Staff Roles and Guidelines for MRI Safety
Sarah Allwood-Spiers
MRI Physics
7
th
June 2017
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Staff roles: Guidelines
•
The MHRA safety guidelines (2015) set
out staff roles for MR Responsible
Person, MR Safety Expert, MR
Authorised Person
•
And categories of staff who access the
MR contolled access area (CAA).
•
Our local rules follow these guidelines.
“Safety Guidelines for Magnetic Resonance Imaging Equipment in
Clinical Use”, MHRA 2015, v 4.2
MR Responsible Person
Purpose and role
•
Delegated by Chief Executive or General Manager
•
Day-to-day responsibility for safety
•
Provides continuity and consistency for the ongoing safe
working practices of the department.
•
Provides continuity when dealing with non-trivial MRI safety
queries which can be protracted.
•
i
s
N
O
T
t
h
e
M
R
S
a
f
e
t
y
E
x
p
e
r
t
Expertise required
•
Enough MR clinical expertise and safety knowledge to ensure
that appropriate MR safety and training are delivered and
updated to relevant staff
•
Usually a senior radiographer.
MR Responsible Person
D
u
t
i
e
s
i
n
c
l
u
d
e
:
E
d
u
c
a
t
i
o
n
a
n
d
t
r
a
i
n
i
n
g
•
Keep up to date with developments in MR safety
•
Remain aware of local service developments and changes which
may have an impact on the MRI service and/or MRI safety
•
Ensuring medical, technical, nursing and all other relevant staff
groups are educated and trained appropriately, are familiar with all
policies and are kept up to date.
P
o
l
i
c
i
e
s
a
n
d
P
r
o
c
e
d
u
r
e
s
•
ensuring adequate written safety procedures, ethical approvals,
work instructions, emergency procedures ( local rules) are issued
to all concerned in consultation with the MRI safety expert
•
approving certification of authorized persons
•
produce written safety documents, version controlled and regularly
updated.
•
Ensuring Safety and Good working practice policies are in place
MR Responsible Person
D
u
t
i
e
s
i
n
c
l
u
d
e
:
R
e
c
o
r
d
s
•
Ensure records of staff training are kept and
maintained
•
Ensuring the list of authorised MR staff is kept up-to-
date and is displayed within the MRI Unit
•
Ensuring Magnet static magnetic field plots are
displayed within the department
•
Ensuring objects within the Controlled access Area
are labelled with MRI safety status
P
a
t
i
e
n
t
s
•
Liaise with other local staff groups to ensure the safe
scanning of patient with active implanted medical
devices
MR Safety Expert
•
provides scientific advice to MR units
•
requires expert knowledge of the physical principles of MRI and detailed
knowledge of MRI techniques
D
u
t
i
e
s
i
n
c
l
u
d
e
:
•
MR site planning
•
Advising on procurement
•
Development of a safety framework
•
Advising on MRI safety governance
•
Advising and monitoring of local safety procedures
•
Conducting risk assessments pertaining to MRI safety issues
•
Investigation of adverse incidents
•
Advising on specific patient examinations
•
Advising on MRI safety information on implants and active implanted
medical devices
•
Advising on safety aspects in respect of risk/benefit considerations for
MR scanning
•
Usually a medical physicist who is a HCPC registered Clinical Scientist.
MR Authorised Person
MR Authorised Person
In NHSGGC they may only enter – not also supervise.
MR Authorised Person
•
Certified by the MR responsible person when
they have completed satisfactory training
•
Listed on a certified list
•
Must keep an appropriate record of their MR
training. An annual screening of all authorised
persons is to be kept by the responsible person
•
Must complete and pass a screening
questionnaire annually
•
Must satisfy themselves at all times that they
conform to the requirements of the screening
process.
Staff categories: A
•
C
a
t
e
g
o
r
y
(
A
)
:
M
R
O
P
E
R
A
T
O
R
-
o
p
e
r
a
t
e
,
m
a
i
n
t
a
i
n
o
r
m
o
d
i
f
y
t
h
e
M
R
I
e
q
u
i
p
m
e
n
t
•
e.g. radiographers, physicists, service engineers,
radiologists.
Staff categories: B
•
C
a
t
e
g
o
r
y
(
B
)
:
P
e
r
s
o
n
n
e
l
w
h
o
d
o
n
o
t
f
a
l
l
i
n
t
o
c
a
t
e
g
o
r
y
(
A
)
b
u
t
a
r
e
p
r
e
s
e
n
t
w
i
t
h
a
v
o
l
u
n
t
e
e
r
o
r
p
a
t
i
e
n
t
d
u
r
i
n
g
s
c
a
n
n
i
n
g
•
e.g. radiologists, anaesthetists, nurses, HCSWs
Staff categories: C
•
C
a
t
e
g
o
r
y
(
C
)
:
A
l
l
s
t
a
f
f
w
h
o
a
r
e
r
e
q
u
i
r
e
d
t
o
e
n
t
e
r
t
h
e
M
R
E
N
V
I
R
O
N
M
E
N
T
w
h
e
n
s
c
a
n
n
i
n
g
i
s
n
o
t
t
a
k
i
n
g
p
l
a
c
e
.
S
u
p
e
r
v
i
s
e
d
w
h
i
l
s
t
i
n
M
R
e
n
v
i
r
o
n
m
e
n
t
•
e.g. dedicated cleaning staff, estate maintenance staff
Staff categories: D
•
C
a
t
e
g
o
r
y
(
D
)
:
A
l
l
o
t
h
e
r
s
t
a
f
f
w
h
o
a
r
e
r
e
q
u
i
r
e
d
t
o
e
n
t
e
r
t
h
e
M
R
C
O
N
T
R
O
L
L
E
D
A
C
C
E
S
S
A
R
E
A
b
u
t
w
i
l
l
n
o
t
e
n
t
e
r
t
h
e
M
R
E
N
V
I
R
O
N
M
E
N
T
•
e.g. clerical staff.
Training requirements for each category
Staff roles in MRI departments are crucial for ensuring safety and compliance with guidelines set by organizations like MHRA. The MR Responsible Person plays a vital role in maintaining safety practices, providing training, and ensuring proper record-keeping. The MR Safety Expert offers scientific advice and expertise in MRI principles and techniques. Guidelines from MHRA outline specific roles and responsibilities for MR staff, emphasizing the importance of safety protocols and ongoing training to uphold standards in MRI environments.
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Presentation Transcript
Staff roles: The MRRP, MRSE, & Staff Categories Sarah Allwood-Spiers MRI Physics 7thJune 2017
Staff roles: Guidelines The MHRA safety guidelines (2015) set out staff roles for MR Responsible Person, MR Safety Expert, MR Authorised Person And categories of staff who access the MR contolled access area (CAA). Our local rules follow these guidelines. Safety Guidelines for Magnetic Resonance Imaging Equipment in Clinical Use , MHRA 2015, v 4.2
MR Responsible Person Purpose and role Delegated by Chief Executive or General Manager Day-to-day responsibility for safety Provides continuity and consistency for the ongoing safe working practices of the department. Provides continuity when dealing with non-trivial MRI safety queries which can be protracted. is NOT the MR Safety Expert Expertise required Enough MR clinical expertise and safety knowledge to ensure that appropriate MR safety and training are delivered and updated to relevant staff Usually a senior radiographer.
MR Responsible Person Duties include: Education and training Keep up to date with developments in MR safety Remain aware of local service developments and changes which may have an impact on the MRI service and/or MRI safety Ensuring medical, technical, nursing and all other relevant staff groups are educated and trained appropriately, are familiar with all policies and are kept up to date. Policies and Procedures ensuring adequate written safety procedures, ethical approvals, work instructions, emergency procedures ( local rules) are issued to all concerned in consultation with the MRI safety expert approving certification of authorized persons produce written safety documents, version controlled and regularly updated. Ensuring Safety and Good working practice policies are in place
MR Responsible Person Duties include: Records Ensure records of staff training are kept and maintained Ensuring the list of authorised MR staff is kept up-to- date and is displayed within the MRI Unit Ensuring Magnet static magnetic field plots are displayed within the department Ensuring objects within the Controlled access Area are labelled with MRI safety status Patients Liaise with other local staff groups to ensure the safe scanning of patient with active implanted medical devices
MR Safety Expert provides scientific advice to MR units requires expert knowledge of the physical principles of MRI and detailed knowledge of MRI techniques Duties include: MR site planning Advising on procurement Development of a safety framework Advising on MRI safety governance Advising and monitoring of local safety procedures Conducting risk assessments pertaining to MRI safety issues Investigation of adverse incidents Advising on specific patient examinations Advising on MRI safety information on implants and active implanted medical devices Advising on safety aspects in respect of risk/benefit considerations for MR scanning Usually a medical physicist who is a HCPC registered Clinical Scientist.
MR Authorised Person MR ENVIRONMENT ( Scan Room) MR CONTROLLED ACCESS AREA outside MR environment STAFF GROUP Authorised person Non MR environment eg Clerical staff, management staff, radiologists without formal safety training May not enter without supervision May enter and supervise Authorised person MR environment eg Supporting clinical staff, junior researchers May enter May enter and supervise Authorised person - supervisor eg Radiographer, researcher with appropriate training May enter and supervise May enter and supervise
MR Authorised Person MR ENVIRONMENT ( Scan Room) MR CONTROLLED ACCESS AREA outside MR environment STAFF GROUP Authorised person Non MR environment eg Clerical staff, management staff, radiologists without formal safety training May not enter without supervision May enter and supervise Authorised person MR environment eg Supporting clinical staff, junior researchers May enter May enter and supervise Authorised person - supervisor eg Radiographer, researcher with appropriate training May enter and supervise May enter and supervise In NHSGGC they may only enter not also supervise.
MR Authorised Person Certified by the MR responsible person when they have completed satisfactory training Listed on a certified list Must keep an appropriate record of their MR training. An annual screening of all authorised persons is to be kept by the responsible person Must complete and pass a screening questionnaire annually Must satisfy themselves at all times that they conform to the requirements of the screening process.
Staff categories: A Category (A): MR OPERATOR - operate, maintain or modify the MRI equipment e.g. radiographers, physicists, service engineers, radiologists.
Staff categories: B Category (B): Personnel who do not fall into category (A) but are present with a volunteer or patient during scanning e.g. radiologists, anaesthetists, nurses, HCSWs
Staff categories: C Category (C): All staff who are required to enter the MR ENVIRONMENT when scanning is not taking place. Supervised whilst in MR environment e.g. dedicated cleaning staff, estate maintenance staff
Staff categories: D Category (D): All other staff who are required to enter the MR CONTROLLED ACCESS AREA but will not enter the MR ENVIRONMENT e.g. clerical staff.
