Nursing Responsibilities: Before the procedure 1.

Patient may be asked not to eat or drink anything for 4 - 6 hours before the scan. 2. Asked patient if they are afraid of close spaces or claustrophobia and inform the doctor. Patient may be given a medicine to help them feel sleepy and less anxious. 3. Before the test, asked the patient if they have the following: o Artificial heart valves o Brain aneurysm clips o Heart defibrillator or pacemaker o Inner ear (cochlear) implants

o Kidney disease or dialysis o Recently placed artificial joints o Vascular stents o Worked with sheet metal in the past 4. Asked patients to remove the following: o Items such as jewelry, watches, credit cards, and hearing aids may be damaged. o Pens, pocketknives, and eyeglasses - may fly across the room. o Pins, hairpins, metal zippers, and similar metallic items - can distort the images. o Removable dental work should be taken out just before the scan. 5. Offer patient specialized headphones During the procedure

Ask patient to remain still. Give patient instructions through the microphone. Monitor patient if needed. Patients that require monitoring and support during MRI procedures.

Physically or mentally unstable patients. Patients with compromised physiologic functions. Patients who are unable to communicate. Neonatal and pediatric patients. Sedated or anesthetized patients. Patients undergoing MR-guided interventional procedures. Patients who may have a reaction to an MRI contrast agent. Critically ill or high-risk patients. After the procedure Prior to allowing the patient to leave the MRI facility, the patient should be alert, oriented, and have stable vital signs. A responsible adult should accompany the patient home. Written instructions that include an emergency telephone number should be provided to the patient.

TYPES: Traditional Closed MRI

Open MRI Scans Standing or Sitting MRI