CAHP Student Handbook

Magnetic Resonance Imaging (MRI): Difference between revisions

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Magnetic Resonance Imaging (MRI) (view source)

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In MRI, the magnetic field is ALWAYS on. The MRI student will comply with each clinical site’s policies and procedures pertaining to metallic objects being introduced into the MRI scanning suite. Carrying ferromagnetic articles or introducing them to the MRI scanning area is strictly prohibited. These objects can become projectiles within the scanning room causing serious injury or death and/or equipment failure. This would include but not limited to: oxygen tanks, wheelchairs, carts, monitors, IV poles, laundry hampers, tools, furniture, personal ferromagnetic items (i.e., cell phone), etc.
In MRI, the magnetic field is ALWAYS on. The MRI student will comply with each clinical site’s policies and procedures pertaining to metallic objects being introduced into the MRI scanning suite. Carrying ferromagnetic articles or introducing them to the MRI scanning area is strictly prohibited. These objects can become projectiles within the scanning room causing serious injury or death and/or equipment failure. This would include but not limited to: oxygen tanks, wheelchairs, carts, monitors, IV poles, laundry hampers, tools, furniture, personal ferromagnetic items (i.e., cell phone), etc.
Students, upon matriculation, will have been screened for MRI compatibility and are required to notify the MRI Program Director immediately if their safety status changes due to a surgical implant, personal injury, or any other event during the course of their time in the MRI Program at the University of Nebraska Medical Center.
Students, upon matriculation, will have been screened for MRI compatibility and are required to notify the MRI Program Director immediately if their safety status changes due to a surgical implant, personal injury, or any other event during the course of their time in the MRI Program at the University of Nebraska Medical Center.
=== Magnetic Resonance Imaging Student Pregnancy Policy ===
'''Applicable to Magnetic Resonance Imaging Students'''
The ACR Manual on MR Safety states that health care providers may continue to work in the MR environment throughout all stages of pregnancy. Acceptable activities include, but are not limited to, positioning patients, scanning, archiving, injecting contrast, and entering the MR system room in response to an emergency. Although permitted to work in and around the MR environment, pregnant health care practitioners are requested not to remain within the MR scanner bore or Zone IV during actual data acquisition or scanning. These recommendations are based on the preponderance of data on 3T magnetic fields. There is a scarcity of data available to date regarding human pregnancy exposures to 7T magnetic fields. The MRI student must ensure she follows currently accepted safety practices for health care providers in the MRI environment. ([https://www.acr.org/-/media/ACR/Files/Radiology-Safety/MR-Safety/Manual-on-MR-Safety.pdf ACR Manual on MR Safety, 2020])
Students may voluntarily report suspected or confirmed pregnancy to the MRI Program Director in writing. '''The student will be advised that she may continue her educational program without modification.''' At the time of declaration to the program, the UNMC policies and procedures and the MRI Program specific policies and procedures will be reviewed with the student. Student who fails to disclose a pregnancy should know that the program cannot assist her in offering protection to her or her embryo/fetus.
Any student making a voluntary written declaration of pregnancy may withdraw their declaration of pregnancy at any time. Withdrawal must be done in writing to the MRI Program Director.  
All forms related to the student's voluntary declaration of pregnancy are kept in the secured student files.


=== Clinical Compliance ===
=== Clinical Compliance ===
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[https://wiki.unmc.edu/index.php/Bloodborne_Pathogens_Exposure UNMC’s Bloodborne Pathogens Exposure policy] will be followed.
[https://wiki.unmc.edu/index.php/Bloodborne_Pathogens_Exposure UNMC’s Bloodborne Pathogens Exposure policy] will be followed.
=== Magnetic Resonance Imaging Student Pregnancy Policy ===
Pregnant students are permitted to work in and around the MRI environment throughout all stages of their pregnancy. Acceptable activities include but are not limited to: positioning patients, scanning, archiving, injecting contrast material, and entering the MRI scan room in response to an emergency. Although permitted to work in and around the MRI environment, pregnant students are requested not to remain within the MRI scanner bore or Zone IV during actual data acquisition or scanning.
'''Pregnancy'''
The pregnancy policy is a voluntary program intended to provide safety for pregnant students and their fetus that are considered occupationally exposed to ionizing radiation. In the event of a suspected or confirmed pregnancy, it is the responsibility of the student to advise her program director in writing of her condition. Pregnancy will not affect the student’s enrollment in the academic courses in the program. However, due to the physical requirements placed upon the student in the clinical courses and assignments, and in order to comply with 180 NAC 004.13 (10 CFR Part 20.1208) to keep the radiation exposure to the fetus as low as reasonably achievable (no more than 500 mrem during the entire gestation period), the following procedures will apply:
# The student may voluntarily report suspected or confirmed pregnancy to the program director. At that time the UNMC/ Nebraska Medicine policies and procedures and the MRI Program Specific Policies and Procedures pregnancy policy will be reviewed with the student. Once the student has elected to declare suspected or confirmed pregnancy, the student should:
# Complete the “UNIVERSITY of NEBRASKA MEDICAL CENTER DECLARATION OF PREGNANCY” [[:File:Unmc-declaration-of-pregnancy.pdf|form]] and forward it to the Radiation Safety Office. 
# The Radiation Safety Office will determine the estimated radiation dose from time of conception to the date of declaration based on dosimetry records and calculate the permissible remaining dose to the embryo/fetus for the remainder of the pregnancy. (See [[:File:Unmc-declaration-of-pregnancy.pdf|form]]).
# Upon review of the findings and recommendations of the Radiation Safety Officer or Medical Radiation Physicist, clinical assignments will be reviewed.  Clinical assignments will only be altered if the fetus received the maximum permissible dose as stated by 180 NAC 004.13 (10 CFR Part 20.1208). Any clinical competencies not completed for reasons related to pregnancy must be successfully completed prior to graduation.
# Provide the program director with written indication of intent to:
## continue in the program, or
## take a medical leave of absence with intent to complete the program (form available from CAHP Academic & Student Affairs), or
## withdraw from the program (form available from CAHP Academic and Student Affairs).
#The student should provide the program director with written consent from her physician providing medical advice for:
## continuing in the program as a full-time student, and/or
## any limitations placed upon the student while enrolled in the program.
# A student may also voluntarily withdraw their declaration of pregnancy in writing at any time. (See [[:File:Unmc-declaration-of-pregnancy.pdf|form]].)


=== Academic Probation ===
=== Academic Probation ===
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