Weird incident in the MRI room.. Weird incident in the MRI room.. | allnurses

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Weird incident in the MRI room..

  1. 0 A tech who is a type 1 diabetic accidently walked into the MRI room wearing an insulin pump.. the pump flew into the gantry...luckily the patient wasnt harmed... however the tech recieved a large bolus (over 30 units) of insulin as the pump failed (because of the MRI magnet). He later was seen by a volunteer to be confused and then he was brought to the ER for treatment....treated with IV D50 x2 and released....

    There are nurses in the department who are diabetic and use insulin pumps. Unlike the tech they rarely walk into the MRI room (maybe once or twice a shift to push contrast or start an IV) The management has made this tech (mentioned above) leave his insulin pump locked up in a locker and insist he do manual injections of insulin.... policy is being discussed as to what to do with the other staff members who use an insulin pump.... this is insane... does anyone see anything wrong with that?

    In my oppinion anyone can make a mistake and walk into the room with say a CELL phone... I've never heard management mandating a persons treatment of their disease to fit institutional policies. Any comments? Discuss......
  2. 16 Comments

  3. Visit  bookworm1 profile page
    #1 0
    We got a letter from our son's insulin pump manufacturer back in May that disclosed information regarding this possibility to us. We had to place a permanent sticker on the back of the pump with the MRI warning. Tough one for the tech to deal with! To be required to revert back to shots would not be easy.
  4. Visit  KEVIN88GT profile page
    #2 0
    you're missing my point... why should he revert back to shots.... he can take the pump off when he goes into the room....
  5. Visit  dianah profile page
    #3 2
    It does not seem right that policy prevails over one's personal diabetes control, especially when there is a simple alternative.
    Some ppl only achieve a "normal" life with an insulin pump.
    Would TPTB shove that person BACKWARDS, to brittle control, by depriving said person of the pump?

    I hope cooler heads prevail, and it's mandated that all persons entering the MRI suite are checked by the MRI tech BEFORE crossing the threshold, AND that leaving the insulin pump outside the suite is REQUIRED (along with the usual: cell phone, kelly clamps, scissors, credit cards, hospital ID with magnetic stripe, etc.).

    Diligence on the part of the MRI personnel is CRITICAL here, as others who don't routinely work in that area may not remember to remove all the above articles from their person upon entering the suite.

    Perhaps the person using the insulin pump can bring documentation from his MD stating his diabetes control and health would be placed at grave risk if he was mandated to do without the insulin pump . . .

    That's MHO on it, KEVIN.
  6. Visit  catlynLPN profile page
    #4 0
    Quote from KEVIN88GT
    you're missing my point... why should he revert back to shots.... he can take the pump off when he goes into the room....
    But WILL he? He obviously forgot this time.
    How many others who use a pump will "accidentally" forget?
  7. Visit  Jolie profile page
    #5 0
    Would this be an ADA issue, requiring th hospital to make "reasonable accomodations" for this employee?

    Seems like administration requiring him to revert to insulin shots is the equivalent of practicing medicine without a license.
  8. Visit  RN1989 profile page
    #6 3
    This person is putting himself and the patients in danger by working in MRI. Those insulin pumps are like watches and glasses - you wear them all the time and forget that they are there until you get in the shower. What if there were and emergency and the tech needed to run into the chamber quickly. I seriously doubt that the person would remember to yank off their insulin pump.

    I have been in facilities that you can't even get into the MRI control room with ANY metal objects, much less into the chamber room. This is a safety issue. The hospital is not trying to be mean, but they will be held liable if the pump came flying off and hit a pt. And the hospital could be sued by the tech or the techs family for injury to the tech related to an OD of insulin because of the magnet. They would claim that the hospital failed to set up a system to prevent personnel from entering the chamber with the pump on and the tech was injured or killed by an insulin OD.

    By requiring the tech to take injections instead of the pump, they are keeping EVERYONE safe. You said he "accidently" walked in. Everyone that I know is required to take MRI safety training for this very reason. And if this person routinely works down there and "forgot", there is no way that allowing him to wear his pump would be safe since he could definitely forget again. He needs to discuss with his doctor the issue and/or consider transferring to a place where he is not responsible for the MRI. He is knowingly putting himself and his patients at risk. I don't think that the ADA is going to take priority on this one because the pt in the chamber could be affected by this not just the tech.
  9. Visit  DutchgirlRN profile page
    #7 0
    Not actually a weird incident it's expected to happen and is why patients with insulin pumps must disconnect and lock them up prior to their scan. I don't see how they can require this tech to not use his insulin pump, it will just have to be his responsibility to remember not to go in the chamber with it attached. Once or twice making that mistake should do the trick.
  10. Visit  cttech profile page
    #8 0
    I recently accepted a position as a ct tech for a very large and well known facility. I have worn an insulin pump for 8 years and have very little succes with a regimen of insulin injections. That is why what happened to me is very discouraging. Due to the fact that i will be working close to an MRI field and the opportunity exists that on eveing shifts i might have to "run into a room to help a patient" I am being reassigned to diagnostic radiology until another CT position opens. I understand everyone's concern for patient safetybut my understanding is that there should be two individuals with level ii MR experience or knowledge in the immediate area at all times. So, in the case above, the tech with the insulin pump should be calling a code or paging the appropriate assistafor emergencies. In my case, at this free standing facility i would be calling 911. Although they did not fire me nor did they relinquish any payit is discouraging to have learned a specialized field and then be told you can't do what you love.
    Last edit by cttech on Apr 30, '08
  11. Visit  KEVIN88GT profile page
    #9 0
    as long as you dont enter the MRI room (you can even walk up to the open door of the MRI suite) nothing will happen to your pump.

    Why would you have to "RUN INTO" the MRI room to help a patient... having your pump is like having a cell phone in your pocket or a stethoscope around your neck... YOU HAVE TO TAKE IT OFF BEFORE GOING IN NO MATTER WHAT... this makes you no different than other people working in the DEPT.

    Dont let people discriminate against you because of their ignorance... they tried to do that to me at my job untill I wrote a letter to administration.....

    Fight the POWER! If there is anything I can do let me know.... feel free to PM me... just tonight I had several injections in the MRI suite... and guess what... NOTHING HAPPENED... the pump comes off just like the cell phone comes out of my pocket.... life goes on.
  12. Visit  frann profile page
    #10 0
    I've had some experience with insulin pumps in last almost 2 years since my dd was dx.
    I can see where the tech could forget.Did the pump survive the crash into magnet?
    what if while he was seated at mri controls-what if his pump was also attached to small chain connected to wall.
    or if he had omnipod-I don't think there is anything metal in the pods. but of course that would be extreme having to change pumps.
  13. Visit  KEVIN88GT profile page
    #11 0

    -there is not enought ferromagnetic material in the pump that would suck it into the magnet if it is hangin on the clip on your waist. The magnetic field WILL however damage the circuits and possibly discharge large amount of insulin into the wearer

    -The idea with the chain is ridiculous... while I understand you're trying to make it easier for the wearer you're missing a crucial point.

    There can be NOTHING ferromagnetic (electronics included) that can be taken into the MRI room without either becoming a danger to the patient or damaging the electronics

    Thus the MRI tech. is no different than an MRI tech who wears an insulin pump. They BOTH have to remove anything in their pockets before entering the room. Weather it's a cell phone or an insulin pump.

    We're beating a dead horse here.... to finalize things...being a pump wearer would not automatically disqualify you from working with MRI's

    I'll be glad to answer anyone else questions regarding this... even with my limited experiece with MRI's.
  14. Visit  tgilk profile page
    #12 2
    This is a very 'sticky-wicket' from the practical standpoint. I agree that telling the tech that (s)he is forbidden from using their portable pump is a bad decision for anyone to make, particularly a healthcare provider, but I would be even more determined to prevent anyone carrying ferrous material, even as a part of their job... such as a tool belt, to circulate within the MRI suite without appropriate protections.

    Given the typical workloads and throughput pressures common to most MRI facilities, it borders on fantasy to think that techs would be willing to both turn away from patient care at the same time several times per day for one to repeatedly screen the other. Current technology and best practices, however, might provide a solution that would also enhance the safety of ALL persons entering the MRI scanner room.

    The 2007 ACR Guidance Document and the recent Joint Commission Sentinel Event both suggest the use of ferromagnetic detection (FMD) devices as an adjunct to conventional screening. This diabetic tech's pump, if it is ferromagnetic enough to go flying into the bore, is likely ferromagnetic enough to light up a ferromagnetic detector like a Christmas tree. While most facilities might be reluctant to take such steps for an issue raised by one tech, if the FMD was positioned in the path of everyone entering the MRI suite, it could provide redundant screening for everyone, not just the one tech.

    I served on the ACR's MR Safety Committee and am a contributing author to the Guidance Document. While today I work for a company that manufactures FMD (full disclosure), the proposal to include the recommendation for the use of FMD screening in the Guidance Document was that of Dr. Emanuel Kanal, noted guru of MRI safety issues.

    I'd hate to see a trained and talented technologist be forced to choose between the career that they've chosen and effective management of their health, particularly when there are options out there that might allow both options to coexist and provide safety benefits to everyone else in the MRI suite, too.

    Tobias Gilk