{"id":851,"date":"2019-04-10T22:32:21","date_gmt":"2019-04-11T02:32:21","guid":{"rendered":"https:\/\/geiselmed2.dartmouth.edu\/radiology\/?page_id=851"},"modified":"2019-04-10T22:32:21","modified_gmt":"2019-04-11T02:32:21","slug":"vir-nursing-pre-procedure-sop-labs-for-ir-procedures","status":"publish","type":"page","link":"https:\/\/geiselmed.dartmouth.edu\/radiology\/divisions\/clinical-divisions\/interventional-radiology\/vir-nursing-pre-procedure-sop-labs-for-ir-procedures\/","title":{"rendered":"VIR Nursing: Pre-procedure SOP labs for IR procedures"},"content":{"rendered":"<p><b>Procedures that do not require labs:<\/b><\/p>\n<ul>\n<li>Biliary tube check with exchange\n<li>G - Tube exchange\/ GJ tube exchange\n<li>Nephrostomy tube exchange\n<li>Temporary central line placement - non tunneled line\n<li>Tubal catheterization\n<li>RF greater saphenous vein ablation\n<\/ul>\n<p><b>Procedures that require labs:<\/b><\/p>\n<table class=\"shade nohover\">\n<tr>\n  <b><\/p>\n<td><b>Procedures or Indication<\/b><\/td>\n<td><b>Study Required<\/b><\/td>\n<td><b>Min. days prior<\/b><\/td>\n<td><b>Notes<\/b><\/td>\n<\/tr>\n<tr>\n<td>All biopsies<\/td>\n<td>platelets, PT\/INR (bone bx add CBC within 30 days)<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>adrenal\/renal vein sampling<\/td>\n<td>Creatinine<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>angiography (includes peripheral\/cerebral)<\/td>\n<td>Platelets, PT\/INR, PTT, BUN\/Creatinine (cerebral Add CBC)<\/td>\n<td>30<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>non-liver bland embolization (includes UAE)<\/td>\n<td>Platelets, PT\/INR, PTT, BUN\/Creatinine<\/td>\n<td>60 (was 30)<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>liver embolization (chemo\/Y90\/bland)<\/td>\n<td>CBC, electrolytes, BUN\/Creatinine, PT\/INR, PTT, Hepatic Function Panel<\/td>\n<td>14<\/td>\n<td>For chemo embo-labs ordered and drawn within 2 weeks prior per Associate providers - do not send these pt to the lab unless specifically ordered <\/td>\n<\/tr>\n<tr>\n<td>cholangiogram (PTC) +\/- drain<\/td>\n<td>platelets, PT\/INR, hepatic function panel (had CBC, BUN, Creat within 2 weeks)<\/td>\n<td>30<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>dialysis catheter placement \/ fistulogram <\/td>\n<td>potassium<\/td>\n<td>7<\/td>\n<td>If not dialized within 7 days prior to procedure<\/td>\n<\/tr>\n<tr>\n<td>discogram<\/td>\n<td>PT\/INR, platelets<\/td>\n<td>30<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>foreign body removal<\/td>\n<td>platelets, PT\/INR, creatinine<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>G-tube\/ GJ tube placement<\/td>\n<td>platelets, PT\/INR<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>transhepatic portal venogram<\/td>\n<td>platelets, PT\/INR<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>intravascular contrast media (EXCEPTION: dialysis pts)<\/td>\n<td>BUN\/creatinine<\/td>\n<td>30<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>IVC\/SVC filter placement<\/td>\n<td>if done by vascular: BUN\/creat <br \/>if done by IR: platelets, PTT, PT\/INR, BUN\/creat<\/td>\n<td>60<\/p>\n<p>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>mediport or tunneled catheter placement<\/td>\n<td>platelets, PT\/INR<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>mediport removal<\/td>\n<td>platelets, PT\/INR<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>new renal access nephrostomy tube +\/- stent<\/td>\n<td>platelets, PT\/INR<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>percutaneous drainage (include para, thora, chest tube, pleurx, tunneled abdominal catheter)<\/td>\n<td>platelets, PT\/INR<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>radiofrequency ablation (RFA) liver\/renal\/lung<\/td>\n<td>done with anesthesia<\/td>\n<td>&nbsp;<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>spinal arteriogram<\/td>\n<td>CBC, PT\/INR, PTT, BUN\/creat<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>synovial cyst aspiration\/rupture<\/td>\n<td>platelets, PT\/INR<\/td>\n<td>60<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>TIPPS revision<\/td>\n<td>CBC, BUN\/CR, PT\/INR\/PTT, <br \/>hepatic function panel<\/td>\n<td>14<\/p>\n<p>30<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>vascular  agrams<\/td>\n<td>BUN, serum creatinine<\/td>\n<td>60<\/td>\n<td>if not previously obtained by vascular surgery (check scanned documents)<\/td>\n<\/tr>\n<tr>\n<td>venogram upper\/lower<\/td>\n<td>platelets<br \/>BUN\/creat, PT\/INR<\/td>\n<td>60<br \/>30<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>vertebroplasty<\/td>\n<td>CBC, PTT,PT\/INR<\/td>\n<td>30<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>Wada test<\/td>\n<td>CBC, PT\/INR, PTT, BUN\/creat<\/td>\n<td>30<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Procedures that do not require labs: Biliary tube check with exchange G &#8211; Tube exchange\/ GJ tube exchange Nephrostomy tube exchange Temporary central line placement &#8211; non tunneled line Tubal catheterization RF greater saphenous vein ablation Procedures that require labs: Procedures or Indication Study Required Min. days prior Notes All [\u2026] <\/p>\n<div class=\"clear\"><\/div>\n<p><a class=\"more_link clearfix\" href=\"https:\/\/geiselmed.dartmouth.edu\/radiology\/divisions\/clinical-divisions\/interventional-radiology\/vir-nursing-pre-procedure-sop-labs-for-ir-procedures\/\" rel=\"nofollow\">Read More<\/a><\/p>\n","protected":false},"author":9,"featured_media":0,"parent":115,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"page-templates\/template-full-width.php","meta":{"footnotes":""},"class_list":["post-851","page","type-page","status-publish","hentry","author-9"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/pages\/851","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/comments?post=851"}],"version-history":[{"count":0,"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/pages\/851\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/pages\/115"}],"wp:attachment":[{"href":"https:\/\/geiselmed.dartmouth.edu\/radiology\/wp-json\/wp\/v2\/media?parent=851"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}