Introduction: Placement of vascular access devices in our insti-tution occurs in the interventional radiology setting. Patientsundergoing PICC placements do not routinely receive seda-

tion and analgesia; patients undergoing port placement re-ceive sedation and analgesia on a routine basis. Patientsfrequently verbalize a high degree of anxiety prior to bothprocedures. The purpose of this study is to determine the

effect of music on patient’s level of pain and anxiety just priorto, during, and after the procedures.

Research Hypotheses:

1. Patients undergoing PICC and port placement with themusical intervention will report lower pain and anxietythan those not receiving the intervention.

2. Patients undergoing port placement with the musicalintervention will receive less overall sedation duringthe procedure than those who do not receive the musi-cal intervention.

Study Design: A descriptive convenience design is being used.All patients are randomized to a treatment group by a non-

team member who randomly selects a chip designating thetreatment group assignment from a bag. The assignmentsare ‘‘no music,’’ ‘‘headphones,’’ or ‘‘background music.’’

Results: This preliminary sample consists of 38 patients (21male). Themajority of the patients underwent PICCplacement

(79%) and were inpatients (70%). Twenty-nine percent wererandomized to no music, 42% to headphones, and 29% wereassigned to background music.

No significant differences in pain and anxiety were noted be-fore, during, and after the procedure in any of the three treat-

ment groups; however, systolic blood pressures for combinedPICC and Port procedures demonstrated significant differ-ences over time between groups (p Z .0.5). Thosewith nomusic

showed mean systolic blood pressures increases in comparisonto those assigned to the headphones or background musicgroup. No difference was noted in diastolic blood pressure

within treatment groups.

Discussion: This preliminary analysis suggests that music posi-

tively affects systolic blood pressure in patients and may bea useful tool to enhance patients’ experiences in interventionalradiology. Additional findings may be supported with conclu-sion of the study.

PS 0011PICC Education Project at UVA

Caroline McDaniel, BSN, RN, Lisa East, RN,Meaghan Burkett, BSN, RN

UVA Health System, Shipman, VA

At the University of Virginia (UVA) placement of peripher-ally inserted central catheters (PICCs) occurs in the angiogra-phy/interventional radiology department. Nurses throughout

the hospital call the angio department if they experience dif-ficulties flushing or drawing blood from their patient’s PICC.The angio nurse then performs a PICC check at the bedside,

which requires her to be away from the department and ofteninvolves the expense of Activase (TPA, Alteplase) administra-tion. Often during these PICC checks we discover the lack of

routine PICC care and inconsistencies in the knowledge ofbedside nurses caring for these patients.

In an effort to educate nurses throughout the hospital, the an-gio nurses developed educational materials targeted at teach-ing PICC care. Three teaching modalities were used:

traditional ‘‘live’’ inservices, inservices ‘‘to go,’’ and mailboxinservices. The effectiveness of our teaching methods wastracked in two ways. One was a hospital-wide survey of allUVA RNs in adult intensive care units and floors. We also

tallied the number of PICC checks done in a four-week periodbefore and after our educational initiative.

This experience continues to lead the exploration of effectiveteaching strategies for bedside nurses and has resulted in thedevelopment of different methods to transmit information.

PS 0012The Golden Seed: Implantation of Fiducials to FacilitateCyber Knife Stereotactic Radiosurgery at Sinai Hospitalof Baltimore

Kenneth Rempher, PhD, MBA, RN, CCRN, Celia Dokas, RN,Kris Prentice, RN, Laurie Stone, RN

Sinai Hospital of Baltimore, MD

Purpose: Effective implantation of fiducials is integral to thesuccess of Cyberknife� sterotactic radiosurgery. The purpose

of this poster is to educate interventional radiology nursesand medical technologists about the technical and clinicalaspects of fiducial implantation.

Description: Fiducials are miniscule gold ‘‘seeds’’ measuring0.8� 4 mm that are imbedded, through guided imaging, in

a variety of tumors. Fiducials support Cyberknife� technol-ogy by serving as guidemarks allowing the Cyberknife� tolocate tumors during planning and treatment of various neo-plastic conditions. Successful implantation of fiducials is

dependent upon a synergistic relationship among patient, phy-sician, nurse, and technologist. It is this relationship, as well asthe interdependence that exists between the interventional

radiology and radiation oncology staff that will be portrayedin the poster. Cyberknife� sterotactic radiosurgery with fidu-cial implantation is an emerging technology with significant

potential. It is incumbent upon IR nurses, especially thosewho care for patients in hospitals offering Cyberknife� tech-nology, to understand the procedure, educate their patients,and to ponder process improvements. The role of the interven-

tional radiology nurse and radiology technologists in all threephases of care (pre, intra, post) will be explicated in the poster.

PS 0013The Effect of a Positive Pressure Cap on t-PA Usage forDeclotting Central Lines, a Retrospective ComparisonStudy

Aileen Rogers, BSN, RN, CRN

Billings Clinic Radiology Department, Billings, MT

Session Abstracts JOURNAL OF RADIOLOGY NURSING

62 JUNE 2007www.radiologynursing.org

This is a retrospective study comparing TPA usage for declot-ting central lines before and after the usage of a positive pres-sure cap (CLC2000) for all central lines.

A total of 804 central lines were placed in one year. Sixty-three or 7.8% of these lines used TPA for declotting prior

to the house wide use of the CLC2000.

Education occurred regarding the use and function of the

CLC2000. After implementation of the cap, 6 months of datarevealed 401 central lines were placed. Twelve or 3% of theselines used TPA. This was a 62% reduction in the use of TPA.

PS 0014The Development of a Self Learning Packet to EducateNurses on the Care of Patients Receiving Arterial orVenous Lytic Therapy

Dana Schade, MSN, RNC, Amy Drennan, RN

Christiana Care Health Systems, Newark, DE

Purpose: The purpose of this poster is to illustrate the processin the development of a self-learning packet to educate bothnovice radiology nurses and non-radiology nurses on the care

of patients receiving arterial or venous lytic therapy.

Description: Because of the number of nurses from multiple

departments caring for patients receiving arterial and venouslytic therapy, staff development specialists have created a self-learning packet to educate both novice and experienced

nurses regarding the actual procedure and how to care forthese patients. The process to develop a self-learning packetwill be shown along with the finished product.

PS 0015How to Care for the Patient Receiving Arterial orVenous Lytic Therapy

Dana Schade, MSN, RNC, Amy Drennan, RN

Christiana Care Health Systems, Newark, DE

Purpose: The purpose of this poster is to inform the radiologynurse on the proper care and assessment of the patient receiv-

ing arterial or venous lytic therapy.

Description: This poster will present information on whomight benefit from lytic therapy and screening techniques toidentify appropriate candidates. This poster will also identifycontraindications that may exclude a patient from receiving

this therapy. The proper elements of a comprehensive nursingassessment will be shown, complete with evidence and ratio-nale for each step. A quick post-procedural checklist will be

shown as an example to help prepare and educate the depart-ments receiving this type of patient.

PS 0016How to Develop an Award-Winning VCUG Program

Kathy Scheffer, MN, RN, CRN, Ikuko Day, BSN, RN

MultiCare Health System, Tacoma, WA

The radiology nurses at our hospital identified a problem andwent about solving it. How do we go about making a stressful

and often traumatic procedure more patient and parentfriendly? What resources are needed? What stakeholdersshould be involved? How can we obtain referring physician

and radiologist buy in? Will there be interest and willingnesson our hospital administration to invest in the program? Theanswers to all these questions plus how to win the President’sAward for Customer Service will be covered in this poster.

The poster will include a review of the anatomy and physiol-

ogy of the GU system, including pathogenesis of vesico-ure-teral reflux. Next, how to put together a multidisciplinaryteam and have the right players at the table. Determiningthe goal and mission of the group is discussed and how to

use your internal resources to market your program to out-side providers.

Finally, actual case studies of patient successes will be sharedto make the experience pertinent to the clinical setting. Theculmination of winning our health system’s President’s

Award for Customer Service was the ultimate achievementfor a job well done.

PS 0017Development of a Hospital Wide Radiation SafetyEducation and Competency Program

Debra Strom, BSN, RN, CRN

St. Joseph’s Hospital, Bellingham, WA

In the widening scope of providers who are practicing in theradiology department a new responsibility is brought to the

hospital to ensure that all persons that administer radiationor are exposed to radiation have basic radiation safety knowl-edge. This poster will show the steps of identifying radiationsafety education needs in a community hospital and the devel-

opment and implementation of an online education andcompetency-based module for physicians, mid-level pro-viders, and hospital staff.

Content

� Goal 1: Safe administration of radiation to patients.� Goal 2: Safe work environments for all caregivers.� Goal 3: All health care workers understand their role in

the event of a radiation exposure disaster.� Identify red flags that document a need for provider

and staff education about radiation safety.

� Identify measurable items to monitor for effectivenessof radiation safety training.

� Identify regulatory requirements for inclusion in radia-

tion safety training.� Identify labor safety requirements for inclusion in radi-

ation safety training.

� Selection of trainee classifications and appropriate levelof training for each.

� Identify resources within community hospital availableto assist with development of online training and com-

petency (testing) module.� Suggest strategies to obtain high level of provider

participation.

� Conclusions: Did the training actually make a differencein the safety indicators that were identified andmonitored?

Session AbstractsJOURNAL OF RADIOLOGY NURSING

VOLUME 26 ISSUE 2 63www.radiologynursing.org