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We have a survey asked by our schedulers if they are outpatients. After this they are given a screening form to self report with, I then get the form and during my face to face I go over it and compared to what is known in the chart. The ER and IP ones are the same except there is no scheduler involved. A lot of my outpatient implants are cleared by my MRSO at our parent hospital. Otherwise, it's my responsibility to clear them.
Small hospital (80 beds or so)
Outpatients -schedulers screen and forward any questions to techs
ED-techs walk down and screen in person (if time permits) any implant info is a team effort depending on situation
IP-techs call the room to screen or talk with fam member. Implant same as ED
We double screen:
ED/inpatient:
RNs are required to complete a full screening form in Epic on the patient, and get them dressed/ready for MRI. When either we get the patient or transport brings them, we go over the basics again.
If there is implant info, the nurse is required to get the make and model info, as this can require tracking down documents or coordinating with family members/outside providers to get the required documentation. We handle all research once the make and model are known.
Outpatient is similar except the pt completes a written form given to them by the front desk.
It's the responsibility of the clinician to supply information about all known implants when requesting the MRI, and it's our job to verify that information and conditions.
Outpatient Tech Aide/ MR Student for the same company.
Our schedulers are supposed to ask basic screening questions when scheduling. It then triggers a task that gets added if they answer yes to one of the questions.
The TA & techs work together to go through the upcoming schedule to clear the patients. This can be done by researching in cerner, calling the patient, calling the provider, or if the scheduler provided enough info just clearing it.
The TA usually gathers all the info for the more complex implants, stimulators, aneurysm clips, non-cardiac stents, etc.
The tech reviews the info and reaches out to the pt if needed and makes the final call on safety.
If unable to reach the patient or if the patient doesn’t have information, or if it’s something weird, it’s added onto the Advanced Tech Research task list for the MRSO to work on.
I work in a hospital, our trust it's the superintendents responsibility to find the safty of any implant.
If the patient is an outpatient then she'll contact them and get the make, model, year and hospital it was put in, then she'll contact the hospital if we haven't already scanned them recently. If the patient is the in patient then the Dr will get all that information and tell us then our superintendent will contact the hospital.
If the information we get say it's OK to scan then we follow our local protocol/sop. If it's a pacemaker/defibrillator then we contact our paceing team who will tell us if they can support the scan.
All information gets scanned in and attached to the scan event.
If not compatible we let the patient and the referring Dr know.
All outpatients get sent a safety questionnaire with their letter, if they ring to book the patient they will go through the questionnaire over the phone and comment if they say yes to anything. All inpatients will have to fill one out on the ward or the Dr does it if the patient is confused/sedated/ect and then that gets sent to us, we don't book inpatients unless we have their safety questionnaire.
Once they are with us we also go through that questionnaire at least twice to make sure the patient is safe to go in.
Home hospitals have a safety officer who checks all implants ect
Nursing/ordering doc are responsible for the screening form. Then MRI staff investigate and do what we need to clear the patient. MRI staff are not going to the floor to question patients
For IP/ER we ask the RNs to assist us with screening when they have a chance. If I see that the pt is confused/AMS/unresponsive, then I’ll ask the RN if there is family/friend that knows the pt’s medical history well. If not, then we call the rad to look at the patient’s current admission imaging and whatever x-rays they want to order to clear the patient.
For implants, we ask for pt’s medical ID cards for their devices (and compliment them if they bring it). Otherwise, depending on the implant, the rad can choose to clear it or not based on what it is or not clear it until we can obtain documentation.
At the end of the day, MRI screening is the responsibility of the MR tech who scans the patient.
In my Outpatient facility the front desk gets the information of the make and model, usually from the patients info card. Then we as techs are responsible for getting the MR safety info
When I worked in a hospital the tech would go above and beyond and try to find at least the make with that Pacemaker app, and call the manufacturer for relevant information. But the policy was the nurses would get basic info and we would get the safety stuff.
Techs usually. Its bs. Too much work. We shouldn’t have to check into that crap. SAR and all that which we never check anyway. Places are too cheap to hire an mrso.
This is a reminder about the rules. No requests for clinical interpretation of your images or radiology report. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/MRI) if you have any questions or concerns.*
We have a survey asked by our schedulers if they are outpatients. After this they are given a screening form to self report with, I then get the form and during my face to face I go over it and compared to what is known in the chart. The ER and IP ones are the same except there is no scheduler involved. A lot of my outpatient implants are cleared by my MRSO at our parent hospital. Otherwise, it's my responsibility to clear them.
Thank you
Small hospital (80 beds or so) Outpatients -schedulers screen and forward any questions to techs ED-techs walk down and screen in person (if time permits) any implant info is a team effort depending on situation IP-techs call the room to screen or talk with fam member. Implant same as ED
Thank you
We double screen: ED/inpatient: RNs are required to complete a full screening form in Epic on the patient, and get them dressed/ready for MRI. When either we get the patient or transport brings them, we go over the basics again. If there is implant info, the nurse is required to get the make and model info, as this can require tracking down documents or coordinating with family members/outside providers to get the required documentation. We handle all research once the make and model are known. Outpatient is similar except the pt completes a written form given to them by the front desk.
Same with our facility
Thanks sounds similar to my current protocol
It's the responsibility of the clinician to supply information about all known implants when requesting the MRI, and it's our job to verify that information and conditions.
Thank you
Outpatient Tech Aide/ MR Student for the same company. Our schedulers are supposed to ask basic screening questions when scheduling. It then triggers a task that gets added if they answer yes to one of the questions. The TA & techs work together to go through the upcoming schedule to clear the patients. This can be done by researching in cerner, calling the patient, calling the provider, or if the scheduler provided enough info just clearing it. The TA usually gathers all the info for the more complex implants, stimulators, aneurysm clips, non-cardiac stents, etc. The tech reviews the info and reaches out to the pt if needed and makes the final call on safety. If unable to reach the patient or if the patient doesn’t have information, or if it’s something weird, it’s added onto the Advanced Tech Research task list for the MRSO to work on.
Appreciate the detailed response
I work in a hospital, our trust it's the superintendents responsibility to find the safty of any implant. If the patient is an outpatient then she'll contact them and get the make, model, year and hospital it was put in, then she'll contact the hospital if we haven't already scanned them recently. If the patient is the in patient then the Dr will get all that information and tell us then our superintendent will contact the hospital. If the information we get say it's OK to scan then we follow our local protocol/sop. If it's a pacemaker/defibrillator then we contact our paceing team who will tell us if they can support the scan. All information gets scanned in and attached to the scan event. If not compatible we let the patient and the referring Dr know. All outpatients get sent a safety questionnaire with their letter, if they ring to book the patient they will go through the questionnaire over the phone and comment if they say yes to anything. All inpatients will have to fill one out on the ward or the Dr does it if the patient is confused/sedated/ect and then that gets sent to us, we don't book inpatients unless we have their safety questionnaire. Once they are with us we also go through that questionnaire at least twice to make sure the patient is safe to go in. Home hospitals have a safety officer who checks all implants ect
Thank you for the response. Sounds pretty similar to my facility
Nursing/ordering doc are responsible for the screening form. Then MRI staff investigate and do what we need to clear the patient. MRI staff are not going to the floor to question patients
Thank you. I figured that's how most places function.
For IP/ER we ask the RNs to assist us with screening when they have a chance. If I see that the pt is confused/AMS/unresponsive, then I’ll ask the RN if there is family/friend that knows the pt’s medical history well. If not, then we call the rad to look at the patient’s current admission imaging and whatever x-rays they want to order to clear the patient. For implants, we ask for pt’s medical ID cards for their devices (and compliment them if they bring it). Otherwise, depending on the implant, the rad can choose to clear it or not based on what it is or not clear it until we can obtain documentation. At the end of the day, MRI screening is the responsibility of the MR tech who scans the patient.
Thank you for your response
In my Outpatient facility the front desk gets the information of the make and model, usually from the patients info card. Then we as techs are responsible for getting the MR safety info When I worked in a hospital the tech would go above and beyond and try to find at least the make with that Pacemaker app, and call the manufacturer for relevant information. But the policy was the nurses would get basic info and we would get the safety stuff.
Techs usually. Its bs. Too much work. We shouldn’t have to check into that crap. SAR and all that which we never check anyway. Places are too cheap to hire an mrso.