Society of Interventional Radiology Position Statement: Staffing Guidelines for the Interventional Radiology Suite

Baerlocher, Mark O.; Kennedy, Sean A.; Ward, Thomas J.; Nikolic, Boris; Bakal, Curtis W.; Lewis, Curtis A.; Winick, Adam B.; Niedzwiecki, Gerald A.; Haskal, Ziv J.; Matsumoto, Alan H.

doi:10.1016/j.jvir.2016.02.010

Cited by 13 publications

(9 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Society for Cardiovascular Angiography and Interventions as well as the Society of Interventional Radiology (SIR) have published guidelines akin to those of the AORN to address best procedural practices in their respective subspecialties. 7,8 In cardiac catheterization laboratories and IR suites, instrument counts are generally not employed, given the percutaneous nature of most procedures performed in these environments. 7,9 Although the risk of retained sponges and instruments is extremely low, both locations routinely perform wire and catheter-based procedures and have specific guidelines regarding staffing and procedural documentation to prevent the unrecognized retention of foreign bodies.…”

Section: Discussionmentioning

confidence: 99%

“…The guidelines also specify that the optimal catheterization laboratory team involves staff with specific training in endovascular procedures, specifically in knowledge of wires, catheters, and balloons. 8 Similarly, the SIR highlights the need for consistent, trained staff who are not interchangeable with nurses from other floors in the hospital or technologists from other areas in radiology. 9 This is not feasible in a large OR environment where nonvascular nurses must cross-cover endovascular and hybrid procedures, particularly after hours.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intraoperative Fragmentation and Retention of Endovascular Devices: Clinical Consequences and Preventative Strategies

Endicott

Drucker

Orbay

et al. 2019

Vasc Endovascular Surg

View full text Add to dashboard Cite

Background: Expanded applications and increasing volumes of complex endovascular procedures have increased the risk of unintended intraoperative fragmentation and retention of catheters and sheaths. We describe a series of retained or fragmented endovascular devices, a quality improvement program to address this unmet need for improved detection of catheter fragmentation, and the results of this program. Methods: Cases utilizing endovascular devices that resulted in a retained catheter fragment were identified and analyzed during divisional quality improvement review. One consistent area of concern was operating room (OR) staff unfamiliarity with verifying the integrity of an endovascular device. In response, a slide-based training protocol of focused, endovascular nursing education was implemented. Following perceived lack of improvement after this approach, we developed a handheld visual reference display of the tips of common catheters and sheaths. Staff was surveyed before and after intervention to assess the educational value of the display and the impact on staff device familiarity. Results: All 4 described cases resulted in an unplanned return to the OR for retrieval of the fragmented catheter or sheath. No thromboembolic complications were observed, although associated intra-arterial thrombus was noted in 2 cases. Thirty-four OR nurses were polled to trial the visual reference display initiative, with 70% of those reporting primary surgical assignments outside of cardiovascular ORs. Introduction of the new visual reference display improved staff confidence in their ability to identify a broken device (2.4-3.7, P < .001). This improvement was most significant in OR staff with primary assignments in noncardiovascular services. Conclusion: Current OR standard operating procedures fail to address the potential for unintentionally retained catheters and wires during endovascular procedures. Our novel visual reference display of common endovascular items rather than conventional in-service training improved the ability of staff to identify device fragmentation at the time of the index procedure.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intraoperative Fragmentation and Retention of Endovascular Devices: Clinical Consequences and Preventative Strategies

Endicott

Drucker

Orbay

et al. 2019

Vasc Endovascular Surg

View full text Add to dashboard Cite

show abstract

“…In IR, as in all medical disciplines, the need for improvements in patient safety is progressively being recognized. 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 Patient safety is the absence of preventable harm to a patient during the process of healthcare and reduction of risk of unnecessary harm associated with healthcare to an acceptable minimum. 24 …”

Section: Introductionmentioning

confidence: 99%

“…In certain situations, 4 nonphysician healthcare practitioners may be needed per case. 30 IR physician and staff training and competency are an integral component of any successful IR program. Consistent, trained staff familiar with the standards of practice and particular care of patients undergoing a spectrum of IR procedures is crucial.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Interventional radiology in gynecology and obstetric practice: Safety issues

Pinto

Giurazza

Califano

et al. 2021

Seminars in Ultrasound, CT and MRI

View full text Add to dashboard Cite

Interventional radiology is continuing to reshape current practice in many specialties of clinical care and the fields of gynecology and obstetrics are no exception. Imaging skills, clinical knowledge as well as vascular and non-vascular interventional technical ability, are essential to practice interventional radiology effectively. Patient safety is of paramount importance in interventional radiology as in all branches of medicine. Potential failures occur throughout successful procedures and are attributed to a spectrum of errors, including equipment unavailability, planning errors, and communication errors. These are mainly preventable by improved preprocedural planning and teamwork. Of all the targeted and effective actions that can be undertaken to reduce adverse events, the use of safety checklists might have a prominent role. The advantage of a safety checklist for interventional radiology is that it guarantees that human error in terms of forgetting key steps in patient preparation, intraprocedural care, and postoperative care are not forgotten.

show abstract

Procedural Sedation and Analgesia in Radiology

Long

Stewart

2019

Advanced Practice and Leadership in Radiology Nursing

View full text Add to dashboard Cite

Society of Interventional Radiology Position Statement: Staffing Guidelines for the Interventional Radiology Suite

Cited by 13 publications

References 34 publications

Intraoperative Fragmentation and Retention of Endovascular Devices: Clinical Consequences and Preventative Strategies

Intraoperative Fragmentation and Retention of Endovascular Devices: Clinical Consequences and Preventative Strategies

Interventional radiology in gynecology and obstetric practice: Safety issues

Procedural Sedation and Analgesia in Radiology

Contact Info

Product

Resources

About