Allied Professionals Community of Practice

I would be interested in seeing how other clinics handle MRIs in patients with non-MRI conditional devices.  We have an MRI in our office and do MRIs on both MRI conditional and MRI non-conditional devices. Currently, we require a device trained NP/PA to be present during the MRI if the device is not MRI conditional. For MRI conditional devices, we just have to be in the clinic. As our volume of non-MRI conditional devices being scanned grows, this is becoming burdensome as it eats into clinic time for the NP/PAs. Would love to have other clinics share their thoughts and current practices.  Thanks, everyone and Happy New Year!!

Laurie

------------------------------
Laurel Racenet MSN, FNP, FHRS, CEPS, CCDS
Advanced Nurse Practitioner
Alaska Heart and Vascular Inst
Anchorage AK
------------------------------

​HI Laurel,

Our hospital maintains a screening process for both non-conditional and conditional devices.   Part of the screening process is a chest x-ray (re viewed by an EP physician)  to check for abandoned hardware as well as a recent device check.
 It is easy to become very busy with MRI scans. 
At our hospital, an ACLS certified RN monitors during conditional scans.
Non-conditional scans also require one of our device nurses to be present.
As more physicians become aware of the possibility of performing scans, the volume has greatly increased.
Our hospital restricts non-conditional scans to Thursdays, a day on which an extra device nurse is available. 
The device companies support only conditional devices, which may indicate the gravity with which  non-conditional scans should be taken.
We have a written protocol that is followed for conditional and non-conditional devices.
Please contact me with any questions.
Thank you, paul  :  )

------------------------------
Paul Kohanski CNP, FHRS, CCDS
Nurse Practitioner Device Clinic
Univ Hospitals of Cleveland, Cardiology
Cleveland OH
------------------------------

Original Message:
Sent: 01-08-2021 19:44
From: Laurel Racenet
Subject: MRIs on non-MRI conditional devices

I would be interested in seeing how other clinics handle MRIs in patients with non-MRI conditional devices.  We have an MRI in our office and do MRIs on both MRI conditional and MRI non-conditional devices. Currently, we require a device trained NP/PA to be present during the MRI if the device is not MRI conditional. For MRI conditional devices, we just have to be in the clinic. As our volume of non-MRI conditional devices being scanned grows, this is becoming burdensome as it eats into clinic time for the NP/PAs. Would love to have other clinics share their thoughts and current practices.  Thanks, everyone and Happy New Year!!

Laurie

------------------------------
Laurel Racenet MSN, FNP, FHRS, CEPS, CCDS
Advanced Nurse Practitioner
Alaska Heart and Vascular Inst
Anchorage AK
------------------------------

HI Paul,
I would love to see your protocol for MRIs. We currently do non-conditional MRI's with a device trained NP present, Tues-Thurs. It eats a lot of her time at this point. I like the idea of an ACLS RN monitoring for the conditional devices. Wondering what the best practice is while keeping the correct practitioners present.

------------------------------
Carissa Pistilli MSN
Device Clinic Clinical Supervisor
Nurse Practitioner
The Valley Hospital
Paramus NJ
------------------------------

Original Message:
Sent: 01-11-2021 14:01
From: Paul Kohanski
Subject: MRIs on non-MRI conditional devices

​HI Laurel,

Our hospital maintains a screening process for both non-conditional and conditional devices.   Part of the screening process is a chest x-ray (re viewed by an EP physician)  to check for abandoned hardware as well as a recent device check.
 It is easy to become very busy with MRI scans.
At our hospital, an ACLS certified RN monitors during conditional scans.
Non-conditional scans also require one of our device nurses to be present.
As more physicians become aware of the possibility of performing scans, the volume has greatly increased.
Our hospital restricts non-conditional scans to Thursdays, a day on which an extra device nurse is available.
The device companies support only conditional devices, which may indicate the gravity with which  non-conditional scans should be taken.
We have a written protocol that is followed for conditional and non-conditional devices.
Please contact me with any questions.
Thank you, paul  :  )

------------------------------
Paul Kohanski CNP, FHRS, CCDS
Nurse Practitioner Device Clinic
Univ Hospitals of Cleveland, Cardiology
Cleveland OH

Original Message:
Sent: 01-08-2021 19:44
From: Laurel Racenet
Subject: MRIs on non-MRI conditional devices

I would be interested in seeing how other clinics handle MRIs in patients with non-MRI conditional devices.  We have an MRI in our office and do MRIs on both MRI conditional and MRI non-conditional devices. Currently, we require a device trained NP/PA to be present during the MRI if the device is not MRI conditional. For MRI conditional devices, we just have to be in the clinic. As our volume of non-MRI conditional devices being scanned grows, this is becoming burdensome as it eats into clinic time for the NP/PAs. Would love to have other clinics share their thoughts and current practices.  Thanks, everyone and Happy New Year!!

Laurie

------------------------------
Laurel Racenet MSN, FNP, FHRS, CEPS, CCDS
Advanced Nurse Practitioner
Alaska Heart and Vascular Inst
Anchorage AK
------------------------------

I am following as well.  Our facility has not been performing MRIs on non conditional devices.  We are try  in my to get that started, so I will gladly take any advise or examples of protocols out there.  Thanks.

------------------------------
Shawn Kneece, BSN, CCDS
Electrophysiology Device Clinician
Augusta University Medical
Center
Augusta, GA
skneece@augusta.edu
(706)721-7133
------------------------------

Original Message:
Sent: 01-21-2021 09:08
From: Carissa Pistilli
Subject: MRIs on non-MRI conditional devices

HI Paul,
I would love to see your protocol for MRIs. We currently do non-conditional MRI's with a device trained NP present, Tues-Thurs. It eats a lot of her time at this point. I like the idea of an ACLS RN monitoring for the conditional devices. Wondering what the best practice is while keeping the correct practitioners present.

------------------------------
Carissa Pistilli MSN
Device Clinic Clinical Supervisor
Nurse Practitioner
The Valley Hospital
Paramus NJ

Original Message:
Sent: 01-11-2021 14:01
From: Paul Kohanski
Subject: MRIs on non-MRI conditional devices

​HI Laurel,

Our hospital maintains a screening process for both non-conditional and conditional devices.   Part of the screening process is a chest x-ray (re viewed by an EP physician)  to check for abandoned hardware as well as a recent device check.
 It is easy to become very busy with MRI scans.
At our hospital, an ACLS certified RN monitors during conditional scans.
Non-conditional scans also require one of our device nurses to be present.
As more physicians become aware of the possibility of performing scans, the volume has greatly increased.
Our hospital restricts non-conditional scans to Thursdays, a day on which an extra device nurse is available.
The device companies support only conditional devices, which may indicate the gravity with which  non-conditional scans should be taken.
We have a written protocol that is followed for conditional and non-conditional devices.
Please contact me with any questions.
Thank you, paul  :  )

------------------------------
Paul Kohanski CNP, FHRS, CCDS
Nurse Practitioner Device Clinic
Univ Hospitals of Cleveland, Cardiology
Cleveland OH

Original Message:
Sent: 01-08-2021 19:44
From: Laurel Racenet
Subject: MRIs on non-MRI conditional devices

I would be interested in seeing how other clinics handle MRIs in patients with non-MRI conditional devices.  We have an MRI in our office and do MRIs on both MRI conditional and MRI non-conditional devices. Currently, we require a device trained NP/PA to be present during the MRI if the device is not MRI conditional. For MRI conditional devices, we just have to be in the clinic. As our volume of non-MRI conditional devices being scanned grows, this is becoming burdensome as it eats into clinic time for the NP/PAs. Would love to have other clinics share their thoughts and current practices.  Thanks, everyone and Happy New Year!!

Laurie

------------------------------
Laurel Racenet MSN, FNP, FHRS, CEPS, CCDS
Advanced Nurse Practitioner
Alaska Heart and Vascular Inst
Anchorage AK
------------------------------

Original Message:
Sent: 1/21/2021 9:16:00 AM
From: Mrs. Shawn Kneece, BSN, RN, CCDS
Subject: RE: MRIs on non-MRI conditional devices

I am following as well.  Our facility has not been performing MRIs on non conditional devices.  We are try  in my to get that started, so I will gladly take any advise or examples of protocols out there.  Thanks.

------------------------------
Shawn Kneece, BSN, CCDS
Electrophysiology Device Clinician
Augusta University Medical
Center
Augusta, GA
skneece@augusta.edu
(706)721-7133
------------------------------

Original Message:
Sent: 01-21-2021 09:08
From: Carissa Pistilli
Subject: MRIs on non-MRI conditional devices

HI Paul,
I would love to see your protocol for MRIs. We currently do non-conditional MRI's with a device trained NP present, Tues-Thurs. It eats a lot of her time at this point. I like the idea of an ACLS RN monitoring for the conditional devices. Wondering what the best practice is while keeping the correct practitioners present.

------------------------------
Carissa Pistilli MSN
Device Clinic Clinical Supervisor
Nurse Practitioner
The Valley Hospital
Paramus NJ

Original Message:
Sent: 01-11-2021 14:01
From: Paul Kohanski
Subject: MRIs on non-MRI conditional devices

​HI Laurel,

Our hospital maintains a screening process for both non-conditional and conditional devices.   Part of the screening process is a chest x-ray (re viewed by an EP physician)  to check for abandoned hardware as well as a recent device check.
 It is easy to become very busy with MRI scans.
At our hospital, an ACLS certified RN monitors during conditional scans.
Non-conditional scans also require one of our device nurses to be present.
As more physicians become aware of the possibility of performing scans, the volume has greatly increased.
Our hospital restricts non-conditional scans to Thursdays, a day on which an extra device nurse is available.
The device companies support only conditional devices, which may indicate the gravity with which  non-conditional scans should be taken.
We have a written protocol that is followed for conditional and non-conditional devices.
Please contact me with any questions.
Thank you, paul  :  )

------------------------------
Paul Kohanski CNP, FHRS, CCDS
Nurse Practitioner Device Clinic
Univ Hospitals of Cleveland, Cardiology
Cleveland OH

Original Message:
Sent: 01-08-2021 19:44
From: Laurel Racenet
Subject: MRIs on non-MRI conditional devices

I would be interested in seeing how other clinics handle MRIs in patients with non-MRI conditional devices.  We have an MRI in our office and do MRIs on both MRI conditional and MRI non-conditional devices. Currently, we require a device trained NP/PA to be present during the MRI if the device is not MRI conditional. For MRI conditional devices, we just have to be in the clinic. As our volume of non-MRI conditional devices being scanned grows, this is becoming burdensome as it eats into clinic time for the NP/PAs. Would love to have other clinics share their thoughts and current practices.  Thanks, everyone and Happy New Year!!

Laurie

------------------------------
Laurel Racenet MSN, FNP, FHRS, CEPS, CCDS
Advanced Nurse Practitioner
Alaska Heart and Vascular Inst
Anchorage AK
------------------------------