Driver Coronary Stent Mri Safety Zones
Date of coronary stent placement and device manufacturer should be documented prior to MRI. All current, commercially available coronary stents may be imaged at 1.5T or 3T at any time: Maximum whole-body-averaged specific absorption rate (SAR) of 2-W/kg in Normal Operating Mode. Maximum 15 min of scanning (per sequence).
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While they released a Sentinel Event Alert on MRI safety in 2008, and while they’ve interpreted MRI-specific applications of a couple of hospital-wide standards (mainly, non-magnetic portable fire extinguishers), it was this past December (2013) when they announced their first explicit MRI Safety Standards, which become effective in July of 2014. There are a few highly-specific criteria that don’t leave much to interpretation ( collect data on your failed screenings in which a ferromagnetic object was allowed to enter the MRI scanner room), and there are more somewhat ambiguously-worded standards ( manage MRI safety risks). Any facility that has undergone more than one Joint Commission survey knows that there is often different emphasis from one survey to the next, even if the standards haven’t changed. What follows is my own, personal, compliance checklist of the new MRI standards. While not reviewed / approved / sanctioned / blessed by the Joint Commission, I would contend that anyone who can check all of these boxes should sail through any survey that uses the new MRI safety standards First thing I would recommend is that you get your very own copy of the new standards, available.
In addition to having the specific language of the standards for MRI, you may also have other modalities (CT, or Nuclear Medicine) that are governed by the new standard, and you should familiarize yourself with those requirements, too. OK, on to our checklist EC.02.01.01 is all about managing risks, and it’s these two Elements of Performance (EPs) that contain some of the more ambiguous language, when it comes to specific measures. But based on what these say, I would offer the following performance criteria: • Designate a physician MR Medical Director with the responsibility to review and approve MRI-specific policies and procedures. • Designate a technologist / radiographer / medical physicist as MR Safety Officer with the responsibilities of daily compliance with the MRI-specific policies and procedures. • Create (if you don’t have already) policies and procedures that: • Address strategies for calming or responding to the anxious or distressed patient, including where, when, and how medications for anxiety are to be handled. • Describe specific responses in the event of anticipated code events, including respiratory distress, cardiac arrest, slip-and-fall, contrast reaction, patient burn, projectile event, or magnet system quench.