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MRI compatible P2/N95 mask for Patients on Airborne Precautions

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  • #72945
    sharyn.hughes@health.nsw.gov.au
    Participant

    Author:
    sharyn.hughes@health.nsw.gov.au

    Email:
    sharyn.hughes@health.nsw.gov.au

    Organisation:

    State:

    Dear All,

    I am seeking responses (actual or hypothetical) in relation the possibility of needing to MRI scan a patient on Airborne Precautions

    * What processes are in place within your MRI departments for patients on Airborne Precautions that require scanning?

    * Do you know of any manufacturers that have P2/N95 mask that MRI compatible

    Looking forward to your responses

    Sharyn

    Sharyn Hughes
    Acting Clinical Nurse Consultant |Infection Prevention & Control
    Royal North Shore Hospital
    Reserve Rd St Leonards 2065
    Tel 02 99264490

    Click here Infection Prevention and Control to visit the IPAC webpage

    This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

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    #72946
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Email:
    infexion@ozemail.com.au

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Sharyn,

    I’m assuming the MRI procedure room itself had dedicated ventilation that is
    not shared with other areas?

    If so the patient can be managed in airborne precautions during the MRI
    procedure and the patient does not need to wear a P2/N95 mask (which
    contains metal).

    After entering the room the patient can remove the mask and this can be
    taken out of the room by staff who would be wearing a P2/N95 mask.

    Once the procedure is completed the patient can be given another P2/N95 mask
    for transfer back to their ward/unit. This is assuming that the patient can
    tolerate P2/N95 mask.

    If not then the same would apply if the patient was only able to wear a
    surgical mask (which also has metal).

    Depending on the ventilation air exchange per hour in the MRI room you would
    also want to allow time for the ventilation to clear possible airborne
    contaminates from the room (i.e. TB).

    See Appendix B, Table B1 – Air change/hour and time required for airborne
    contaminant removal efficiencies of 99% and 99.9%.

    This table is in the from the USA Centers for Disease Control and Prevention
    – Guidelines for Environmental Infection Control in Health-Care Facilities –
    extract attached

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    PO Box 5202

    Middle Park

    Victoria, 3206

    Australia

    M: +61 404 816 434

    infexion@ozemail.com.au

    ABN 47533508426

    Of Sharyn Hughes
    on Airborne Precautions

    Dear All,

    I am seeking responses (actual or hypothetical) in relation the possibility
    of needing to MRI scan a patient on Airborne Precautions

    . What processes are in place within your MRI departments for
    patients on Airborne Precautions that require scanning?

    . Do you know of any manufacturers that have P2/N95 mask that MRI
    compatible

    Looking forward to your responses

    Sharyn

    Sharyn Hughes

    Acting Clinical Nurse Consultant |Infection Prevention & Control

    Royal North Shore Hospital

    Reserve Rd St Leonards 2065

    Tel 02 99264490

    Sharyn.Hughes@health.nsw.gov.au

    Click here Infection Prevention and Control
    to visit the IPAC webpage

    This message is intended for the addressee named and may contain
    confidential information. If you are not the intended recipient, please
    delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are
    not necessarily the views of NSW Health or any of its entities.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
    NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is
    discouraged by ACIPC. If you wish to discuss specific reference to products
    or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives
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    the quotes) to listserv@aicalist.org.au

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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    #72950
    Louisa Sasko
    Participant

    Author:
    Louisa Sasko

    Email:
    Louisa.Sasko@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hi Sharyn,

    Many moons ago I use to work as an RN in Interventional Radiology department of a Tertiary Hospital.

    When working in the MRI unit, if a patient required Airborne precautions the patient would wear a surgical mask when leaving their room on the ward until they returned back to their room. This is in line with MoH policy.

    The staff would wear the P2/N95 duckbilled mask inside the scanning room with no trouble without altering the mask. The small aluminium strip didn’t pose a problem.

    The surgical mask didn’t pose a problem with artefact during brain scans.

    Kind Regards

    Louisa Sasko

    Clinical Nurse Consultant | Infection Control & Physical Health Care
    Mental Health Drug & Alcohol NSLHD
    Macquarie Hospital
    Tel (02) 9887 5479 | Fax (02) 9887 5678 | Mob 0422 005 640

    Masters Candidate | Western Sydney University | School of Nursing

    Conjoint Associate Lecturer | Western Sydney University | School of Medicine

    Louisa.sasko@health.nsw.gov.au

    [Description: Description: Description: http://www0.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D

    Hi Sharyn,

    I’m assuming the MRI procedure room itself had dedicated ventilation that is not shared with other areas?

    If so the patient can be managed in airborne precautions during the MRI procedure and the patient does not need to wear a P2/N95 mask (which contains metal).

    After entering the room the patient can remove the mask and this can be taken out of the room by staff who would be wearing a P2/N95 mask.

    Once the procedure is completed the patient can be given another P2/N95 mask for transfer back to their ward/unit. This is assuming that the patient can tolerate P2/N95 mask.

    If not then the same would apply if the patient was only able to wear a surgical mask (which also has metal).

    Depending on the ventilation air exchange per hour in the MRI room you would also want to allow time for the ventilation to clear possible airborne contaminates from the room (i.e. TB).

    See Appendix B, Table B1 – Air change/hour and time required for airborne contaminant removal efficiencies of 99% and 99.9%.

    This table is in the from the USA Centers for Disease Control and Prevention – Guidelines for Environmental Infection Control in Health-Care Facilities – extract attached

    Regards

    Glenys

    Glenys Harrington
    Consultant
    Infection Control Consultancy (ICC)
    PO Box 5202
    Middle Park
    Victoria, 3206
    Australia
    M: +61 404 816 434
    infexion@ozemail.com.au
    ABN 47533508426

    Dear All,

    I am seeking responses (actual or hypothetical) in relation the possibility of needing to MRI scan a patient on Airborne Precautions

    * What processes are in place within your MRI departments for patients on Airborne Precautions that require scanning?

    * Do you know of any manufacturers that have P2/N95 mask that MRI compatible

    Looking forward to your responses

    Sharyn

    Sharyn Hughes
    Acting Clinical Nurse Consultant |Infection Prevention & Control
    Royal North Shore Hospital
    Reserve Rd St Leonards 2065
    Tel 02 99264490

    Click here Infection Prevention and Control to visit the IPAC webpage

    This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

    To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

    You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

    To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

    You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

    This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

    To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

    You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

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