212 - Mobility Matters - Incorporating an Intraoperative Computed Tomography (CT) System into Practice
Description: Recent advances in the use of intraoperative computed tomography (CT) have improved the utility navigation in neurological and spinal surgery, allowing for enhanced visualization of anatomic structures, increased surgical accuracy, and improved patient outcomes. The incorporation of intraoperative CT scanning into practice at the Ronald Reagan University of California at Los Angeles (UCLA) Medical Center Department of Operative Services required a collaborative approach. A team was formed to address all practice and equipment needs and concerns prior to the initial use of the system and equipment. Team members consisted of preoperative nurses, surgical technologists, radiologists and radiology technicians, anesthesiologists, and hospital assistants. Meetings were held and a needs assessment was completed. Comprehensive education was provided to include all members of the interdisciplinary team to ensure competency. Key topics included foundational safety practices, system troubleshooting, and management of the prone patient in the system during emergency situations. Challenges that arose and were overcome during this process included establishing proper logistics of the gantry and base, incorporating calibration times into the OR workflow, and devising novel methods of providing safe patient care in a modified environment. The successful incorporation of the intraoperative CT system into practice is attributed to the collaborative efforts of the interdisciplinary team well-versed in effective communication. As a result of this innovative process, many of the associated risks have been eliminated. As integral team members, preoperative nurse are able to substantially improve the care and outcomes of patients undergoing intraoperative CT scanning.