A Review of Interventional Radiology
Course #90444 - $60 -
- Participation Instructions
- Review the course material online or in print.
- Complete the course evaluation.
- Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.
Over the years, the radiology department has evolved from a purely diagnostic area to one where multifaceted therapies are performed. Radiologists have evolved to become super-specialists, able to guide referring physicians to further tests and/or radiological therapies. The radiology residency now incorporates training in many areas that were unknown a few decades ago. Today, as patients spend a steadily increasing amount of time away from regular hospital units, they must be properly prepared for what is going to happen to them. The purpose of this course is to provide information about the rapidly expanding field of radiologic medicine. Knowledge of the basic procedures will assist physicians and nurses in preparing patients and their families for the many procedures performed in the radiology department.
- INTRODUCTION
- THE RADIOLOGY DEPARTMENT: A BRIEF SUMMARY
- THE SCOPE AND STAFF OF INTERVENTIONAL RADIOLOGY
- PATIENT SELECTION
- PATIENT PREPARATION
- MODERATE SEDATION
- A SYNOPSIS OF INTERVENTIONAL PROCEDURES
- ANGIOGRAPHY
- DIALYSIS FISTULA AND GRAFT REPAIR
- VASCULAR STENTS
- VASCULAR FILTERS
- CELIAC PLEXUS BLOCK
- INTENTIONAL EMBOLIZATION
- STENOSIS MANAGEMENT
- PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC LINES)
- ENDOVASCULAR GRAFTS FOR ABDOMINAL AORTIC ANEURYSM REPAIR
- TRANSCATHETER HEART VALVE REPLACEMENT
- TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT
- TUMOR ABLATION
- INTERVENTIONAL INTRAVASCULAR DRUG THERAPY
- A NOTE ABOUT SAFETY
- THE ROLE OF THE NURSE
- CONCLUSION
- Works Cited
- Evidence-Based Practice Recommendations Citations
This course is designed for physicians, physician assistants, and nurses involved in the care of patients who may require radiological interventions.
The purpose of this course is to provide information about an expanding field of radiological medicine. Knowledge of the basic procedures will assist physicians and nurses in preparing patients and their families for the many procedures performed in the radiology department.
Upon completion of this course, you should be able to:
- Explain the indications and risks of interventional radiologic procedures and describe them to patients and their families.
- List measurable criteria to review before safely deciding to proceed with any interventional radiologic procedure.
- Discuss the factors involved in administering moderate sedation.
- Identify indications and outcomes for image-guided biopsy.
- Describe how drainage of obstructed organ systems or large fluid collections may be provided by percutaneous approaches.
- Discuss the methods by which percutaneous nephrostomy and ureteral stents aid in the treatment of urologic disease.
- Review the role of interventional procedures in establishing drainage of the biliary system.
- Describe indications for and possible complications resulting from various angiography procedures.
- Summarize the proper placement of vascular stents and filters.
- Discuss the use of celiac plexus block, including expected outcomes.
- Identify conditions that warrant the use of intentional embolization.
- Review the mechanism of action and objectives of radiofrequency tumor ablation.
- List side effects and contraindications of interventional intravascular drug therapy.
Linda Strangio, RN, MA, CCRN, CRN, graduated from The Mount Sinai Hospital School of Nursing in New York City. Linda has been a staff nurse, head nurse and patient care coordinator in medical, surgical and pulmonary intensive care units in New York, Ohio and New Jersey. In 1992, she became the nursing coordinator of the department of radiology at Atlantic Health System's Mountainside Hospital in Montclair, New Jersey, where she had worked for twenty-six years. She held national certification in critical care nursing (CCRN) and radiology nursing (CRN), as well as two degrees in psychology. She was the editor of Images, which is the national journal of the American Radiological Nurses Association (ARNA), has been published over fifty times in professional journals and magazines and has authored three books. Regrettably, Linda Strangio passed away in October 2002.
Contributing faculty, Linda Strangio, RN, MA, CCRN, CRN, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
John M. Leonard, MD
Jane C. Norman, RN, MSN, CNE, PhD
The division planners have disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
Sarah Campbell
The Director of Development and Academic Affairs has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.
Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.
It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.
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The role of implicit biases on healthcare outcomes has become a concern, as there is some evidence that implicit biases contribute to health disparities, professionals' attitudes toward and interactions with patients, quality of care, diagnoses, and treatment decisions. This may produce differences in help-seeking, diagnoses, and ultimately treatments and interventions. Implicit biases may also unwittingly produce professional behaviors, attitudes, and interactions that reduce patients' trust and comfort with their provider, leading to earlier termination of visits and/or reduced adherence and follow-up. Disadvantaged groups are marginalized in the healthcare system and vulnerable on multiple levels; health professionals' implicit biases can further exacerbate these existing disadvantages.
Interventions or strategies designed to reduce implicit bias may be categorized as change-based or control-based. Change-based interventions focus on reducing or changing cognitive associations underlying implicit biases. These interventions might include challenging stereotypes. Conversely, control-based interventions involve reducing the effects of the implicit bias on the individual's behaviors. These strategies include increasing awareness of biased thoughts and responses. The two types of interventions are not mutually exclusive and may be used synergistically.