Procedural Radiology : Fundamental Peri-Procedural Tasks

OVERVIEW

This page is dedicated to organizing resources that explain how to perform fundamental peri-procedural tasks pertinent to many different types of radiology procedures.

INITIAL PROCEDURAL EVALUATION

• Procedural indications
• Procedural contraindications
• How to field the procedural consult 
• Completing a chart review (writing pre-procedure note/H & P)
• System based evaluation of the patient
• Reviewing relevant prior imaging 

PRE-PROCEDURAL PREPERATION

• Determining what type of sedation/anesthesia the patient will require
• Evaluating bleeding risk using laboratory values
• Anticoagulation/antithrombotic peri-procedural medication management
• Determining the need for pre-procedure antibiotics 
• Deciding what samples are needed for pathology/microbiology 
• Pre-procedure orders 
• Organizing procedural equipment for the case 
• Pre-procedural imaging 
• Consenting the patient

PROCEDURAL CONSIDERATIONS

• Positioning the patient 
• Utilizing ultrasound for the procedure 
• Prepping A Procedure Site (Sterilizing And Draping)
• Prepping The Ultrasound Probe 
• Performing a time out right before the procedure 
• Administering lidocaine
• Performing a dermatotomy (skin incision)
• Establishing vascular access
• Common procedural complications and their management
• Acquiring and passing off samples 
• Cleaning up at the end of the case 

POST-PROCEDURAL WORKFLOW CONSIDERATIONS

• Sending samples for analysis 
• Post procedure orders 
• How to sign out the patient post procedure to the primary team
• Dictating the procedure/writing the radiology report
• Rounding on patients 
• Common post-procedural complications and their solutions 
• Implanted equipment care 
• Discharge planning and paperwork 
• Follow up plan