- Email: [email protected]
MRI Safety “Initiating a Time Out Procedure”
Session Abstracts
JOURNAL OF RADIOLOGY NURSING
Virtual CT Colonoscopy is safe, minimally invasive radiological procedure that examines the colon for precancerous 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 education with the nurse by telephone. After adjusting for age and gender, there was no evidence to indicate sigificant group difference in mean anxiety score as well as scores for patient satisfaction and compliance, demonstrating 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 retinoblastoma in children. Over 350 children each year are diagnosed with retinoblastoma, most under the age of five. This treatment allows access to the opthalmic artery to specifically target the tumor and infuse a chemotherapeutic agent. Direct infusion of the chemotherapeutic agent minimizes ocular and systemic toxicity. Previously removal of the eye was the standard treatment to prevent metastasis. Direct opthalmic artery chemotherapy 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 imaging guidance. Certain patients are selected to undergo 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 64
of the patient flow once the patient arrives in the department: 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 procedure. There will also be a review of the written discharge 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 everyday 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 implement nursing competencies on a yearly basis for orientations hospital wide, and department-specific training, and how to add new areas of learning needs and training 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 potentially 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 patient 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 confirmation to ensure that all parties are cleared and safe to proceed with the MRI procedure. This poster will demonstrate how the time out procedure was developed and implemented to raise MRI safety awareness.
www.radiologynursing.org
JUNE 2009
JOURNAL OF RADIOLOGY NURSING
Virtual CT Colonoscopy is safe, minimally invasive radiological procedure that examines the colon for precancerous 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 education with the nurse by telephone. After adjusting for age and gender, there was no evidence to indicate sigificant group difference in mean anxiety score as well as scores for patient satisfaction and compliance, demonstrating 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 retinoblastoma in children. Over 350 children each year are diagnosed with retinoblastoma, most under the age of five. This treatment allows access to the opthalmic artery to specifically target the tumor and infuse a chemotherapeutic agent. Direct infusion of the chemotherapeutic agent minimizes ocular and systemic toxicity. Previously removal of the eye was the standard treatment to prevent metastasis. Direct opthalmic artery chemotherapy 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 imaging guidance. Certain patients are selected to undergo 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 64
of the patient flow once the patient arrives in the department: 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 procedure. There will also be a review of the written discharge 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 everyday 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 implement nursing competencies on a yearly basis for orientations hospital wide, and department-specific training, and how to add new areas of learning needs and training 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 potentially 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 patient 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 confirmation to ensure that all parties are cleared and safe to proceed with the MRI procedure. This poster will demonstrate how the time out procedure was developed and implemented to raise MRI safety awareness.
www.radiologynursing.org
JUNE 2009