MR SYSTEM OPERATION AND SAFETY TRAINING

EVERYONE INVOLVED IN RUNNING AN EXPERIMENT ON OR AROUND THE LARGE AND SMALL BORE RESEARCH MAGNETS IS REQUIRED TO VIEW THE MAGNET ENVIRONMENT SAFETY VIDEO.

Mary Foley will hold training sessions every couple of weeks. Notifications of these training sessions will be announced via email on the various lists. If you have not done so already- please sign up for the appropriate list to get scanning updates. Go to: http://www.nmr.mgh.harvard.edu/martinos/userInfo/operations/mailingLists.php to sign up.

Our training system consists of three levels,
1) White =Safety
2) Yellow = In Training (for all areas)
3a) Green = Certified Scanner for human scanning on Bays 2, 3, 4, 5
3b) Dark Blue = Certified Scanner for Animal scanning on the Small Bore scanners and Bays 2, 3, 3
3c) Light blue = Certified user of the surgical prep room.
The descriptions of each role are below. We have developed this system so we can better keep track of what level each person is at in his or her training, as well as to ensure that each person has received the proper training to work around a MRI scanner.

***If you do not have a badge, you should not be in the scanning bays or prep rooms***

Badges usually take up to 3-4 business days to make. Jill Clark will send out an email to the smsscan list notifying you that your badge is ready. Badges may be picked up in room 116 (Bay 2) in building 149.

The Technical staff reserves the right to refuse anyone permission to operate the magnets.

I. Description of Training Levels
II. Training Program Contents
III. Evaluation and Certification Procedure
IV. Center Record Keeping


 

I.Description of Training Levels

1) White = Safety: This is a person who is present during the scan and is available to get help or to assist in the case of an emergency. This person does NOT assist with the set up of the subject or run the scanner or any of the equipment (this includes stimulus equipment). With this white SAFETY badge, the person is allowed to sit in the scanning area for emergency purposes ONLY under the supervision of a person at the Certified Level Status (See Manual for further details).

Training requirements to obtain a white SAFETY badge include: Step 1: Watch the safety video (~20 minutes) Step 2: Take and pass the Safety Training Video Test (passing score is an 8 our of 10 (~5-10 minutes) Step 3: Attend the 1st half of Mary's Lecture (the safety portion) (~30 minutes). Altogether this training session takes approximately 1 hour.

2) Yellow = In Training: This is a person who is present during the scan session and is in training to learn the finer details of running the scanner. This yellow, "In Training" badge allows the person to assist with the setup of the subject in the magnet room, setup and run the stimulus and scanner equipment, and to assist in an emergency under the supervision of a person at the Certified Level status (See Manual for further details).

Training requirements to obtain a yellow IN TRAINING badge include: Step 1: Watch the safety video (~20 minutes) Step 2: Take and pass the Safety Training Video Test (passing score is an 8 our of 10 (~5-10 minutes) Step 3: Attend the 1st half of Mary's Lecture (the safety portion) (~30 minutes). Step 4: Attend the 2nd half of Mary's Lecture (the scanner/console training portion (~40 minutes) Altogether this training session takes approximately 1 1/2-2 hours.

3) a) Green = Certified Scanner for the regular bays
b) Dark Blue = Small Bore Scanners**
c) Light blue = for the surgical prep room**
This person has completed steps 1-4 of the initial training and typically participates in at least 5-6 additional training scan sessions with fellow lab members who are already certified to scan until the person in training becomes proficient in scanning and MRI safety (see list on last page of packet for check off list of items each person should be able to do for either A, B or C above). For someone who is training for the regular scanning bays (Bays 2,3,4,5), human or nonhuman and feel like he/she is proficient with everything on the check off list, then they are to email mri-time@nmr.mgh.harvard.edu to set up an appointment with Mary, Larry or Jill. One of them will then observe you during a scan session with a real subject to determine your qualification to become a "Certified Scanner".

**If you are training to work the Small Bore Scanners or in the Surgical Prep Room- you need to speak with George Dai (dai@nmr.mgh.harvard.edu) or John Moore (john@nmr.mgh.harvard.edu), respectively, to set up appointments to be signed off.

II.Training Program Contents

Magnet Safety

  • Safety video
  • Emergency Procedures
  • Stop scan buttons
  • Calling for help (when to use panic button, 911)
  • Getting the subject out of the magnet
  • Scanning after hours (check in with security)
  • Adverse event reporting
  • Scanner Bay Orientation
  • Rules for equipment use
  • Reporting equipment problems
  • Where to find; coils, linens, supplies
  • How to use; coils, linens, supplies
  • Subject Preparation
  • Informed consent
  • MR screening
  • Demetaling
  • Hearing protection
  • Positioning in magnet and landmarking
  • Bite bar and head restraint use
  • Squeeze ball

Using the Testing Equipment

  • Computers
  • Audio
  • Video
  • Response box
  • Physiological monitoring

Operating the Magnet

Handouts

  • Safety Rules for the Magnet Environment
  • Safety Hazards
  • Magnet Operation Standard Brain Mapping Protocols
  • Martinos Center Policies and Procedures for Human Subjects
  • MR Compatibility Screening
  • Investigator's Responsibilities reading list

III. Evaluation and Certification Procedure

  • View Safety Video
  • Complete Training
  • Scan a subject or phantom with technical staff member ("qualifying exam")

IV. Center Record Keeping

The Martinos Center will keep records of all investigators certified to operate scanners including:

  • date safety video viewed
  • date training course completed, trainer
  • date of qualifying scan session

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