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Interventional Radiology RN

Interventional Radiology RN

  • Date Format: MM slash DD slash YYYY
  • Self-Assessment Rating Scale

    No Experience
    Theory or observation only during the past 12 months

    Limited Experience
    Performed less than 12 times within the past 12 months and may need a review

    Experienced
    Performed at least once per month within the past 12 months and may need minimal assistance

    Highly Skilled
    Performed on at least a weekly basis over the past 12 months; proficient
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Admit patient to pre-procedure holding
    Complete assessments, obtain family history & risk factors
    Start Peripheral IV
    Complete pre-procedure checklist
    Transport pre-procedure patient to the Lab
    Transport post-procedure patient to in-hospital units
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Cerebral Angiogram – Prepare
    Cerebral Angiogram – Assist
    Lower Extremity Angiogram – Prepare
    Lower Extremity Angiogram – Assist
    Upper Extremity Angiogram – Prepare
    Upper Extremity Angiogram – Assist
    Ultrasound Guided Biopsy – Prepare
    Ultrasound Guided Biopsy – Assist
    CT Scan Guided Biopsy – Prepare
    CT Scan Guided Biopsy – Assist
    Liver Biopsy and Embolization – Prepare
    Liver Biopsy and Embolization – Assist
    Prepare and Assist with Line Placement – Broviac
    Prepare and Assist with Line Placement – Groshong
    Prepare and Assist with Line Placement – Hickman
    Prepare and Assist with Line Placement – PICC
    Prepare and Assist with Line Placement – PortaCath
    Uterine Fibroid Embolization – Prepare
    Uterine Fibroid Embolization – Assist
    Temporary Hemodialysis Shunt Placement – Prepare
    Temporary Hemodialysis Shunt Placement – Assist
    Permanent Hemodialysis Shunt Placement – Prepare
    Permanent Hemodialysis Shunt Placement – Assist
    AV Fistula/Shunt Declotting – Prepare
    AV Fistula/Shunt Declotting – Assist
    Vertebroplasty – Prepare
    Vertebroplasty – Assist
    Lumbar Puncture – Prepare
    Lumbar Puncture – Assist
    Myelogram – Prepare
    Myelogram – Assist
    Provide care for the post-procedure patient
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assess heart sounds and peripheral pulses
    Interpret arrhythmias
    Perform CPR
    Perform defibrillation
    Participate as a team member in resuscitation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assess lung sounds
    Set up oxygen devices
    Obtain pulse oximetry reading
    Interpret ABG
    Use Ambu bag
    Assist with intubation
    Assist with chest tube insertion
    Provide care for the patient with mechanical ventilation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Identify sudden change in level of consciousness
    Assess sensory, motor, speech
    Assess reflexes (Babinski, gag)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Titrate vasoactive drugs
    Calculate mcg/min and mcg/kg/min
    Use IV infusion pump to calculate drug doses
    Administer IV dopamine
    Administer IV nitroglycerine
    Administer IV dobutamine (Dobutrex)
    Administer IV lidocaine
    Administer IV diltiazem (Cardizem)
    Administer IV epinephrine
    Administer IV atropine
    Administer IV heparin
    Administer IV benzodiazepines (Valium, Versed, Ativan)
    Administer IV propofol (Diprivan)
    Administer IV neuromuscular blocking agents (Pavulon, Norcuron)
    Administer IV narcotics (morphine, fentanyl)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assess pain level/tolerance
    Care of patient with anesthesia/analgesia
    Care of patient with IV conscious sedation
    Care of patient with narcotic analgesia
    Care of patient with patient controlled analgesia (PCA pump)
    Assess surgical wound status with/without drain(s)
    Care of patient with sterile dressing changes
    Care of patient with FemoStop device
    Assessment of VasoSeal, AngioSeal, PerClose success
    From the choices above, please check the box corresponding to each age group for which you have expertise in providing age-appropriate nursing care.
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Calculate body weight to verify correct dosing of medication
    Assess immunization status for pediatric, and adolescent
    Set age-appropriate short-term and long-term goals in care planning
    Provide age-appropriate education, considering possible vision and hearing impairment for Older than 65 years.
  • Please add the completion date (mo/day/year)
  • Please add the completion date (mo/day/year)
  • Please specify other certifications and add completion date (mo/day/year)