Interventional Radiology Inpatient Preparation Diagnostic Radiology

Test Length

Procedures

Instructions

1-1 ½ hours

Angiograms / Angioplasty including: Aortic arch Cerebral / carotid Peripheral Mesenteric Pulmonary Renal

1. 2. 3. 4. 5. 6.

NPO after midnight—may take Meds with sips Signed radiology consent Working IV or PICC Recent CBC, Creatinine, GFR, INR, PT, PTT INR < 1.5, Normal PTT Pre-procedure checklist, MAR, labels, nursing flow sheet 7. PT. in blue gown—no underwear 8. Off anticoagulants

1 hr.

Alcohol Ablation

1. 2. 3. 4. 5. 6. 7.

NPO after midnight—may take Meds with sips Signed radiology consent Working IV or PICC Recent CBC, INR, PT, PTT Off anticoagulants including ASA, Plavix, Pradex PT. in blue gown Pre-procedure checklist, MAR, nursing flow sheet

1 hr.

Biopsy

1. 2. 3. 4. 5. 6. 7. 8.

NPO after midnight—may take Meds with sips Signed radiology consent Working IV or PICC Recent CBC, INR, PT, PTT INR < 1.5 Off anticoagulants including Plavix, Pradex, ASA x 5 days PT. in blue gown Pre-procedure checklist, MAR, nursing flow sheet

1 ½ hrs.

Kyphoplasty

1. 2. 3. 4. 5. 6. 7. 8.

NPO after midnight—may take Meds with sips Signed radiology consent Working IV or PICC PT. in blue gown Recent CBC, INR, PT, PTT INR < 1.5 Off anticoagulants including Plavix, Pradex, ASA x 5 days Pre-procedure checklist, MAR, nursing flow sheet

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Interventional Radiology Inpatient Preparation Diagnostic Radiology

Test Length

Procedures

Instructions

1 hr.

Permanent Dialysis Line, Hickman

1. 2. 3. 4. 5. 6. 7.

NPO after midnight—may take Meds with sips Signed radiology consent Working IV or PICC Recent CBC, INR, PT, PTT Off anticoagulants including Plavix, ASA, Pradex PT. in blue gown Pre-procedure checklist, MAR, nursing flow sheet

1 hr.

Suprapubic Catheter

1. 2. 3. 4. 5. 6. 7.

NPO after midnight—may take Meds with sips Signed radiology consent CBC, PT, PTT, INR Off anticoagulants including Plavix, ASA Working IV or PICC PT. in blue gown, no underwear Pre-procedure checklist, MAR, nursing flow sheet

20 mins.

Temporary Dialysis Line

1. 2. 3. 4.

Signed radiology consent PT. in blue gown CBC, PT, PTT, INR Pre-procedure checklist, MAR, nursing flow sheet

2 hrs.

Uterine Artery Fibroid Embolization

1. NPO after midnight—may take Meds with sips 2. Signed radiology consent 3. Working IV or PICC 4. CBC, INR, PTT, Creatinine, GFR 5. INR < 1.5, off anticoagulants 6. Foley Catheter 7. Pain service consult 8. Pt. in blue gown, no underwear 9. Pre-procedure checklist, MAR, nursing flow sheet 10. May receive Ancef

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Interventional Radiology Inpatient Preparation Diagnostic Radiology

Test Length

Procedures

Instructions

2 hrs.

Venous / Arterial Embolization Bleeding Tumors, Liver

1. 2. 3. 4. 5. 6. 7. 8.

NPO after Midnight—may take Meds with sips Signed Radiology Consent Working IV or PICC CBC, INR, Creatinine, GFR Off anticoagulants including ASA, Plavix, Pradex INR < 1.5 Pt. in blue gown, no underwear Pre-Procedure Checklist, MAR, Nursing Flow Sheet

2 hrs.

Chemotherapy (I/A)

1. 2. 3. 4.

2 hrs.

Carotid Stent

1. NPO after midnight—may take Meds with sips 2. Signed radiology consent (Family or POA must be available by phone or present if Pt. unable to give consent). 3. Working IV or PICC 4. CBC, PT, PTT, INR. Lytes, Urea, Creatinine & GFR 5. INR < 1.5. (PTT within normal limits) 6. PT. should take prescribed ASA & Plavix day of procedure. 7. Hold antihypertensives day of procedure 8. PT. in blue gown, no underwear 9. Pre-procedure checklist, MAR, nursing flow sheet and NEURO flow sheet

NPO after midnight—may take Meds with sips Signed radiology consent Working IV or PICC CBC, PT, PTT, INR, Lytes, Urea, Creatinine & GFR. Bilirubin, Liver function studies 5. INR < 1.5. (PTT within normal limits) 6. Other B.W as appropriate for prescribed chemo 7. Off anticoagulents Including Plavix, ASA, Pradex 8. PT. in blue gown, no underwear 9. Send Pre-procedure checklist, MAR, nursing flow sheet 10. Pre-procedure Meds as ordered by physician

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Interventional Radiology Inpatient Preparation Diagnostic Radiology

Test Length

Procedures

Instructions

.5-1.5 hrs.

Fistulogram

1. 2. 3. 4.

NPO after light breakfast—may take Meds with sips Signed radiology consent Recent CBC Off Coumadin; Recent INR if prescribed Coumadin (INR < 1.5) 5. PT. in blue gown 6. Pre-procedure checklist MAR, nursing flow sheet

30 mins.

Feeding Tube Gastric & Gastric Jejunum

1. NPO after midnight (including tube feeds) 2. Signed radiology consent. (Family or POA must be available by phone or present if PT unable to give consent) 3. Working IV or PICC 4. CBC, PT, PTT, INR 5. INR < 1.5 6. Off anticoagulants, including Plavix, ASA, Pradex 7. PT in blue gown 8. Prescribed barium previous evening (Pre-procedure orders will be sent to floor) 9. Pre-procedure checklist, MAR, nursing flow sheet

30 mins

IVC Filter Insertion / Removal

1. 2. 3. 4. 5. 6. 7.

NPO after midnight—may take Meds with sips Signed radiology consent CBC, PT, PTT, INR For removal anti-coagulation is continued PT. in blue gown, no underwear Working IV or PICC Pre-procedure checklist MAR, nursing flow sheet

1 hr.

Nephrostomy (PERC)

1. 2. 3. 4. 5. 6. 7. 8.

NPO after midnight—may take Meds with sips Signed radiology consent CBC, PT, PTT, INR Working IV or PICC Off anticoagulants Need antibiotic coverage Pt. in blue gown Pre-procedure checklist MAR, nursing flow sheet

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Interventional Radiology Inpatient Preparation Diagnostic Radiology

Test Length

Procedures

Instructions

15 mins.

Nephrostogram

1. Nursing flow sheet, MAR

20 mins.

PICC Line

1. Nursing flow sheet, MAR 2. Signed radiology consent

30 mins.

Paracentesis

1. 2. 3. 4.

Signed radiology consent CBC, PT, PTT, INR Working IV or PICC Pre-procedure checklist MAR, nursing flow sheet

1 hr.

PORT – Insertion / Removal

1. 2. 3. 4. 5. 6. 7.

NPO after midnight—may take Meds with sips Signed radiology consent CBC, Diff, PT, PTT, INR Off anticoagulants Working IV or PICC Pt. in blue gown Pre-procedure checklist MAR, nursing flow sheet

1.5 hrs.

Percutaneous Transhepatic Cholangiogram (PTC)

1. 2. 3. 4. 5. 6. 7. 8.

NPO after midnight—may take Meds with sips Signed radiology consent CBC, PT, PTT, INR Off anticoagulants including ASA, Plavix, Pradex Working IV or PICC Antibiotic coverage Pt. in blue gown Pre-procedure checklist MAR, nursing flow sheet

30 mins.

Thoracentesis / Chest Tube Insertion

1. 2. 3. 4. 5. 6.

NPO after midnight—may take Meds with sips Signed radiology consent CBC, PT, PTT, INR Working IV or PICC PT. in blue gown Pre-procedure checklist MAR, nursing flow sheet

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Interventional Radiology Inpatient Preparation Diagnostic Radiology

Test Length

Procedures

Instructions

1 1/2 hrs.

Radiofrequency Ablation - Renal Tumors - Liver Tumors

1. 2. 3. 4. 5.

NPO after midnight—may take Meds with Sips Signed radiology consent CBC, PT, PTT, INR. Additional BW may be ordered INR < 1.5 Off anti-coagulants including Plavix, Pradex, ASA x 5 days 6. Working IV or PICC 7. PT. in blue gown 8. Pre-procedure checklist MAR, nursing flow sheet

1.5-2 hrs.

Thrombolysis - Cerebral - Pulmonary - Vascular

1. 2. 3. 4. 5. 6. 7. 8. 9.

2 hrs.

TIPS / TIPS Revision

1. NPO after midnight 2. Signed radiology consent 3. CBC, PT, PTT, INR, GFR, Creatinine, Liver function tests, Bilirubin 4. Working IV or PICC 5. PT. in blue gown 6. Pre-procedure checklist MAR, nursing flow sheet 7. For TIPS need general anaesthesia consult

30 mins.

Perc Drain Insertion - Abcess - Choli - Fluid Collection - Cyst

1. 2. 3. 4. 5. 6. 7.

10 mins.

Tube Checks

1. Nursing flow sheet

NPO Signed radiology consent CBC, PT, PTT, INR, GFR, Creatinine, Fibrinogen T&H Two working IVs Foley catheter Baseline neuro assessment PT. in blue gown, no underwear Pre-procedure checklist MAR, nursing flow sheet Level II D4 ICU Specubed required post-procedure

NPO after midnight—may take Meds with sips Signed radiology consent CBC, PT, PTT, INR Off anticoagulants Working IV or PICC Pt. in blue gown Pre-procedure checklist MAR, nursing flow sheet

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