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As a Neuro Trauma ICU nurse, I have plentiful experience with taking critically ill to the Computed Tomography (CT) scanner to obtain much needed diagnostic information. Many of my patients that need CT scans are connected to multiple necessary machines or devices that are life sustaining including ventilators, intravenous medications with pumps, wound vacs, arterial lines, extra-ventricular devices, and feeding pumps, just to name a few. These numerous devices can be very cumbersome, difficult, and unsafe to travel with. In addition to these items, the patient is oftentimes unstable and simply risky to travel out of the ICU with, away from life-saving equipment and trained staff. Too, multiple staff are often needed when traveling with these patients which takes them away from other critically ill patients who also need them. In the last several years, a solution has been introduced to these issues: a portable CT scanner. While there are numerous benefits as well as some risks to this current innovation, the portable CT scanner has opened wide doors of possibility to more convenient, timely, innovative, and safer medical practice.

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Mobile head ct scans directly in the ICU

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1) Safety for critically ill and unstable ICU patients by remaining on unit with trained staff and life-saving equipment.
2) Minimizing possible secondary injuries due to transportation.
3) Less employees taken away from other patient needs for transportation of one patient to stationary CT scan.
4) Less exposure to other hospital employees or patients due to transporting patients in isolation to fixed CT scan.
5) Possibility to utilize intraoperatively to assist in surgeon decision-making and assist intraoperative diagnosis.
6) More timely and immediate results can lead to quicker decision making by medical staff which can lead to improved patient outcomes.
7) CT scan made possible for patients on continuous therapies such as ECMO or CRRT which prevent transportation.
8) Several brands available that are FDA approved; some full-body capability and some head-only capability.
9) Quality of images between fixed and portable CT scanners are comparable.

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1) Possible radiation exposure to ICU staff and neighboring patients.
2) Machine size in consideration with ICU room size with other existing equipment.
3) Potentially cumbersome and time-consuming maneuvering of room existing equipment and bed to accommodate for the portable CT scanner.
4) Can be very costly to hospital.

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As an ICU nurse who treats critically ill and unstable patients in numerous categories with much experience in transporting said patients to a stationary CT scanner, it would be much safer, more convenient, more timely, and contribute to better patient health outcomes to incorporate portable CT scanners into current, widely adopted practice.

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The authors, organizations, titles, affiliations, and dates published of information retrieved for this padlet are seen below in the APA References. It is important to note that the SOMATOM On.site (example of a specific portable CT scanner) became FDA approved on August 5, 2020. The references below are relevant and recent, within the past two years.

Gandhi, D., Jain, N., Khanna, K., Li, S., Patel, L., & Gupta, N. (2020). Current role of imaging in COVID-19 infection with recent recommendations of point of care ultrasound in the contagion: a narrative review. Annals of Translational Medicine, 8(17). http://dx.doi.org/10.21037/atm-20-3043

Lawrence, J. F., Tsang, R., Fedee, G., Musick, M. A., Lichliter, R. L., Bastero, P., McDonald, N. P., Wallin, K., & Doughty, C. (2021). Prevention of latent safety threats: a quality improvement project to mobilize a portable CT. Pediatric Quality & Safety, 6(4). Doi: 10.1097/pq9.0000000000000422

SIEMENS Healthineers. (n.d.) SOMATOM On.site: bringing critical care imaging to your patient. SIEMENS Healthineers. Retrieved October 2, 2021, from https://www.siemens-healthineers.com/en-us/computed-tomography/mobile-head-ct/somatom-on-site

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My five strengths are ready to contribute to the team!

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My five strengths are as follows:
Communication
Woo
Empathy
Developer
Connectedness

I believe these strengths of mine will help my team in communicating well amongst ourselves and with future potential clients or buy-in of the concept. Woo and connectedness will also help with these endeavors. As a developer, I will be able to assist my teammates as well as the listeners in understanding the process or significance of the adoptive change. As an empathetic person, I will be able to understand someone's hesitations or excitements more attentively, ultimately contributing to understanding and interest.

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After assessing and evaluating different possible combinations of team members with varying top strengths, the team I have chosen to embark on this journey with is as follows:

Andrew - activator
Isaac - ideation
William - woo
Daisy - developer
Angelica - analytical

These specific members with their associated specific strengths will serve well together. Andrew will activate, initiate and encourage the team whenever necessary, while Isaac will be able to help bring innovative and optimal ideas to the table. William will certainly help our team to come across well to clients or other teammates with whom we will interact during this process. Daisy will assist us in developing the ideas that Isaac may help us come up with. Lastly, Angela will help the process to run smoothly while analyzing and surveying for potential road blocks along the way. I anticipate this team will work well together.