MRI Screening for

Inpatients
Emily Macon Hammer
 2

THE PROBLEM 1

WASTED TABLE TIME IN MRI

⊗ Screening inpatients
⊗ Checking implants
⊚ MRI Safe
⊚ MRI Conditional
⊚ MRI Unsafe

⊗ Calling for more information about patients

 3

Hospital Screening Process

Floor RNs screen Technologists solely
⊗ UNC Hospital screen
⊗ UNC Hillsborough Campus • Duke University Hospital
• Duke Regional Hospital
⊗ CMC Northeast
• CMC Stanly
⊗ CMC-Mercy • Chatham Hospital
⊗ Atrium Health University City
⊗ UNC Rex
Duke University Medical
Pavilion 2

• Large hospital
• Technologists are solely responsible
for screening
• Switching over to floor RN screening
method in 2019
2
 What is Duke’s Screening Process? 5

⊗ Tube System
3
⊗ Call floor and ask basic
questions
⊗ Send form by tube system
⊗ Completely rescreen patient
once they enter the department
⊗ Compare information to chart
 New System 6

⊗ Online Screening Forms for floor RNs to complete

⊗ Implant checks
⊗ Go over forms once patient is in department
⊗ Electronic screening form for next hospital visit
⊗ Improvements upon new system?

⊗ Expected problems with the new system?

⊚ Push back from nurses
⊚ Nurses screening incorrectly
 7

Making a Change
4
Forms Committee Benefits
5
Duke MyChart ⊗ Less wasted table
IT time
Maestro ⊗ Update form when
5 patient returns
⊗ Less paper waste
 6 8

Room for Improvement

Stanly Chatham Duke
⊗ Advised on ⊗ Offered ⊗ Information
implementing information about UNC’s
changes about changing screening
⊗ Informed about the policies process
new screening regarding ⊗ Benefits and
process screening downfalls
⊗ Formal MR
safety training
for floor RNs
 9

Future/Current Project 7

Online vs. In-

Person Training

MRSO
Meetings

IT and Forms
Committee MRI Safety Training for
Nurses
Service Hours 10

29 hours and 30 minutes of total

service hours
 11
CITATIONS
1. What Is A MRI?. Parian. https://westgalawyer.com/blog/what-is-a-mri/. Published June 17,
2016. Accessed March 20, 2019.

2. Duke Medicine Pavilion. Duke Health. https://www.dukehealth.org/locations/duke-

medicine-pavilion. Accessed April 2, 2019.

3. Burger Joint Delivering Sliders Via Pneumatic Tubes. Geekologie.

https://geekologie.com/2013/12/burger-joint-delivering-sliders-via-pneu.php. Published
December 19, 2013. Accessed March 30, 2019.

4. Vanderbilt Medical Record Forms. Vanderbilt University Medical Center.

https://ww2.mc.vanderbilt.edu/vmrforms/50548. Accessed April 13, 2019.

5. Duke MyChart. Duke MyChart.

https://www.dukemychart.org/home/default.asp?mode=stdfile&option=faq. Accessed April 3,
2019.

6. MRI Warning Signs. MySafetySign. https://www.mysafetysign.com/mri-warning-signs.

Accessed April 15, 2019.

7. Understanding MRI Safety for Non-clinical Staff 2014. AltusLearn.

https://altuslearn.com/understanding-mri-safety-for-non-clinical-staff/. Accessed April 4,
2019.