Neonatal X-Ray Interpretation

  1. I'm hoping to get some insight from the experienced NICU nurses and NNPs out there.

    I've never felt very strong when it comes to x-rays. I'm ok with the bare bones basics (ETT depth relative to carina, NG tube in the stomach, enormous pneumos), but I'd love to get better. Whenever I have time at work, I try to pull up images and compare them to the radiology reports, or talk through images with providers. I definitely plan to continue practicing at work, but I think it might be valuable to gain some foundational "textbook" knowledge, too. Merenstein and Gardner has a chapter of x-ray interpretation, which I'm going to attempt to read through (hopefully it won't be too dry).

    Does anybody have recommendations for continuing ed modules or study materials? How did you become proficient?

    My last unit had "x-ray rounds" every morning. All of the providers for the day sat at the charge station and went over the day's x-rays together as a group before rounds. Nurses were welcome to drop in; it was a really cool way to learn.
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  2. 4 Comments

  3. by   adventure_rn
    Update: My dad is a radiologist (ironic, since I'm struggling with x-rays), and every year in November he attends this big conference by the Radiologic Society of North America (RSNA) in Chicago. He just told me that this year I can use his guest badge to attend some of the neonatal radiology sessions.

    RSNA 2�17

    I'm seriously so excited.
  4. by   chare
    If you haven't visited Radiopaedia yet, you might find that helpful.

    Also, performing an internet search using "neonatal radiology tutorial sites" returned several sites, although I didn't visit any to see how specific they were to neonatal/pediatric radiographs.
  5. by   jennylee321
    Just checked out radiopaedia and it looks like a pretty good resource !
  6. by   babyNP.
    I have this textbook, but is a little bit pricey:

    Radiological Imaging of the Neonatal Chest (Medical Radiology): 978354337485: Medicine & Health Science Books @ Amazon.com

    And ANN used to make a CD for neonatal radiology interpretation, not sure if they still have it now.

    Many NICUs have xray rounds where the radiologist goes over all the daily xrays or a designated day; see if you unit has one and if you can go (you might not be able to go all the time depending on your assignment). At my old place of work that was a Level IV, we had "morning rounds" with all the neos (anyone was invited, but generally just the neos and a couple of NNPs and fellows went) went over the night's events, interesting cases, and we always had a radiologist join us who would go over xrays and ultrasounds. I learned so much from going to that. On one day of the week the hour before had fetal surgery rounds with MFM, OB, and neo with a radiologist to go over all the fetal imaging including MRIs. That was seriously cool.

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