Meeting Minutes 8/18
 
Attendees
Polly Shah
Michael Liu
Dr Ehlert
Dr Brown
 
TOPIC:
 
ICD/PACEMAKER  - SAFETY GUIDELINES, PRE/POST PROCEDURE MANAGEMENTZ
 
EP looked at MRI facilities - cardiac monitoring, pulse ox, crash card - meet guidelines
Monitoring necessity:
1 - full time monitor cardiac status, vitals for entire duration of scan
nursing/manpower issue
2 - physically available to immediately re-program device
 - Make sure staff member can handle both 1 and 2. Makes sense for EP's team of pa's (already trained) to monitor pre/post procedure - skilled in doing device interrogation/reprogramming. Physically in EP space - difficult for them to move on a case by case basis currently, physically @ EP. Resolution? Definied day of week where pa staff assigned to MRI basement suite. schedule all patients with devices on this day. 
 - Course of action good for elective MRI, not great for urgent. Not currently implemented, currently case by case basis, will expand as need arises. 
 
 - Financial logistics - EP admin and rad admin will trial for few months, work out long term logistics.
 
 - 4 different manufacturers for MRI conditional devices - manufactureers provide programmers - just need another set of programmers for Milstein basement
 
 - Education current rad tech/nurse would benefit from training regarding what is going on with ICD/pacemaker - short lecture.
 
 - Advocate for monthly meeting - address these issues within a month? Next meeting ~9/18
 
 
MRI SAFETY
 
Colloidal silver soap, cream - possibility of burn from silver
 
Clothing - silver lining - possibility of burn
 
Course of action? Still unknown.
 
Gadovist - repeat injection delay - 12 hrs? 
 
Course of action? Still unknown.
 
Need to define MR medical director
Course of action? Reach out to Dr Hecht for columbia side
Confirm changes of R113 and supplement over email