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Editor’s Note: Following are abstracts from posters presented at the Association for Radiologic &Imaging Nursing (ARIN) 28th Annual Convention held March 7e12, 2009, in San Diego, CA
PS 001Primary Placement of Percutaneous Feeding Tubes inInterventional Radiology (IR)
Hillary Baker, BSN, RN, Children’s Hospital Boston, Boston,MA; E-mail: [email protected]
Co-Presenter: Laurie Visconti, BSN, RNPrimary placement of percutaneous feeding tubes in in-terventional radiology (IR) provides an alternative tosurgical placement. It is associated with low morbidityand mortality rates while yielding high success rates. IRplacement of these feeding tubes is less invasive thansurgical intervention and requires less recovery time.In addition to these advantages, feedings via IRprimary tubes may be commenced as early as 14 hourspost-procedure.This poster provides an overview of the procedure, in-cluding complications as well as patient indications andcontraindications. Nursing care for the first 24 hourspost-procedure is also addressed.
PS 002Pediatric Changes in MRI Technology: What Does itMean for Nursing Practice
Sandra Bates, RN, Children’s Hospital Boston, Bostan, MA;E-mail: [email protected]
Co-Presenter: Vicki Netzke-Doyle, BSN, RNSpecific nursing care changes are directly impacted bythe use of the 3T brain and spine matric (coil). Disrup-tion caused by changing coils has awakened many se-dated children when lifting them to change coilsduring their brain and spine protocol. With the 3Tscanner the spine coil is built into the table; therefore,not moving the patient during his/her sedation pro-motes a qualitative scan.The new audio/video system has become a diversion forpatients in the MRI suite. The number of children whohave been able to go without sedation has increasedwith this integrated tool. Resonance Technology, Inc.,MRI audio/video systems.VacFix (Reusable Patient Positioning System for Radi-ation Therapy and Radiology) device is being used withchildren under the age of one month during the MRIscan. The use of the VacFix Positioning System for in-fants allows this population to be scanned withoutsedation. Feeding the patient in addition to swaddling
VOLUME 28 ISSUE 2 www.radiologyn
in the VacFix will keep the baby motionless andcomfortable.
PS 003Improving Patient Care by Managing Positional PainDuring Interventional Computerized Tomography (CT)Procedures
Deborah Black, BSN, RN, CRN, Christiana Care, Newark, DE;E-mail: [email protected]
Co-Presenters: Patrice Smith, BSN, RN, CRNAs medicine advances in the new millennium, mini-mally invasive interventional radiology procedures aremore frequently done as an alternative to traditional in-vasive therapies. Intervential procedures using CTguidance for biopsies and drainages are commonplacein most hospital settings today. CT scanners are nowfaster than ever which has reduced diagnostic scanningtime. The CT table is firm and narrow, with a concavesurface designed for fast scanning, not for comfort. Pa-tients requiring interventional CT-guided procedurestypically endure 45-minute or longer table times whichis much longer than a diagnostic CT scan. Patients un-dergoing interventional CT-guided procedures fre-quently complain about the hardness of the table andthe discomfort they experience from their position dur-ing the procedure. These patients are often given mod-erate sedation to control procedural pain, butpositional pain is not always alleviated. Patients under-going interventional CT-guided procedures experiencepositional pain from the hard and narrow CT table.This presenter will investigate a nonpharmacologicalapproach for positional discomfort during interven-tional CT procedures. A group of patients will be sur-veyed regarding positional pain while lying on the CTtable. Gel pads and gel cushions will be implementedto give support to bony prominences and pressure areascreated by specific positioning for the CT procedure.These devices will be implemented for maximum bene-fit to patient comfort while not interfering with imagequality.
PS 004Effectiveness of Virtual CT Colonoscopy (VC) PatientInformation Line
Grace Cheah, MSN, RN, Cleveland Clinic, Cleveland, OH; E-mail:[email protected]
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