INTERVENTIONAL RADIOLOGY Skillsheet

CARDIOVASCULAR
Assess Heart Sounds
                             
Assess: Peripheral Pulses
                             
Recognize and Interpret Arrhythmias
                             
Perform CPR
                             
Perform Defibrillation
                             
Hemodynamic Monitoring: Invasive and Non-Invasive
                             
Intra Arterial Blood Pressure (IABP)
                             
Sheath Removal
                             
Phillips XPER Hemodynamic Monitoring System
                             
Cardiac Echo
                             
Participate in Resuscitation
                             
Use of Doppler
                             
Cardiac Care: Basic
                             
Defibrillator Monitor with Pacing
                             
EQUIPMENT
Injector - Contrast Media/Mobile
                             
Innocor Metabolic Monitoring
                             
Integrated OR System
                             
TMR
                             
Lead Shield
                             
VPA
                             
Monitors: Phillips
                             
Monitors: Physiologic
                             
Medical Equipment:Boom
                             
Medical Equipment: Perfusion
                             
Medical Equipment: Tandem with DFP Monitor Arm
                             
Medical Equipment: Single Surgical Light
                             
Computer Workstation: EP/Hemodynamic
                             
Computer Workstation: Controller
                             
Computer Workstation: Device - Operating Room
                             
Medical Equipment: Ablation
                             
Computer Workstation: Cardiac Cath-lab
                             
Omnicell - Medication Dispensing
                             
Electrosurgical Cautery Units (ESU) - Bipolar/Monopolar
                             
iSUITE Misc Gas Risers and Bridges
                             
Laser/Surgical
                             
Lights: Surgical/Single/Ceiling/with FP Monitor Arm
                             
Monitors: Transport
                             
Navigation System
                             
Ultrasound
                             
Imaging
                             
Toshiba X-Ray/Interventional/Angio/Cardiac Bi-Plane
                             
Phillips X-Ray - Interventional/Angio/Cardiac Bi-Plane
                             
Fluid/Blood Warmer - Portable
                             
Merge Workstation
                             
I-STAT
                             
MEDICATION ADMINISTRATION
Maintaining Catheter Patency
                             
Moderate Sedation
                             
Admin/Tiration: Vasopressors
                             
Admin/Titration: Inotropic
                             
Admin/Titration: Antiarrhythmics
                             
Admin/Titration: Anticoagulants
                             
Admin/Titration: Sedatives
                             
Admin/Titration: Paralytics
                             
Narcotics - Morphine, Dilaudid, Fentanyl, etc
                             
Propofol (Diprovan)
                             
Neuromuscular Blocking Agents (Pavulon, Norcuron)
                             
Alaris Pump
                             
Calculate mcg/min & mcg/kg/min
                             
Titrate Vasoactive Drugs
                             
Use of: IV Infusion Pumps to Calculate Doses
                             
Atropine
                             
Benzodiazepines
                             
Cardizem
                             
Dobutrex (Dobutamine)
                             
Dopamine
                             
Epinephrine
                             
Heparin
                             
Lidocaine
                             
Nitroglycerin
                             
PROCEDURES
Drainage Tube
                             
Biopsy
                             
AV Fistual/Shunt Declotting
                             
Line Placement - PICC
                             
External Ventricular Drains (EVD)
                             
ECG Monitoring and 12 Lead
                             
Rhizotomy Procedure
                             
Stroke Thrombolysis
                             
Fistulograms/Shuntograms
                             
Embolization of Peripheral Vasculature
                             
Cerebral Angiogram
                             
CT Scan Guided Biopsy
                             
Line Placement - Broviac
                             
Line Placement - Groshong
                             
Line Placement - Hickman
                             
Line Placement - Port-a-Cath
                             
Liver Biopsy and Embolization
                             
Lower Extremity Angiogram
                             
Lumbar Puncture
                             
Myelogram
                             
Permanent Hemodialysis Shunt Placement
                             
Temporary Hemodialysis Shunt Placement
                             
Ultrasound Guided Biopsy
                             
Upper Extremity Angiogram
                             
Uterine Fibroid Embolization
                             
Vertebroplasty
                             
RESPIRATORY
Respiratory Distress Utilizing Mechanical Support
                             
Assess Lung Sounds
                             
Set up Oxygen Devices
                             
Interpret ABG's
                             
Assist with Chest Tube Insertion
                             
Pulse Oximetry
                             
Use of Ambu Bag
                             
Assist with Intubation
                             
Care of: Pt with Mechanical Ventilation
                             
Assess for PE
                             
Perform full Neuro Assessment
                             
Identify Changes in Mental Status
                             
Assess: Sensory, Motor, Speech
                             
Assess: Reflex/Motor Deficits
                             
Respiratory Compromise
                             
Chest Tube Management
                             
SUPPLEMENTAL
Start Peripheral IV
                             
Thermoregulation/Hypothermia
                             
PIV Management
                             
Safe Patient Handling
                             
Do you have Neuro Interventional Radiology experience?
                             
Blood/Blood Products Administration and Exchange
                             
Malignant Hyperthermia Crisis
                             
Nurse to Nurse Handoff
                             
Admit Patient to Pre-Procedure Holding
                             
Time Out
                             
Pre- Procedure Checklist
                             
Complete Assessment, History and Risk Factors
                             
Transport of Pt to and From Procedure
                             
Asses Pain Level - Wong Baker, Non Verbal, Visual Analog
                             
Care of: Pt with Anesthesia/Analgesia
                             
Care of: Pt with IV Conscious Sedation
                             
Care of: Pt with PCA
                             
Care of: Pt with Epidural
                             
Assess Surgical Wounds with and without Drains
                             
Care of: Pt with FemStop Device
                             
Assess Success of VasoSeal, AngioSeal and PerClose
                             
Avoximeter
                             
Glucometer (BSG)
                             
Do you have Cath Lab experience?
                             
Do you have Electrophysiology (EP) experience?
                             
Anesthesia: Pre-Operative/Pre-Procedural
                             
Patient Positioning/Transfer