Image Quality MRI Scans: Comparing Sedated and Nonsedated Pediatric Patients
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Editor’s Note: Following are abstracts from posters presented at the American Radiological Nurses Association (ARNA) 25th Annual Convention held June 22e25, 2006, in Las Vegas, NV. Image Quality MRI Scans: Comparing Sedated and Nonsedated Pediatric Patients Sandra Bates, RN Children’s Hospital Boston, Boston, MA Objective: The goal of this study was to determine whether the absence of sedation significantly aects the diagnostic quality of MRI studies or results in significantly increased scanning times due to the need for repeat imaging. Methods: A retrospective study of nonsedated and sedated children imaged during 2004. The study radiologist assessed image quality. Results: Nonsedated children on an average had 2 min shorter scanned time, however, nonsedated children had 50% more repeated sequences than the sedated children. Conclusion: This study demonstrates that with adequate preseda- tion evaluation, children can receive quality MRIs regardless of sedation status. No differences were found in the overall evalua- tion of the scans. Behavioral Distraction Techniques Maureen Carrier, BSN, RN Children’s Hospital Boston, Boston, MA Distraction techniques are commonly used to keep patients focused on something besides the scan or procedure they are undergoing. At Children’s Hospital Boston, pediatric patients requiring radiology scans who cannot be sedated or receive general anesthesia for various reasons are offered behavioral distraction techniques. We encourage different techniques and parent involvement to improve coping skills for present and future scans or procedures. Behavioral distraction techniques include, but are not limited to, assorted visuals, breathing techniques, comfort measures, and diver- sional talk. The Development and Implementation of a Pediatric Radiology Web Site Roberta Forman, RN, BSN Children’s Hospital, Boston, Boston, MA Over the past decade there has been rapid growth in the tech- nology for the pediatric radiology population. This expansion has brought about an increased need for pediatric nurses in the radiology area. The care of these children can be complex and challenging. Nurses at Children’s Hospital, Boston felt a need to share pediatric radiology information worldwide. In April 2005, Children’s Hospital, Boston pioneered a pediatric radi- ology Web site to provide an international forum for sharing and networking regarding pediatric radiology issues and sedation strategies. This poster will highlight the development of this Web site and how it has been used to date. Development and Implementation of an Interim Patient Care Report Karen Green, MHA, BSN, RN, CRN Frankford Hospital, Philadelphia, PA This poster presentation will focus on the development and implementation of an Interim Patient Care Report. National Patient Safety Goal 2E, added for 2006, addresses the ‘‘imple- mentation and standardization of an approach to ‘hand-off’ caregiver communication, including an opportunity to ask and respond to questions.’’ This presentation will show how one institution adapted this goal to patients traveling between departments for proce- dures, utilizing this format to increase communication about patients. Process includes the multidisciplinary FOCUSe PDCA approach to the development, review, and implemen- tation of this process. Safe PICC Line Ordering and Activation Corinne Haviley, MS, RN, Brenda Schmitz, Elizabeth Early, Tara Campanella, Mary Langford, Kevin Katz, Rose Koshy, Lynne Nelson, Nora Polk, Teri Rabasa, Jill Stemmerman Northwestern Memorial Hospital, Chicago, IL The purpose of this project was to define an ordering process to assure an error proof approach in the prevention of prema- ture PICC line activations. A three-part ordering process was instituted to delineate the steps from PICC line placement to verification and use. A visual cue including a stockinet and stop sign sticker placed at the catheter tip was selected to prompt staff to confirm a physician order before activation. Before program implementation there were four reported pre- mature activations whereas postimplementation yielded zero premature line activations. This study concluded successful intervention regarding ordering and activation management. Interventional Radiology in Oncology: An Expanding Environment for Nurses Patricia Horace, MSN, RN, CHRE, Patti Perron, RN, Anna McGavin, RN University of Texas M.D. Anderson Cancer Center, Houston, TX Historically, cancer treatment in the radiology department consisted of external-beam radiotherapy. Modern advances VOLUME 25 ISSUE 3 93 www.radiologynursing.org
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Transcript of Image Quality MRI Scans: Comparing Sedated and Nonsedated Pediatric Patients
Editor’s Note: Following are abstracts from posters presented at the American RadiologicalNurses Association (ARNA) 25th Annual Convention held June 22e25, 2006, in Las Vegas, NV.
Image Quality MRI Scans: Comparing Sedated andNonsedated Pediatric Patients
Sandra Bates, RN
Children’s Hospital Boston, Boston, MA
Objective: The goal of this study was to determine whether theabsence of sedation significantly aects the diagnostic quality ofMRI studies or results in significantly increased scanning timesdue to the need for repeat imaging.
Methods: A retrospective study of nonsedated and sedatedchildren imaged during 2004. The study radiologist assessedimage quality.
Results: Nonsedated children on an average had 2 min shorterscanned time, however, nonsedated children had 50% morerepeated sequences than the sedated children.
Conclusion: This study demonstrates that with adequate preseda-tion evaluation, children can receive quality MRIs regardless ofsedation status. No differences were found in the overall evalua-tion of the scans.
Behavioral Distraction Techniques
Maureen Carrier, BSN, RN
Children’s Hospital Boston, Boston, MA
Distraction techniques are commonly used to keep patientsfocused on something besides the scan or procedure theyare undergoing. At Children’s Hospital Boston, pediatricpatients requiring radiology scans who cannot be sedated orreceive general anesthesia for various reasons are offeredbehavioral distraction techniques. We encourage differenttechniques and parent involvement to improve coping skillsfor present and future scans or procedures. Behavioraldistraction techniques include, but are not limited to, assortedvisuals, breathing techniques, comfort measures, and diver-sional talk.
The Development and Implementation of a PediatricRadiology Web Site
Roberta Forman, RN, BSN
Children’s Hospital, Boston, Boston, MA
Over the past decade there has been rapid growth in the tech-nology for the pediatric radiology population. This expansionhas brought about an increased need for pediatric nurses in theradiology area. The care of these children can be complex andchallenging. Nurses at Children’s Hospital, Boston felt a needto share pediatric radiology information worldwide. In April2005, Children’s Hospital, Boston pioneered a pediatric radi-ology Web site to provide an international forum for sharingand networking regarding pediatric radiology issues and
sedation strategies. This poster will highlight the developmentof this Web site and how it has been used to date.
Development and Implementation of an InterimPatient Care Report
Karen Green, MHA, BSN, RN, CRN
Frankford Hospital, Philadelphia, PA
This poster presentation will focus on the development andimplementation of an Interim Patient Care Report. NationalPatient Safety Goal 2E, added for 2006, addresses the ‘‘imple-mentation and standardization of an approach to ‘hand-off’caregiver communication, including an opportunity to askand respond to questions.’’
This presentation will show how one institution adapted thisgoal to patients traveling between departments for proce-dures, utilizing this format to increase communication aboutpatients. Process includes the multidisciplinary FOCUSePDCA approach to the development, review, and implemen-tation of this process.
Safe PICC Line Ordering and Activation
Corinne Haviley, MS, RN, Brenda Schmitz, Elizabeth Early,Tara Campanella, Mary Langford, Kevin Katz, Rose Koshy,Lynne Nelson, Nora Polk, Teri Rabasa, Jill Stemmerman
Northwestern Memorial Hospital, Chicago, IL
The purpose of this project was to define an ordering processto assure an error proof approach in the prevention of prema-ture PICC line activations.
A three-part ordering process was instituted to delineate thesteps from PICC line placement to verification and use. Avisual cue including a stockinet and stop sign sticker placedat the catheter tip was selected to prompt staff to confirma physician order before activation.
Before program implementation there were four reported pre-mature activations whereas postimplementation yielded zeropremature line activations. This study concluded successfulintervention regarding ordering and activation management.
Interventional Radiology in Oncology: An ExpandingEnvironment for Nurses
Patricia Horace, MSN, RN, CHRE, Patti Perron, RN,Anna McGavin, RN
University of Texas M.D. Anderson Cancer Center, Houston,TX
Historically, cancer treatment in the radiology departmentconsisted of external-beam radiotherapy. Modern advances
VOLUME 25 ISSUE 3 93www.radiologynursing.org
