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The medical radiation technologist model: a streamlined process for procedural sedations
Jennifer Meher1, Julien Meyer2, Annette Tracey3
1School of Health Services Management, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada.
Objective:
Procedural sedations are a growing and routine form of sedation. Some of them may not require the presence of a nurse. The purpose of this study is to assess the impact of the Medical Radiation Technologists (MRT) model, which forgo the presence of a Registered Nurse (RN), for procedural sedations in Computed Tomography biopsies. The setting was a teaching hospital that moved from an RN to an MRT model. We compared staff utilization, turnaround times and incident reports between pre and post implementation, over 19 months overall.
Results:
No adverse events were observed under either model. Wait times were reduced by 25% from 131 to 98 min. Turnaround times were reduced by 2 min from 52 to 50 min. The joint cost of RN/MRIT was reduced by 37% per procedure, from $141 to $88.
Conclusion:
These results suggest that the MRT model is more cost-effective without compromising quality of care. The MRT model is promising and should be extended to more facilities and other routine procedural sedations to save time and resources.
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