically target the tumor and infuse a chemothera- peutic agent. Direct infusion of the chemotherapeutic agent minimizes ocular and systemic toxicity. Previ- ously removal of the eye was the standard treatment to prevent metastasis. Direct opthalmic artery chemo- therapy may allow these children to avoid enucleation. This poster describes the presenters’ experience with this promising new approach and outlines the nursing implications for this procedure. PS 006 Outpatient Breast Biopsy via MRI Barbara Hall, Johns Hopkins Hospital, Baltimore, MD; E-mail: [email protected] Radiology nursing has progressed in the numerous ways our nursing skills can be utilized. For the past year and a half or Outpatient Radiology department has been performing breast biopsies using MRI for im- aging guidance. Certain patients are selected to un- dergo a core biopsy or needle localization rather than using just ultrasound. The criteria used to select these patients will be discussed in the poster presentation. In addition, the presenter will provide a description of the patient flow once the patient arrives in the de- partment: obtaining consent, nursing assessment, oral sedation, positioning patient in the scanner, and what the biopsy procedure entails. A multidisciplinary team approach 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 007 Annual Competencies: Organization, Staff Motivation, and Implementation Jennifer Karp, BSN, RN, Northwestern Memorial Hospital, Chicago, IL; E-mail: [email protected] Every area of radiology is growing and changing every day. From new technology to meeting ever-changing patient and family needs, organizational changes, and integrating evidence-based practice changes into the ev- eryday work environment, radiology departments must ensure their registered nurses are knowledgeable and have the skills, training, education, and experience needed to perform in a competent manner. This poster will 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 008 MRI Safety ‘‘Initiating a Time Out Procedure’’ Tracy Lamb, BSN, RN, CRN, Christiana Care Health System, Newark, DE; E-mail: [email protected] 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 threatening and fatal accidents still occur. This has caused ongoing concern 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 assigned as a team leader to ensure that ancillary staff is aware of the potential risks associated with MRI. The time out procedure consists of a two-step verbal confirma- tion to ensure that all parties are cleared and safe to proceed with the MRI procedure. This poster will demonstrate how the time out proce- dure was developed and implemented to raise MRI safety awareness. Session Abstracts JOURNAL OF RADIOLOGY NURSING 64 JUNE 2009 www.radiologynursing.org

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Page 1: MRI Safety “Initiating a Time Out Procedure”

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: [email protected]

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:[email protected]

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

64 www.radiologyn

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: [email protected]

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: [email protected]

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.

JUNE 2009ursing.org