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Benjamin Timpauer, ARMRIT
West Coast Ultrasound
Beverly Hills, CA


March 5, 2020
March 31, 2024

Continuing Education for MRI Technologists, Radiologic Technologists, and other Medical Imaging Professionals.

6019-210 MRI Workplace; Yes and Knows of the Successful Technologist

This online activity was recorded at the ARMRIT 2019, Semi-Annual Meeting, Golden Nugget Hotel & Casino, Las Vegas, NV Nov. 1 & 2

Format: On-line Seminar Lectures Certificates of Credit accepted by American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) and the American Registry of Radiologic Technologists (ARRT)
RT Credit: 1.00 ARRT Category A
Tuition: $20.00

Educational Objective
To educate attendees of the day-to-day workings of a Medical Imaging Facility specializing in the processing screening and preparation of the MRI Patient.



  1. Front desk
    • vigilance
      • Repetitive errors
      • Constant follow-ups to assure patient flow
        • Arrival
        • Barium, enterography
    • Proactive informing of MR delay
      • Take that moment and speak w patient directly, if possible, to defuse
      • Take ownership of situation to prevent front staff contamination
    • Overbearing sense of ownership
      • Tactful dealings with aggressive personalities
        • Some front staff will dictate how the order of patients show proceed
          • STAT ERs are not preceded by outpatients
          • Moving a patient up in the schedule to free up an earlier day end must be cleared with tech first
            • What if IN patients are to be done in empty slots?
    • Verbals,  i.e. labs, orders, authorizations (Auth).
      • If you don’t have it physically I.e. scanned or on hand
        • Option to continue and start scanning becomes tech liability
        • Over a period of years, I have a handful of different scenarios
          • All of which ended up being the tech’s problem should a verbal not materialize in time I.e. before the patient leaves
  2. Scheduling
    • Exponential vigilance
      • Check every order
        • Laterality,  Appropriate AOI vs. symptoms, With or Without, ½ ordered, ½ missing
      • Check every auth
        • Auth & order continuity, With or Without
      • Co-ordinate with medical director to confirm
        • Instructions during scheduling for water prior to Gd study
        • Extra care for STAT studies and not omitting STAT during scheduling
    • Staff is not clinical
      • Be tactful & patient with the never-ending questions
  3. HR collusion
    • Involved in r/s pts for claustro?
      • Superseding tech’s assessment following pt claustro r/s w meds
        • Tourette’s syndrome; pt motion extreme
          • Not a realistic candidate for MRI in an out-pt setting
          • Recommended full sedation hospital setting
          • HR intervention
            • Meds before MRI??  i.e. 0.5mg atavan ?
            • If unsuccessful, then hospital
    • involvement in research studies??,  Involvement in discussions re: OT, tech overlap/shift transition??
    • Fellow techs
      • ARRT grandfathered
        • How to navigate tactfully
          • Older outdated methods
          • Tech is unaware of current practices
          • Tech is simply doing things incorrectly
      • Non-communicating Tech
        • Minimize processes that cause friction and frustration
        • Practice extreme vigilance
          • Protocol changes
          • Pre-appt patient needs
          • Ordering supplies I.e. Gd, IV tools, Injection kits
          • Interaction with rads
      • Incompetent/non multitasking tech
        • Make it official; document everything
          • Leave notes and sign what needs signing to show due diligence
          • Initial what studies you scanned
        • Be prepared to be behind during transitions I.e. am to pm handoffs
        • Take control of patient misdirection during study onset
          • Observe/recognize when tech loses control of patient drama
            • Intervene tactfully and proactively
      • Inappropriate tech
        • Rude and uncompassionate bedside manner
          • Screening without listening
          • Combative nature
        • Apt to cancel appt without making an effort with higher maintenance situation
        • Canceling pt study for 5 min tardiness
      • Leads
        • Probably most frustrating is when your lead knows less than you do
        • Humility and tactful assertion
      • Newer techs
        • May require guidance
          • Limited experience
          • Proactive/tactful leadership
        • Guidance must be limited
          • Tech has to demonstrate competence independently
            • Burden should not be on shoulders of other techs
      • Tech Rescheduling / Canceling appts
        • Contraindication
        • Does tech have authority or leverage to cancel appt
        • Does that burden rest with site rad
        • Incidental findings I.e. priors
        • Patient work up I.e. prior US, CT etc
        • Site specific practices or procedures; vary from site to site.

Continuing Education Credit
This program has been approved by the Association for Medical Imaging Management (AHRA) for 1 hours ARRT Category A continuing education credit. This course meets all CRA renewal credit criteria
and has been approved for 1 continuing education credits (total) in the following
CRA domain(s):

  • Operations Management
  • Communications and Information Management
  • Human Resource Management

Certificates of Credit are accepted by the American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) and the American Registry of Radiologic Technologists (ARRT).

ICPME accepts American Express, MasterCard, and Visa.

Tuition for this course includes unlimited access to the course and your Certificate of Credit.

Please note: tuition payments are non-refundable.

How to Enroll and Participate
Estimated time to complete this activity is 1.00 hours.

  • Click ENROLL NOW, CONTINUE through the shopping cart, CONFIRM ORDER, and ACCESS COURSE NOW.
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How to Receive Credit

  • To access the posttest and evaluation, login to your account at and click on the course title.   
  • Click the icons for POSTTEST and for EVALUATION.
  • A passing grade of at least 75% is required to receive credit. You may take the test up to three times.
  • Upon receipt of a passing grade, you will be able to print a certificate of credit from your account at

Your online account serves as a permanent record of credit certificates earned through

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About the American Registry of Magnetic Resonance Imaging Technologists
Because MRI is a Specialty

The mission of the American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) is to recognize individuals qualified as specialists and to promote high standards of patient care and safety in the diagnostic medical imaging modality of Magnetic Resonance Imaging (MRI) technology including: interventional MRI, cardiovascular MRI, functional MRI, and MRI breast imaging.

ARMRIT is the first certifying organization to:
1.    Recognize MRI technology as a distinct medical imaging specialty utilizing non-ionizing radiation.
2.    Require MRI clinical experience and competency for eligibility.
3.    Promote formal MRI education with MRI clinical training.
4.    Recognize MRI schools that offer full-time educational program leading to a career in MRI.

Certification through the Registry is open to qualified technologists in all imaging fields who have documented MR clinical experience and/or formal education completed through schools dedicated to MRI technologists.

For more information about ARMRIT or to apply for certification, visit

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.