放射科護理師檢視最終的 MRI 安全檢查。哪些發現需要立即追蹤?請標示出會使掃描室進入不安全的未解決發現。 | MyMerci
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放射科護理師檢視最終的 MRI 安全檢查。哪些發現需要立即追蹤?請標示出會使掃描室進入不安全的未解決發現。

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Nurses' Notes 1030: The radiology nurse completes the final safety check before a client enters the MRI scanner room. The wristband and order show that two client identifiers match the scheduled examination. The plan confirms that hearing protection will be worn during image acquisition. The history states that an intracranial aneurysm clip type cannot be verified. No operative record or implant card is available. The client has changed into a facility gown with empty pockets and no metal fasteners. The skin check finds that a transdermal patch with metallic backing remains in place. The patch product has not been cleared for the scanner conditions. The nurse verifies that the infusion pump is MR Conditional under the planned settings. At 1036, the client reports that claustrophobia was discussed and a coping plan was agreed. The client remains able to communicate with staff through the call system. A transporter brings a standard ferromagnetic oxygen cylinder into Zone IV. The nurse stops room entry before the cylinder approaches the magnet. The checklist confirms that the client removed jewelry and detachable hearing aids. Emergency equipment remains outside the restricted room according to the site plan. The examination does not begin until every unresolved hazard receives MR safety review.
護理紀錄 1030:放射科護理師在個案進入 MRI 掃描室前完成最終安全檢查。腕帶和醫囑顯示兩位個案身份標識與預定檢查相符。計劃確認在影像擷取期間將佩戴聽力保護裝置。病史記載一個顱內動脈瘤夾的類型無法確認。無手術記錄或植入物卡可用。個案已換上一件口袋清空且無金屬扣件的機構袍。皮膚檢查發現一個含金屬背襯的經皮貼片仍留在原位。該貼片產品尚未確認符合掃描條件。護理師確認輸液幫浦在計劃設定下為 MR 條件。1036 時,個案報告已討論幽閉恐懼症並同意應對計劃。個案仍能透過呼叫系統與工作人員溝通。一名運送人員將一個標準鐵磁性氧氣鋼瓶帶入第四區。護理師在鋼瓶接近磁鐵前停止房間進入。檢查表確認個案已移除首飾和可拆卸助聽器。根據現場計劃,急救設備留在限制區外。在每一項未解決的危害接受 MR 安全審查之前,檢查不會開始。
解析
無法確認的顱內動脈瘤夾、含金屬背襯的經皮貼片,以及進入第四區的鐵磁性氧氣鋼瓶,需要立即追蹤。在每一項物品被識別、移除或確認符合 MR 條件之前,應停止進入。
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