1. Neuro MRI Call— Logistics
Nikdokht (Niky) Farid, M.D.
Associate Professor
Department of Radiology
Division of Neuroradiology
University of California, San Diego

2. What happens at 2 am?
MR/Neuro Fellow must page the resident at 2 am to go over what ER/Trauma/Stat Inpatient scans are in the queue to be done and how to reach the MR tech at each location
MR/Neuro Fellow will forward their pager to the x5063 pager from 2-8 am (2-7 am on weekends)
If resident is getting slammed at 2 am and there are MRIs coming down the pike, the Fellow can assist/decompress until 3 am

3. Resident Responsibility
Protocoling: MR/Neuro Fellow will have protocoled all requests up to 2 am; if any new requests come in thereafter the MR tech will page the resident for the protocol
No need to protocol non-STAT studies
RadPrelim ER/Trauma/STAT Inpatients
Use Neuro MR All list
As always, document who you spoke to when there is an acute/critical finding
For Non-Stat Inpatients
No need to review unless you get called by the clinician
If you do get called, I-box as such “No acute findings. F/U final read in AM”
RadPrelim up to 5 MRIs (overall)

4. Relief Valve and Back-up
If volume exceeds 5 MRIs and/or if you need help on the MRIs that you are preliming, ask the MRI tech to send the study to V-Rad
Also remember that you can always page the Neuroradiology Attending on-call

5. UCSD MR technologist hours
Hillcrest
Sunday – Thursday 24 hours
Friday 06:30 – 11PM
Saturday 06:30 – 11PM
Thornton
Monday – Friday 24 hours
Sat and Sun 07:30 – 7PM

6. VA
MRI Tech on-call pager (if unable to reach, call Dr. Gentili directly)
In-house M-F until 10-10:30PM (weekends are variable)
VA policy to come in overnight only for indications where MRI will change immediate management: r/o cauda equina/cord compression, spinal epidural abscess, etc.

7. Things you are not responsible for!
For any MSK MR questions, refer them to on-call MSK fellow
For any Body MR questions, refer them to on-call Body fellow
For any LP questions, refer them to on-call Neuro fellow
No longer require consent prior to non-contrast MRI of pregnant women