"Without change there is no innovation, creativity, or incentive for improvement. Those who initiate change will have a better opportunity to manage the change that is inevitable."
Go Forth and Lead with Innovation
Transformation and metamorphosis are words commonly associated with innovation. These words can conjure visions that elicit pleasant emotions or extreme anxiety. Innovation can be painful, but on occasion, the process proclaims a brand new enhancement that improves on old methods and adds value.
In radiology nursing, we are on the threshold of unprecedented transformation. Contemplating this transformation affords an opportunity to reorganize our work and evaluate how we impact radiology patient care. This is an important time to restructure and consider concepts about how work is done and the processes we employ to do it. I remember studying the transformation of a caterpillar to a butterfly in biology class. During the chrysalis stage, the caterpillar’s tissue is transformed into the body of a butterfly. If the caterpillar did not transform, its existence would end in immaturity. In a similar manner, radiology nursing must be willing to undergo transformation. The statement made in many radiology departments over the years—“That’s the way we have always done it”—is not sufficient anymore in an era of changing healthcare economics and interdepartmental patient education.
Gabriel Tarde first recognized innovation as a process, and that process begins with knowledge (Tarde, 1903). Consider your daily workflow: Are you the employee that simply punches in and punches out to go home? Or do you look for ways to innovate and generate energy in your workplace? Do you contemplate new ways to deliver education in the department, consider research topics and perform literature searches, offer recommendations for increasing workflow efficiency, or inspire coworkers to think innovatively? These actions are contagious in the work group and the results are easy to recognize. The process to accomplish these actions is simple. Look for a cumbersome or inefficient workflow your organization uses in a particular procedure or process and then organize a focus group of your coworkers in a brainstorming session. Innovation evolves from the unconstrained offering of ideas, and no idea is too small or silly.
The transformation of health care, and radiology nursing in particular, will depend on frontline practitioners providing cutting-edge insights into our processes. These insights must be credible and thought-provoking to elicit the transformation. Not all ideas will be feasible for a myriad of reasons, but the process of thinking innovatively will produce a climate for positive change. It is important to realize in this process that the biggest obstacles to innovation and transformation are negativity and criticism. Things can’t stay the same and also change. Innovation means change and we can either embrace it, or it will embrace us.
Most organizations and workplaces have mechanisms for disseminating innovations, but you are the key in creating innovation. Make sure you know your organizational structure and who your organizational leaders are. Once your brainstorming session creates ideas, share them with your leadership in a manner that boosts collaboration and ensures success.
Finally, put away the fear of failure. It may seem as if your ideas are not making a difference at first, but perseverance pays off. Many organizations are large and change takes time. Leadership will see your commitment to the organization and your patient care in a new light. The literature is full of stories about entrepreneurs who failed before they finally succeeded. Thomas Edison failed 1,000 times before the light bulb was invented. Radiology nurses are patient ambassadors and advocates for health care improvement and patient safety in the department. We light up the work area with our compassion and face tremendous challenges daily as we provide the best care to our patients. An unknown author once said, “If nothing ever changed, there'd be no butterflies” (Anonymous, 2015). Join me as we go forth and lead with innovation.
Tarde, G. (1903). The Laws of Imitation. New York: H. Holt & Co.Anonymous. (2015). Retrieved from http://www.quotegarden.com/change.html
Greg Laukhuf, RN-BC, ND, CRN, NE-BC
2014 ARIN President
A Time to Reflect: A Message from the ARIN Executive Director
The New Year is often a time to reflect on the past and set goals for the future. We may examine the positives and negatives from the year before to determine if our goals were met. Based on these results, we may repeat the process for the upcoming year. The process is repeated regardless of who we are, where we are, or what setting we are in.
The ARIN Board of Directors is in a similar goal-setting mode. For the past several weeks, the board has been working with BMC, our new management company, in transition mode. During this time, everything that defines ARIN has been reviewed in depth. The outcome is to be determined, but I can tell you that this Board of Directors is totally committed to moving ARIN forward, branching out in new arenas, and improving and adding to the value of your membership. Read on to see what ARIN has been working on.
Strategic Partnership: We are working diligently to identify strategic partners who share our vision to deliver quality patient care and provide quality education to radiology nurses. Covidien Patient Monitoring Division is definitely a partner with those same goals. Capnography is a critical part of administering and monitoring a patient receiving moderate sedation. As we move through 2015, you will hear more about this partnership. Conversations continue with several companies, with the hope they will join us as partners.
Education Credits: ARIN webinars have grown in the number presented this year. The topics are clearly related to our practice; however, attendance has not been what we expected. Please let us know of a topic you would like to hear. We welcome speaker suggestions. Many of you have been waiting for credits to appear in the Journal of Radiology Nursing. I am thrilled to tell you that this resolution is coming to fruition! Beginning with the March 2015 issue, you will be able to obtain contact hours for the articles you are reading. This will assist many of you in completing the contact hours needed for certification and recertification of your Certified Radiology Nurse credential.
Imaging Nurse Review Course: This educational program is growing by leaps and bounds. The goal of this course has always been to educate and support imaging nurses in their areas and modalities of practice. More courses are being scheduled. We are working with hospitals to determine the best way to present the course to their staff. And the course content is under review and undergoing updates by our master faculty, who are putting the finishing touches on this process.
Vision Newsletter: The new format of six (6) issues per year has just cycled through its first year. Vision expanded by adding practice information to assist in daily practice. The newsletter also acknowledges you, our members, by congratulating your various accomplishments, such as promotions, educational degrees, and certifications! I encourage you to continue submitting your accomplishments to be published for all to see.
The ARIN Board continues to work on several new initiatives, which you will hear about in the upcoming months. Stay tuned.
As I close my comments, I encourage you to join your ARIN, AVIR, and SIR colleagues in Atlanta, Georgia for the 2015 ARIN Convention. This program is dynamic! ARIN is hosting the Imaging Nurse Review Course on February 27 & 28. The ARIN/AVIR Joint Day will again be happening on Sunday, March 1. The Poster Session has become a premier event for all. This is one resolution that continues to grow each year! Please stop by and say hello.
Karen L. Green, MHA, BSN, RN, CRN
ARIN Executive Director
Save the Date: ARIN Convention 2015
Omni Hotel at CNN Center, Atlanta, GA
Convention: March 1-4, 2015
Imaging Nurse Review Course: February 27-28, 2015
Click Here to Register Today
On behalf of the ARIN planning committee, I want to invite you to the 34th Annual ARIN Convention being held in Atlanta, GA. Our convention is held in conjunction with the Society of Interventional Radiology (SIR) Convention and the Association of Vascular and Interventional Radiographers (AVIR). The ARIN and AVIR Conventions will be held at the Omni Hotel at the CNN Center. A joint day is planned with the Association of Vascular and Interventional Radiographers (AVIR).
The Planning Committee volunteers have worked diligently to ensure that the educational sessions offered are informative and pertinent to your practice--“to foster the growth of nurses who advance the standard of care in the imaging environment.” We have sessions to enhance your experience for all levels of expertise and modalities.
Some of the Exciting Presentations Include:
- Pediatric care challenges
- Sedation concerns
- Care of patients with cerebral vasospasm
- Radiology nursing in New Zealand
- Various modality-specific presentations (CT, MRI, IR)
- Radiology nursing legal concerns
Our goal is for all who attend to return home richer from the experience and the friendships and relationships built, and to leave empowered to “Go Forth and Lead.” I hope you plan on joining us this spring for the educational experience of the year.
We look forward to seeing you in Atlanta.
Brenda N. Boone, PhD, RN
Director of Education, ARIN
Imaging Nurse Review Course Fees:
ARIN Member – Early Bird/Advance: $299; Late: $350
Non-Member - Early Bird/Advance: $350; Late: $400
Click here for ARIN's 2015 Program!
Your ARIN badge will grant you access to all ARIN-related programs, including the AVIR/ARIN evening soiree. ARIN attendee badges may attend all SIR sessions, networking events, and the SIR Expo. Please note that some events, such as hands-on Learning Labs, may require a ticket or additional fee. Please visit www.sirmeeting.org for a complete schedule of SIR educational sessions and events.
Visit www.arinursing.org for more information.
The 2015 Planning Committee
Brenda N. Boone, PhD, RN, CRN, ARIN Director of Education
Deborah Romanie, RN, CRN, Planning Committee Chair
Catherine DeLeon, RN, CRN
Elizabeth Halbert, BSN, RN, CRN
Christy E. Lee, MSN, APRN-BC, CRN
Nursing Organizations Alliance Fall Event 2014
American Nurses Association (ANA) hosts three major meetings yearly: the Nurse in Washington Internship (NIWI), Nursing Organizations Alliance (NOA), and Nursing Association Leadership Academy (NALA). ARIN participates in each meeting by sending members to represent the organization and bring back important information for members. Below are excerpts from the address on radiology nursing delivered by ARIN President Greg Laukhuf to the Nursing Organization Alliance meeting on Nov. 18, 2014 in Tampa, Florida.
The Association for Radiologic and Imaging Nursing (ARIN) was founded in 1981 as the professional organization for nurses practicing in the diagnostic, neurological, cardiology, ultrasound, CT, nuclear medicine, MRI, and radiation oncology areas of radiology.
ARIN fosters the growth of nurses who advance the standard of care in the imaging environment. This is accomplished through educational items such as the Core Curriculum, annual conference, webinars, Radiology Nurse Certification, and interdisciplinary projects, such as the joint paper on sterile guidelines with AORN and SIR, the Radiology Nursing standards with the ANA. The mission is to provide nurses working in these domains with the knowledge and resources to deliver safe, quality patient care in the imaging environment.
The role of the modern imaging nurse is complex. Radiology nurses care for patients across a wide spectrum of health—neonate to geriatric, outpatient to inpatient, and chronic to critical care. They accomplish and deliver nursing care while working in a variety of modalities and radiologic specialties 24/7.
It is estimated that 70% of all patients visit the radiology department during a hospital stay. Although the diagnostic use of imaging is decreasing according to some studies, procedures continue to move to outpatient settings and out of OR to Interventional Radiology. This is while radiology technology continues to expand. This creates unique patient care challenges and opportunities for the radiology nurse.
The Affordable Care Act (ACA) is increasing the number of insured patients, which many think will ultimately lead to an increase in imaging. However, the ACA will also drive down reimbursements for services, including radiology tests, by negotiating lower rates for those who join the health exchange plans, as well as giving patients more financial responsibility, making patients more price-conscious. This is one of the unique challenges faced by radiology nurses who are providing care to this growing group of patients with fewer resources available.
It is the request of ARIN that the State Board of Nursing add the designation of radiology nurse to the demographics label for renewal. This will help us to identify radiology nurses who may benefit from our organization and assist us in valuable research to foster the body of radiology nursing.
Radiology nurses are innovative, flexible, and readily able to adapt, as evidenced by their emergence as leaders in the changing world of healthcare. We will continue as advocates for transformative imaging and patient care.
Greg Laukhuf, RN, ND, CRN, NE-BC, RN-BC
Sharon Lehmann, CNS, Vision Editor, Interviews Greg Laukhuf
Q: Greg, you mentioned that you want to have radiology added to the demographics. Where does it go from there? Does it need to be approved by someone, or do you need to send it to each board of nursing? Who makes the decision?
A: Sharon, good questions. The most important element is that we were recognized as a group and on the agenda. Exposure to nurses is very important so radiology nurses are aware of ARIN. The board still receives messages that some nurses do not know we exist. I received an e-mail last fall from a nurse suggesting that radiology nurses form an organization.
The secondary issue is that this is all uncharted territory. Bringing the issue forward at a NOA meeting and having it placed in the minutes is significant. Other organizations expressed that this was an issue for them as well. The ARIN Leadership Committee is working on a 2015 project to gather this data if possible. Most state that boards of nursing do not gather the data. The next step was to ask the National Association for Boards of Nursing to place it on their demographic data sheets. As you can see, this will be a long-term process, but that is how a mountain is moved: one pebble at a time.
Journal of Radiology Nursing:
DIrected Journal Reading Program
ARIN members seeking nursing continuing education (CE) contact hours are invited to participate in ARIN's Directed Journal Reading Program (DJR). The March issue of the Journal of Radiology Nursing (JRN) contains two articles that have been selected for the DJR. The titles of these articles are: "Malpractice 101: Strategies for Defending Your Practice" and "The Essentials of Expert Witnessing for the Radiology Nurse." Each article and quiz has been approved by GNA for contact hours. These two CE articles will be offered to ARIN members at no cost.
All ARIN educational activities are accepted toward the maintenance of radiology nursing certification. DJR quizzes are only available online through the ARIN website and will encompass the material from selected articles. The ARIN educational system will score and maintain each member’s CE activities. Articles, quizzes, and CE transcripts are located at www.arinursing.org under Education. Participants can print transcripts as needed.
INSTRUCTIONS FOR COMPLETING THE ARIN
DIRECTED JOURNAL READING PROGRAM
Click on the following selections: Education, Directed Journal Readings (DJR), Directed Journal Readings (DJR) Quizzes.
Take the quiz and submit the answers online.
Participant must score a minimum of 80% to receive contact hours. Contact hours for these 2 DJR activities are available through January 21, 2017.
All ARIN members are eligible to participate in DJR activities. Participants who answer a minimum of 80% of the questions correctly will receive the nursing contact hours in their ARIN transcript. Upon completion of each quiz, the individual will receive immediate results. If the quiz is not successfully completed, it may be retaken up to three times.
A certificate of attendance verifying successful completion of the activity and awarding contact hours will be available for printing.
Questions regarding the quiz or article content should be sent to the ARIN Directed Journal Reading Committee at firstname.lastname@example.org or mailed to 2201 Cooperative Way, Suite 600, Herndon, VA 20171.
Ebola Preparedness Survey
A survey was conducted to assess the readiness and educational needs of ARIN members to handle a patient that presented with Ebola. Using Survey Monkey, ARIN eBlasted the survey below to 1,652 members. The survey started on Oct. 17, 2014 and ended on Oct. 24, 2014. We received 250 responses, representing a 15% response rate. The results are included below. For further reference, please also see the American College of Radiology’s Ebola document.
Do you feel adequately prepared to care for patients with Ebola?
Strongly disagree: 45.20% (113)
Disagree: 29.60% (74)
Neither agree nor disagree: 11.20% (28)
Agree: 11.20% (28)
Strongly agree: 2.80% (7)
AVERAGE RATING: 1.97
My workplace has reviewed policies, practices, and guidelines for caring for Ebola patients with me.
Strongly disagree: 27.31% (68)
Disagree: 22.09% (55)
Neither agree nor disagree: 12.85% (32)
Agree: 29.72% (74)
Strongly agree: 8.03% (20)
AVERAGE RATING: 2.69
I am confident in providing care to a patient infected or suspected of having Ebola.
Strongly disagree: 45.20% (113)
Disagree: 30.80% (77)
Neither agree nor disagree: 10.80% (27)
Agree: 9.60% (24)
Strongly agree: 3.60% (9)
AVERAGE RATING: 1.96
I have all the equipment to care for a patient with Ebola today.
Strongly disagree: 46.80% (117)
Disagree: 24.00% (60)
Neither agree nor disagree: 13.60% (34)
Agree: 12.80% (32)
Strongly agree: 2.80% (7)
AVERAGE RATING: 2.01
I know how to obtain protective equipment in my workplace.
Strongly disagree: 23.69% (59)
Disagree: 16.06% (40)
Neither agree nor disagree: 15.66% (39)
Agree: 30.52% (76)
Strongly agree: 14.06% (35)
AVERAGE RATING: 2.95
I know how to use the protective equipment.
Strongly disagree: 21.69% (54)
Disagree: 17.67% (44)
Neither agree nor disagree: 14.46% (36)
Agree: 32.13% (80)
Strongly agree: 14.06% (35)
AVERAGE RATING: 2.99
I know how to dispose of contaminated equipment.
Strongly disagree: 33.74% (83)
Disagree: 19.92% (49)
Neither agree nor disagree: 12.60% (31)
Agree: 26.42% (65)
Strongly agree: 7.32% (18)
AVERAGE RATING: 2.54
I know how to remove protective equipment without contaminating myself.
Strongly disagree: 29.84% (74)
Disagree: 21.77% (54)
Neither agree nor disagree: 10.48% (26)
Agree: 29.03% (72)
Strongly agree: 8.87% (22)
AVERAGE RATING: 2.65
Celebrate National Radiology Nurse Day
Sunday, April 12, 2015 is National Radiology Nurse Day. This is a day to recognize those working in the specialty practice of radiologic and imaging nursing who advance the standard of care in the imaging environment. There are a few websites dedicated to products that can assist your department in celebrating this day.
Brown Industries, Inc
. You can select from recognition pins, key holders, greeting cards, plaques, and desktop awards.
. There is a wide variety of nurse appreciation gifts to select from on this site.
In the past, hospitals have celebrated National Radiology Nurse Day by hosting pot lucks, or physicians have purchased breakfast or lunch. Nurses have made posters for the lobby explaining what radiology and imaging nursing is, which is not only to educate the public, but also their co-workers. You could also develop a kudos board for your department to promote and share what you appreciate about each other as co-workers.
Please share your celebrations so that they can be published in the Vision newsletter. Send your submissions to Sharon Lehmann at email@example.com.
Holistic Nursing: The Perfect Radiology Practice Fit
Rody Olmstead, BSN, RN, OCN, CBCN, HNB-BC
Clinical Coordinator, Radiology
University Hospitals Case Medical Center
Caroline Sanchez, BSN, RN, CBCN, HNB-BC
Clinical Coordinator, Radiology
University Hospitals Case Medical Center
Radiology nursing is a constantly evolving paradigm. On a daily basis, we take care of patients across the continuum from birth to death, inpatient to outpatient, and from acute to chronic care. Our care encompasses multiple radiology modalities in various practice settings, often highly technical, with imaging devices, computers, wires, catheters, and pharmacology. In the midst of this cacophony of technology, it is easy to lose the focus on “caring for the whole person.” In radiology, we are often focused on a specific body part in our care and treatment; however, an awareness of our interactions with the whole person can alter the patient experience and our ability to help patients heal. Caring and healing are the foundations of nursing practice, and are the reasons many of us entered the nursing profession. As radiology nurses working in fast-paced, technologically oriented environments, how can we maintain caring and healing in our practice?
The primary focus of holistic nursing is to bring caring and healing back into the healthcare system. It reintegrates the art and science of nursing. The American Holistic Nurses Association (AHNA) defines holistic nursing as “all nursing practice that has healing the whole person as its goal.” While it is critical to be competent in skills necessary to providing quality care, we must also be aware of our interactions with patients in their environment. Holistic nursing is a blend of nursing knowledge, theories, expertise, and intuition to guide nurses. The result is that the nurse becomes a therapeutic partner with patients in their care. When patients feel a relationship with their caregivers and they are an active part of decision-making for their care, it is possible for healing to occur. Healing is different from curing. As nurses, we will encounter patients who may never be cured of the signs and symptoms of their diseases. Healing is the restoration of balance and harmony in mind, body, spirit, and emotion. Healing is always possible.
Holistic nursing is a specialty nursing practice that identifies the totality of the human being—the interconnectedness of body, mind, emotion, spirit, social/cultural considerations, relationships, context, and environment. Florence Nightingale believed in care that focuses on unity, wellness, and the interrelation of human beings, events, and environment (Thornton, 2015). Think about the environment our patients enter when they come for testing or treatment in radiology. It is often unfamiliar, with dim lighting. We ask patients to remove their clothing, place them in uncomfortable positions, and anticipate that they may experience pain during a procedure. Many patients are awaiting a result or diagnosis that could change their lives and impact the lives of those close to them. It is often frightening. How do we approach our patients? Are we present and aware of their fears, feelings, and what things are important to them as we provide our care? Do we take time to look them in the eye, ask how they are doing, and form a relationship with them so they know we care about them as a person, not just as “the breast” or “the cardiac cath” patient in a specific room? Holistic nurses recognize the importance of caring for patients and developing therapeutic relationships with patients and their families.
Integral in the care of the patient are the core values employed by the nurse. Core values utilized by the holistic nurse include:
The practice of holistic nursing requires that nurses integrate self-reflection and self-care into their own lives. Florence Nightingale highlighted the need for self-care in nurses and emphasized the need for the care and support of other nurses. “The care that we do or do not extend ourselves invariably shows up in our ability to be present with our patients” (Rosa, 2014). By caring for ourselves, we continue to provide extraordinary compassion for others. This contributes to excellence in patient outcomes.
In 2006, the American Nurses Association (ANA) gave holistic nursing official recognition as a nursing specialty. While board certification for holistic nursing is available through the AHNA and the American Nurses Credentialing Center (ANCC), holistic nursing is for any nurse who views the patient as a unified whole and takes a mind/body/spirit/emotional approach to their practice, including radiology nurses. Holistic nursing is a way of “being” in the world, and not just a modality. It is who you are when you are with your patients and co-workers that defines you as a holistic nurse. Holistic Nursing: Scope and Standards of Practice calls for the holistic nurse to use warmth, compassion, caring, authenticity, respect, trust, and relationship as instruments of healing in and of themselves, and as part of the environment (AHNA, 2013). Radiology nurses have the opportunity to become instruments of healing, even in the midst of complex and demanding patient encounters.
Our experiences in the radiology suite can help to bring holistic nursing into focus. As breast navigators in the radiology department, we are present and assist in the explanation of breast biopsies. When we assist in positioning them on the table with arm raised for the biopsy, they often realize the gravity of the situation and their vulnerability. They realize that they are the 1 in 8 whom breast cancer may strike. Many patients will shake in fear from this realization, and this is the time the nurse needs to be present in the moment. Encouraging the patient by saying things like, “Just breathe” and “Visualize that you are surrounded by people with your highest good as their priority; this is the reality” can make a difference. Many times, the patient will mouth a silent “Thank you.” They often send cards and letters later thanking us for helping them. Many have said, “I could not have done it without you.” We share that we gave them the tools, but that they did the work. It is essential that the nurse stop the other tasks they are performing to be physically and emotionally present to hold hands with the patient. The nurse sets forth the intention that all is well in a caring framework.
Take a moment to reflect on how you currently practice and who you are at the bedside or with your co-workers. When the focus is on an imaging screen, starting an IV, or preparing for a procedure, do you maintain awareness of what your patient is doing, how they are feeling, and how you are interacting with them and the other individuals present in the room? It is an incredible privilege to be part of your patients’ care during these vulnerable moments. Mindfulness and making a conscious effort to be present for your patients, for your co-workers, and for you will undoubtedly impact the care you provide and the healing that is possible, for everyone present!
American Holistic Nurses Association. (2014). Core curriculum for holistic nursing (2nd ed.). Burlington, MA: Jones & Bartlett Learning.
American Holistic Nurses Association. (2013). Holistic nursing: Scope and standards of practice. Nursebooks.org: The Publishing Program of ANA, Silver Spring, MD.
Dossey, B. M., & Keegan, L. (Eds.). (2009). Holistic Nursing: A handbook for practice (5th ed). Sudbury, MA: Jones and Bartlett.
Mariano, C. (2009). Holistic nursing: Scope and standards of practice. In B. M. Dossey & L. Keegan (Eds.), Holistic nursing: A handbook for practice (5th ed). Sudbury, MA: Jones and Bartlett.
Rosa, W. (2014). Caring science and compassion fatigue: Reflective inventory for the individual processes of self-healing. AHNA Beginnings, 34(4), 18-20.
Thornton, L. (2015). What is holistic nursing? American Holistic Nurses Association. Retrieved from
Save the Date:
Annual Radiology Nursing and Technologists Conference
Tuesday, May 19th
8 a.m. – 4:30 p.m.
More information to follow.
Contact firstname.lastname@example.org or (410) 328-7324.
Bare News for Radiology: What You Really Need to Know!
Knowledge Gaps in Cancer Screening
Primary care providers are ill-informed regarding lung cancer screening, according to a study by Wake Forest Baptist Medical Center presented at the 2014 Chicago Multidisciplinary Symposium. A physician survey revealed that 47% were knowledgeable on the guidelines for identifying high-risk individuals who would benefit from screening. The study revealed that 30% were unsure of the effectiveness of low-dose CT (LDCT) screening and did not recommend the scan to their patients. The complete article can be found here.
3D Ultrasound Aids Tumor Visualization
3D ultrasound was emphasized at the American College of Surgeons 2014 Clinical Congress in San Francisco. Dr. M. Catherine Lee, associate professor of surgery at the H. Lee Moffitt Cancer Center in Tampa, FL, described the combined use of 3D ultrasound with specially designed software for pinpointing and assisting in the measurement of a breast tumor’s volume and depth. This imaging technique increases accuracy as opposed to current methods, according to Dr. Lee and colleagues. Read excerpts from the Clinical Congress here.
Brain Imaging in Non-Symptomatic Patients
Performing neuroimaging exams on high-risk patients for vascular disease may help detect those patients prior to their having heart attacks or stroke, according to a recent paper published in JACC Cardiovascular Imaging. Dr. Joseph I. Friedman, Associate Professor at Icahn School of Medicine at Mount Sinai Health System in New York City, and colleagues examined relevant brain imaging studies over a 33-year time frame. They reviewed brain changes in patients with vascular risk factors who did not manifest cardiovascular or cerebrovascular disease or events to make their conclusions. View the full paper here.
Contrast Media of the Future?
A multidisciplinary team at the University of Arizona prepared a review of 117 contrast agents that are responsive to a change in a physiological biomarker used between 2005 and 2014. In a recent publication online in Contrast Media & Molecular Imaging, first author Dina V. Hingorani describes a total of 117 responsive MRI contrast agents used in 2005–2014 that could detect 9 types of biomarkers. Each of these contrast agents experiences a change in tumbling time, a change in aggregation state, a change in chemical exchange rate, a change in water accessibility, a change in ligand proximity, and a change in electronic state. The review outlines the physicochemical characteristics and chemical structures for these responsive MRI contrast agents. The full article may be found here.
Radiology and Palliative Care
Dr. Peter L. Munk, Professor of Radiology at the University of British Columbia, observed the lack of radiologists—either as participants or as scientific session presenters—at the 20th International Congress on Palliative Care held in Montreal, Quebec in Sept. 2014. He shared that performing pain control procedures with imaging guidance could help improve patients’ quality of life. At many institutions in Canada and the University of British Columbia, the integration of imaging-guided procedures for palliative care “remains very incomplete.” He urges radiologists to change this. Details can be found here.
Baxter Initiates Voluntary Recall of One Lot of Highly Concentrated Potassium Chloride Injection in the U.S. Due to Mislabeled Overpouch
Baxter International, Inc. is voluntarily recalling one lot of Highly Concentrated Potassium Chloride Injection, 10 mEq per 100 mL due to a complaint of overpouch mislabeling. The inability to detect this mislabeling at the point of care may result in the administration of a wrong drug dose. In
high-risk patient populations, this may lead to serious, life-threatening adverse health consequences. There have been no reported adverse events with this issue to date.
Baxter has directed customers not to use the product from the recalled lot. Recalled product should be returned for credit by contacting Baxter Healthcare Center for Service at (888) 229-0001, Mon.-Fri., 7 a.m. - 6 p.m. Central.
Adverse reactions or quality problems experienced with the use of this product should be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax, as below:
Regular Mail or Fax: Download form
or call (800) 332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to (800) FDA-0178.
The original article can be found here.
Breakthrough Leaders in Nursing
Ten nurses from across the country have been recipients of the new Breakthrough Leaders in Nursing Award, bestowed by the Future of Nursing: Campaign for Action, an initiative from AARP and the Robert Wood Johnson Foundation. The award recognizes nurses who have labored to improve the health of patients’ lives in their communities. Learn more about the recipients and the award here.
Caregivers Wash Hands Less as the Day Progresses
A study released by the American Psychological Association has revealed that hand-washing among hospital caregivers engaged in direct patient care decreases as the day progresses. The study found an 8.7% drop from the beginning to the end of the shift. Nurses accounted for 65% of the study. The study results can be read here.
Greg Laukhuf RN ND, CRN, RN-BC, RN-NE
Upcoming Live Webinars:
An Overview: Paracentesis and Thoracentesis
Presented by: Healther Molina, RT(R), PA-C, MMS
March 11, 2015
7 p.m. EST
1 CE Credit (applied)
Registration opening soon.
Interventional Oncology: Treatment Approaches for Ablative Therapies
Presented by: Ryan Hickey, MD
April 15, 2015
7 p.m. EST
1 CE Credit (applied)
Registration opening soon.
Check the ARIN website for updates.
Recorded Webinars Available for Purchase and Download:
The following webinars are available anytime, anywhere through the links listed below:
Building a Better IR Team — Purchase — View
Challenging Cases in IR — Purchase — View
Infection Control in the IR Environment: Preventing Central Line Infections — Purchase — View
Radiology Team Safety: To Err is Human — Purchase — View
Contrast Induced Nephropathy: Recognition and Prevention — Purchase — View
Embolization Considerations for Patients Undergoing Fibroid and Radioembolization — Purchase — View
Cultural Competence vs. Cultural Humility — Purchase — View
What's New in Neuro Interventional — Purchase — View
RNCB Announces Newly Certified and Recertified Radiology Nurses
Certification is one of the most important decisions a nurse can make. Certified nurses are recognized by their peers and employers for having achieved a standard of competency in the nursing specialty. The Radiologic Nursing Certification Board, Inc. (RNCB) would like to congratulate the following nurses who passed the Radiology Nurse Certification exam on October 18, 2014 and met the requirements to obtain the Certified Radiology Nurse (CRN) credential.
Dana S. Anaya, Albuquerque, NM
Melissa K. Billings, Tenino, WA
Tiffany A. Blauvelt, Ft. Meyers, FL
Gary J. Bolanos, Houston, TX
Lauren M. Brenner, Hershey, PA
Lisa M. Brown, Placentia, CA
Jason L. Burgett, Rochester, NY
Janet Carlson, Chapin, SC
Rebecca A. Caron, Montgomery, AL
Maureen A. Chila, Cleveland Heights, OH
Gregory Chin, San Antonio, TX
Kathy A. DiCicco, Palmyra, NY
Margaret P. Fawcett, Sandwich, MA
Kelly A. Fisher, Charlton, MA
Paula J. Freitas, Apple Valley, CA
Curtis P. Fuller, Langhorne, PA
Jennifer A. Ganz, West Henrietta, NY
Lisa A. Garcia, White Plains, NY
Al M. Goebel, McHenry, IL
Kellerie D. Greene-Paillant, Orlando, FL
Roberta Le Harvey-Correa, Fawn Grove, PA
Laura J. Heagerty, Rancho Cucamonga, CA
Edwina A. Hoonhorst, Lexington, SC
Janet L. Horner, Proctor, VT
Andrea M. Jensen, Littlerock, WA
Erin M. Johnson, Watsonville, CA
Heidi L. Jones,Laredo, TX
Kelvin Jones, Seven Points, TX
Shane L. Julian, Huntersville, NC
Karen A. Long, Trevose, PA
Tonilee M. Lott, Ft. Walton Beach, FL
Holly L. Ma, Fishers, IN
Karen M. Marshall, Chicago, IL
Maria C. Martinez, San Antonio, TX
Sara J. McCartin, San Diego, CA
Lynn McNamara, Nunda, NY
Robin R. Miller, San Antonio, TX
Carole Millett, New Braunfels, TX
Raina D. Minaschek, Sugarland, TX
Priscilla S. Moyer, Gastonia, NC
Susana B. Navas, Bellerose, NY
Kimberly A. Perotti, Levittown, PA
Jewel E. Price, Waxahachie, TX
Karina A. Riesen, Maitland, FL
Christopher A. Rowe, Frederick, MD
Susan Royer, San Diego, CA
Cathy M. Sals, Evergreen Park, IL
Krystina Salzig, Aurora, IL
Jennifer M. Santiago, S. Plainfield, NJ
Timothy M. Savoia, Fresno, CA
Diane L. Schmidt, Crowley, TX
Helen A. Scibilia, Clarksburg, NJ
Shana Scott, Redondo Beach, CA
Sara C. Sheets, Richmond, VA
Samantha J. Smock, Noblesville, IN
Andrew D. Somers, Durham, NC
Eddy M. Sousa, Tinton Falls, NJ
Nanette C. Taylor, Greenwood, IN
Carolyn Toal, Freehold, NJ
Elvira Valles, El Paso, TX
Patricia A. Vasquez, Garland, TX
Laura A. Wahlstedt, Overland Park, KS
Elizabeth Wakley, San Jose, CA
Katrina A. Walker, Corryton, TN
Kimberly Williams, Gastonia, NC
A total of 81 nurses took the October 18, 2014 Certified Radiology Nurses (CRN®) Exam with a total of 65 passing. This is a pass rate of 80.25%.
The Radiologic Nursing Certification Board, Inc. (RNCB) works hard to maintain the standard of excellence among nurses who have made the commitment to set themselves apart as Certified Radiology Nurses by maintaining certification. RNCB would like to congratulate the following 118 nurses who met the stringent standards to maintain their certification in August & October of 2014.
Ramona Carroll (Lynd), Ocean Springs, MS
Vanessa Srein (Otey), Melbourne, FL
Janette Hicks, Pynor, TX
Ellen Arslan, North Port, FL
Ann Ballas, Shelton, CT
Lorraine Bloemer, Hamersville, OH
Margaret Hover, Bend, OR
Rebecca Hull, Prairie Village, KS
Linda Morris, Gaylord, MI
Marcy Parsons, Lakebay, WA
Dorothy Pierce, Jackson, NJ
Beverly Case, Olathe, KS
Louise Cloonan, Bronx, NY
India Luke, Georgetown, TX
Lorre Metts, Hampstead, NC
Kathryn Pickowitz, Quaker Hills, CT
Sue Rosa, Marston Mills, MA
Susan Semenczuk, Albuquerque, NM
Patricia Thakkar, New York, NY
Kassandra M. Smith, Edmonds, WA
Karla B. Alvarez, Concord, NC
Susan Deatherage, Beaverton, OR
Marian Mearon, Little Ferry, NJ
Elizabeth Anderson, Tinley Park, IL
Deborah Arnet, Wheatfield, NY
Cassandra Beasley, Gilmer, TX
Zoe Bouchelle, Cockeysville, MD
Cindy Breeden, Rossville, GA
James Callan, Rutland, VT
Karen Cendana, Brownsville, TX
Mariyamma Chacko, Missouri, TX
Theresa Chaffin, Dayton, OH
Jessica Chantelois, Seattle, WA
Kathryn Craig, Nixa, MO
Gwendolyn Ducasse, Riverwoods, IL
Marietta Escalona, San Francisco, CA
Leslie Fowlkes, Rancho Santa Margarita, CA
Faith Gilbride, Nashua, NH
Donna Hethcock, Camarillo, CA
Carla Johnson, Longview, TX
Faith Johnston, Tucson, AZ
Tracy Lamb, Bel Air, MD
Pauline Lentowski, Peoria, AZ
Susan Lombardo, Gadsden, AL
Yu-Fan Ma, Houston, TX
Paula McMahon, Omaha, NE
Monica Mumme, North Charleston, SC
Kimberly Pascual (Esposito), Las Vegas, NV
Nikki Phillips, Lakebay, WA
Kathryn Pitts, Ashland, VA
Diane Putty (Blansett), Tucson, AZ
Sheryl Reker, Dayton, OH
Annette Russi (Bradley), Roseville, CA
Nancy Smith-Bisson, Wilmington, DE
Judy Stanley, Texarkana, TX
Marion Swincki, Wilmington, DE
Colleen Sylvester, Yuma, AZ
Martha Tate, Texarkana, TX
Carla Tindle, Bardstown, KY
Ronald Wardrope, Dundalk, MD
Charlene Watkins, Harrisburg, NC
Debra Worm, Lakeville, IN
Diana Ford, West Henrietta, NY
Carol Fortier, Ellsworth, ME
Theresa Murray, Yuma, AZ
Vondra Dee Nason, Mesa, AZ
Alanna Schauer, Colts Neck, NJ
Renee Bezaire, Seal Beach, CA
Jeffrey L. Bullis, Ft. Wayne, IN
Lota Bungay-Gerona, Bergenfield, NJ
Maureen Burns, Doylestown, PA
Elizabeth Chung, Cliffside, NJ
Erin P. Clayton, Rumson, NJ
Teresa L. Croteau, Ft. Wayne, IN
Catherine B. De Leon, Chula Vista, CA
Michele M. DeBatte, Lehigh Acres, FL
Janet L. Deininger, Ft. Wayne, IN
Debra Della Monica, Madison, CT
Sarah T. Dougherty, Binghamton, NY
Sherry L. Ebbeskotte, Ottawa, OH
Xiaofang Fang, Plano, TX
Linda R. Gildea, Middletown, NY
Judy B. Gindhart, Prescott, AZ
Lucinda S. Goyins, Salem, OR
Jacqueline M. Green, Bayville, NJ
Tiffany B. Hansen, Midland, TX
Cara M. Heidenreich, Ft. Wayne, IN
Bryon G. Hertzog, Binghamton, NY
Diane M. High, The Woodlands, TX
Kristina H. Hoerl, Baltimore, MD
Kathleen Ingrassia, Brick, NJ
Monique R. Jones, Henrico, VA
Coralee M. Keefe, Binghamton, NY
Christine A. Knatz, Wapak, OH
Dominique La Page, Santa Monica, CA
Vivien M. Langford, Brookhaven, NY
Susan M. Lent, Port Crane, NY
Suzanne E. Loprete, Jeffersonville, PA
Sheila M. Maita, Hamilton Square, NJ
Fay E. Marchal, Scottsdale, AZ
Tara M. McMahon, Ft. Wayne, IN
Lisa A. Miller, San Antonio, TX
Quynh T. Nguyen, San Francisco, CA
Laurie J. Nichol, Marietta, GA
Laura A. O'Brien, Stony Brook, NY
Stephen C. Pease, New Haven, IN
Gail Pelegrino, Glen Allen, VA
Nancy L. Pena, Chula Vista, CA
Katrina L. Pequignot, Columbia City, IN
Geoffrey P. Quinn, Galveston, TX
David B. Rutledge, Fairless Hills, PA
Betty Jean Sabol, Broomall, PA
Lorie L. Shultz, Ft. Wayne, IN
Donna K. Trocchio, Neptune City, NJ
Cathy C. Brown, Charles City, VA
Jeanne T. Fareri, Valley Stream, NY
Linda Tompkins, New York, NY
Susan Brown, Naperville, IL
ARIN Welcomes New Members
ARIN welcomes new and renewing members who joined Nov. 21, 2014 – Jan. 24, 2015. Below are their names, credentials (if provided), and locations:
Heather Abbott, Hoboken, NJ
Dawn Allen, Indianapolis, IN
Crystal Avasthi , Houston, TX
Debra Baber, Columbia, MO
Cherree Beachtel, BSN, RN, CCRN, York, PA
Judy Black, RN, Kirtland, OH
Rebecca Bridwell, RN, Warner Robins, GA
Rachel Brittain, Stanford, CA
Kerri Brown, RN, CRN, Sherman Oaks, CA
William Brown, Hoyt, KS
Megan Cagle, St. Marys, GA
Vicki Caldwell, BSN, RN, Crown Point, IN
Lorenne Castillo, Salinas, CA
Josias Cerritos Escobar, Los Angeles, CA
Faith Chen, Bethesda, MD
Michelle Colarte, Dhahran, Saudi Arabia
Ashley Cook, Brentwood, CA
Christian Cottingham, Green Bay, WI
Marika Coveris Pierson, Valparaiso, IN
Nichole Cuddigan, RN, Burnsville, MN
Kathryn Cuellar, Renton, WA
Stacy DeCesare, Manchester, VT
Yvonne Dedo, Lafayette, LA
Lela Delashaw, Lubbock, TX
Jessica Dilk, BSN, RN, Kalamazoo, MI
Brooke Dix, Santa Rosa, CA
Julie Domaracki, Elgin, IL
Sheri Duffy, Burleson, TX
Aubrey Engle, Apex, NC
Angeline Ennis, RN, Springfield, MO
Bennie Farrow, BSN, RN, Houston, TX
Irma Fenty, BSN, RN, Bay Shore, NY
Alisha Ferguson, Lauderhill, FL
Lori Fontaine, Marlborough, MA
Bettina Fyffe, Rancho Santa Margarita, CA
Stacy Gadway, New Hartford, NY
Robin Gibson, RN, Midland, MI
Kimberly Godwin, BSN, RN, Sykesville, MD
Alan Gold, RN, Boston, MA
Ruthlyn Greenfield-Webster, Yonkers, NY
Anthony Gromek, Glenshaw, PA
Carolyn Haithcock, Welcome, NC
Suzanne Hannah, BSN, RN, CCRN, Philadelphia, PA
Lonette Heiden, Fergus Falls, MN
Diane Hendrickson, Milwaukee, WI
Elizabeth Hernandez, RN, San Juan, PR
Wendy Herndon, Timberlake, NC
Cynthia Higgs, Fishersville, VA
Andrea Hitchcock, Walla Walla, WA
Barbara Holman, RN, Dover, DE
Michelle Holmes, RN, Minnetonka, MN
Edwina Hoonhorst, Lexington, SC
Shannon Hubbard, RN, CRN, Frisco, TX
Susanne Humbert, BSN, BA, Tinley Park, IL
Amy Imhof-Harris, Tacoma, WA
Brenda Isaacs, Lexington, KY
Shari Jensen, Lewisville, TX
Victoria Jewett-Dionne, RN, Belgrade, ME
Renee Johnson, RN, Los Angeles, CA
Simon Jones, San Diego, CA
Karen Jones, Hood River, OR
Beatriz Juchem, Porto Alegre, Brazil
Paulo Jusay, MSN, ACNP-BC, AOCNP, Duarte, CA
Julie Keely, Dhahran, Saudi Arabia
Rebecca Kelly, Merrimack, NH
Mijung Kim, Germantown, MD
Jane Kimber, Rochester, NY
Mary Anne Kuehne, Virginia Beach, VA
Sara Lagasse, Palo Alto, CA
Tim Lambrecht, Fort Worth, TX
Lynn Landry, Bellingham, MA
Linda Mack, Elgin, IL
Hillery Maher, Jacksonville, FL
Leena Mahmood, Dhahran, Saudi Arabia
Linda Marty, RN, Pittsburgh, PA
Susan McKee, South Portland, ME
Maureen McLean, Kalispell, MT
Kelly Memeo, Nashville, TN
Vicki Miller, RN, Novato, CA
Sylvia Miller, San Jose, CA
Lisa Moore, BSN, RN, Taylors , SC
Cynthia Moriarty, Newport Beach, CA
Mary Myrthil, MS, RN, NE-BC, CRN, Miami, FL
Lauren Nadler, Bel Air, MD
Rachel Naleppa, Blue Ridge, VA
Cynthia Olmsted, Duluth, MN
Lee O'Malley, Matthews, NC
Glenn Panayioto, Camarillo, CA
Cherie Parker, BSN, RN, CRN, Bourbonnais, IL
Jennifer Pepe, RN, CRN, Mooresville, NC
Lauren Picarde, New York, NY
Peter Pineda, RN, New York, NY
Donna Pon, BSN, Pacifica, CA
Emily Pool, Charlotte, NC
Valerie Pooler, CRN, Valencia, CA
Julie Potter, Mt. Pleasant, MI
Maribeth Presnal, South Bend, IN
Diane Pruiksma, RN, Albany, NY
Jennifer Read-Payne, RN, Clifton, CO
Lynn Reeve, Charlotte, NC
Faith Robinson, BSN, Los Angeles, CA
Wendy Rogers, Asheboro, NC
Amy Rogers, New York, NY
Linda Rosbacka, BSN, RN, CRN, Holmen, WI
Michelle Rumohr, Portland, OR
Lisa Ryman, Ellenville, NY
Jessica Rymsza, St. Petersburg, FL
Sheila Schneider, BSN, RN, Atlanta, GA
Ro Mi Seo, Fort Lee, NJ
Kellyann Shamrock, Houston, TX
Sonja Shotwell, RN, Hillsborough, NC
Nancy Siclare, RN, Red Bank, NJ
Michelle Sineath, Charleston, SC
Angela Smith, RN, Fairview, NC
Meredith Snipes, Washington, DC
Heather Sodee, Charleston, SC
Brian Sutton, Sheridan, WY
Peter Sweet, Schenectady, NY
Crystal Swenney, Sarasota, FL
Trenton Tallent, Durham, NC
Ginny Than, Los Angeles, CA
Sheryl Thrash, Mesquite, TX
Renata Timm, Iron Mountain, MI
Nicole Tomkiel, Aurora, CO
Shaune Vincent, Palm Desert, CA
Laura Wahlstedt, Kansas City, MO
Andrea Warner, RN, CCRN, York, PA
Charlotte Wheeler, BSN, Fremont, CA
Catina Wheeler, San Antonio, TX
Trina Williams, Sandy, UT
Michael York, McAllen, TX
Silvia Zamora, Miami, FL
VOL. 20, NO. 1
In This Issue:
ARIN Board of Directors
Greg Laukhuf, ND, RN-BC, CRN, NE-BC
IMMEDIATE PAST PRESIDENT
Beth Ann Hackett, MSN, APRN-BC, CRN
Mary Sousa, BSN, RN
Chris E. Keough,
BSN, RN, CRN
BA, RN, CRN
BOARD MEMBER/Director of Education
Brenda N. Boone, PhD, RN, CRN
BOARD MEMBER/Director of Membership
Jim LaForge, MSN, BSN, RN
Karen L. Green,
MS, BSN, RN, CRN
ARIN NATIONAL OFFICE
FAX: (908) 450-1398
390 Amwell Rd., Ste. 402
Hillsborough, NJ 08844
ARIN Core Purpose
To foster the growth of nurses who advance the standard of care in the Imaging environment.