Magnetic Resonance Imaging-Guided Cardiac Catheterization Evacuation Drills

• Published in: Critical care nurse Vol. 41; no. 3; pp. e19 - e26
• Main Authors: Cronin, Ileen F, Kanter, Joshua P, Deutsch, Nina, Hamann, Karin, Olivieri, Laura, Cross, Russell R
• Format: Journal Article
• Language: English
• Published: United States 01.06.2021
• Subjects: Cardiac Catheterization; Heart; Humans; Magnetic Resonance Imaging; Magnetic Resonance Imaging, Interventional; Retrospective Studies
• ISSN: 0279-5442; 1940-8250; 1940-8250
• DOI: 10.4037/ccn2021229

The interventional cardiac magnetic resonance imaging suite combines a cardiac catheterization x-ray laboratory with a magnetic resonance imaging suite. At the study institution, interventional cardiac magnetic resonance imaging procedures (ie, magnetic resonance imaging-guided cardiac catheterizations) have been performed under institutional review board-approved research protocols since 2015. Because the workplace incorporates x-ray and magnetic resonance imaging in a highly technical environment, education about the importance of magnet safety is crucial to ensure the safety of patients and staff. To promote magnetic resonance imaging safety and staff preparedness to respond in emergency situations in a specialized interventional cardiac magnetic resonance imaging environment. Quarterly in situ evacuation drills with a live volunteer were implemented. A retrospective participant survey using a Likert scale was conducted. Evacuations were timed from the cardiac arrest code alert to safe evacuation or defibrillation if appropriate. Over 4 years, 14 drills were performed. Twenty-nine of 48 participants responded to the survey, a 60% response rate. Most participants agreed or strongly agreed that the drills were a positive experience (90%) and that the drills increased their confidence in their ability to perform in an evacuation scenario (100%). Room evacuation times improved from 71 to 41 seconds. No patient or staff safety events occurred in the interventional cardiac magnetic resonance imaging environment. Magnetic resonance imaging-guided cardiac catheterization evacuation drills promote preparedness, ensure patient and staff safety, and improve evacuation time in the interventional cardiac magnetic resonance imaging environment.