Difference between revisions of "I need a procedure"
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===Procedure Request Checklist=== | ===Procedure Request Checklist=== | ||
| − | Imaging-guided interventions are provided by several sections in radiology, the details and appropriate contacts for which are below ([https://docs.google.com/spreadsheets/d/18jBKpVb-2jx5JCkPodANIlzVViC5B0LOIkNllRMDFps/pubhtml and also on this spreadsheet]). For all procedures, however, please have the following information readily available: | + | Imaging-guided interventions are provided by several sections in radiology, the details and appropriate contacts for which are below ('''[https://docs.google.com/spreadsheets/d/18jBKpVb-2jx5JCkPodANIlzVViC5B0LOIkNllRMDFps/pubhtml and also on this spreadsheet]'''). For all procedures, however, please have the following information readily available: |
*Patient last name and MRN (room number is not terribly helpful) | *Patient last name and MRN (room number is not terribly helpful) | ||
*Consentability, NPO, and anticoagulation status | *Consentability, NPO, and anticoagulation status | ||
*Relevant allergies (contrast, sedating medications) | *Relevant allergies (contrast, sedating medications) | ||
*A direct call-back number that you will be available at for 60 minutes following your page. | *A direct call-back number that you will be available at for 60 minutes following your page. | ||
| + | *Please note that while placing an imaging-guided procedure order will be needed ('''[http://www.dukerad.radsq.com/images/9/95/IR_Ordering_Codes.pdf the most common of which are here]'''), this order alone will NOT generate a page to the appropriate radiology section; you'll need to follow the section-specific steps below to make sure they are aware of the request | ||
== Who to call == | == Who to call == | ||
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[https://docs.google.com/spreadsheets/d/18jBKpVb-2jx5JCkPodANIlzVViC5B0LOIkNllRMDFps/pubhtml find the appropriate department here], or call [tel:9196814422 681-4422] after hours. | [https://docs.google.com/spreadsheets/d/18jBKpVb-2jx5JCkPodANIlzVViC5B0LOIkNllRMDFps/pubhtml find the appropriate department here], or call [tel:9196814422 681-4422] after hours. | ||
| − | === | + | === === |
Revision as of 08:27, 23 July 2022
Contents
Procedure Request Checklist
Imaging-guided interventions are provided by several sections in radiology, the details and appropriate contacts for which are below (and also on this spreadsheet). For all procedures, however, please have the following information readily available:
- Patient last name and MRN (room number is not terribly helpful)
- Consentability, NPO, and anticoagulation status
- Relevant allergies (contrast, sedating medications)
- A direct call-back number that you will be available at for 60 minutes following your page.
- Please note that while placing an imaging-guided procedure order will be needed (the most common of which are here), this order alone will NOT generate a page to the appropriate radiology section; you'll need to follow the section-specific steps below to make sure they are aware of the request
Who to call
VIR (Vascular and Interventional Radiology)
You can either page the Vascular Radiology Pager (970-7930) or place a 'Consult to Interventional Radiology' order to generate a page. The pager is held 24/7 for urgent and emergent procedures. For non-urgent procedure requests, non-urgent questions, or FYI pages, please limit communications to the hours of 6:00 am to 9:00pm (a home-call coverage system is utilized). VIR procedures include:
- Tunneled central line placement (dialysis-capable tunneled central lines ["Permcaths"], non-dialysis capable tunneled central lines ["Hickmans']
- Tunneled central line bedside removal
- Arteriograms +/- intervention (e.g., arterially extravasating GI bleed)
- Pulmonary arteriograms and PE suction thrombectomy
- Fistulagrams +/- intervention
- Percutaneous GTube / GJ Tube / J Tube placements, replacements, and checks
- Percutaneous nephrostomy / biliary / cholecystostomy tube placements, replacements, and checks (PCNs, PBDs, PercCholes)
- Solid organ tumors ablations and embolization (e.g., hepatic Y-90 treatment, hepatic bland embolization and microwave ablation, renal cryoablation, etc)
- Intravascular solid organ biopsies (e.g, transjugular liver biopsies, transcaval biopsies)
- Vertebral kyphoplasty and sacroplasty
- Venous and arterial malformation percutaneous treatment
- Additional procedures not covered below
- Of note, VIR does not place peripheral PICC lines (contact PICC team), or inpatient non-tunneled central lines (contact medical procedure team)
Abdominal Imaging Interventions
The Body Interventions pager (206-2435) is dependably held from 7:30 am to 5:00 pm. If urgent intervention is required between 5:00 pm and 10:00 pm, please call the Body reading room at 684-7224 . If urgent intervention is required between 10:00 pm and 7:30 am, please call the Radiology Senior Call phone at 681-4422. Abdominal imaging procedures include:
- Abdominal collection drainage and aspiration
- Superficial soft-tissue collection aspiration and drainage
- Solid organ percutaneous biopsies, both targeted and random
- For imaging-guided Dobhoff tube placements, please call 684-7257 during business hours and place an order for XR Long Tube Placement
Neuroradiology Interventions
The Neuroradiology Interventions pager (206-9959) is dependably held from 7:30 am to 5:00 pm. If urgent intervention is required between 5:00 pm and 10:00 pm, please call the Neuro reading room at 684-7213 . If urgent intervention is required between 10:00 pm and 7:30 am, please call the Radiology Junior Call phone at 681-4475. Neuroradiology procedures include:
- Fluoroscopic guided lumbar punctures (following failed bedside LP attempts)
- Myelograms
- Vertebral body / disc aspiration for evaluation of osteomyelitis
- CSF-leak related interventions
Musculoskeletal Interventions
MSK interventions can be requested between 7:30 am to 5:00 pm by calling the MSK reading room at 684-7465. If urgent intervention is required between 5:00 pm and 7:30 am, please call the Radiology Junior Call phone at 681-4475. MSK procedures include:
- Fluoroscopic guided bone biopsies, marrow aspiration
- Shoulder and hip arthrograms and aspirations
Weekday and Weekend AM
After hours non-VIR emergencies: Weekend PM, night, holiday
For after hours cases that do not require emergent overnight intervention, please call the appropriate reading room after 7:30am.
VIR emergencies
970-7930 (pager) Please include the patient's MRN!
IR does NOT perform LPs, biopsies, abscess drains or arthrocentesis - for these, find the appropriate department here, or call 681-4422 after hours.
