Safety planning for intraoperative magnetic resonance imaging

Area of Science:

• Perioperative Nursing
• Medical Imaging Safety

Background:

• Intraoperative magnetic resonance imaging (MRI) suites, a type of hybrid operating room (OR), present significant safety challenges due to strong magnetic fields.
• Adverse events related to magnetic forces necessitate robust safety protocols in these high-risk environments.

Purpose of the Study:

• To describe the development and implementation of a comprehensive safety plan for an intraoperative MRI suite.
• To outline the creation of specialized perioperative nursing roles to manage MRI safety.

Main Methods:

• Formation of a multidisciplinary steering committee to guide planning and implementation.
• Development of specific guidelines, procedures, and educational programs for MRI use in the OR.
• Establishment of two new nursing roles: MRI control room monitor and MRI safety nurse.

Main Results:

• A multidisciplinary approach facilitated the creation of a detailed safety plan.
• New nursing roles effectively addressed staffing challenges and clarified safety responsibilities.
• The integrated MRI suite led to improved patient outcomes, avoiding repeat surgeries for tumor resection.

Conclusions:

• A well-defined safety plan and dedicated nursing roles are crucial for the safe and effective operation of intraoperative MRI suites.
• Integrating MRI technology into the OR can enhance surgical efficiency and patient care by enabling same-day tumor resection.