Microsoft word - safety guidelines - separated v7 oct 19_09.doc

FINAL Approved: Oct. 19 /09 Safety Guidelines Version 7:
Preparation (Recommendation) Guidelines for Patients Having Invasive Procedures in Medical Imaging
HIGH RISK
MINIMAL RISK
HIGH RISK
*EXCLUDED*
Vascular Neuro Procedures
**EXCLUDED**
including cerebral angiograms
Medications to be handled only by referring physicians & interventional radiologists.
Endovascular Stents/ Filters/ Neuro coiling ! Diagnostic cerebral angiography
! IVC Filters
! Neuro Embolization (GDC coil)
! Arterial Stenting
! Carotid Stenting
! Venous Stenting
Anticoagulant / Antiplatelet MEDS
Discontinue
Anticoagulant
Procedures (HIGH RISK)
Recommended
Recommendation
Hours/ Days off Meds*
when to resume
* Ordering Physician
must give
instructions to patient
Arteriography (including Diagnostic &
Venography (including Embolization
Abdominal (Percutaneous)
Interventional procedures
Biopsies
Musculoskeletal
(MSK)Procedures
! Soft Tissue (Sarcoma) Core
Biopsies (CT/ US/ Fluoroscopy

Musculoskeletal (MSK)
Procedures
! Repeat Aspiration - Failed joint
injection (for suspected occult infection) FINAL Approved: Oct. 19 /09 Safety Guidelines Version 7:
Preparation (Recommendation) Guidelines for Patients Having Invasive Procedures in Medical Imaging
MINIMAL RISK
Anticoagulant / Antiplatelet MEDS
Discontinue
Anticoagulant
Procedures (MINIMAL RISK)
Recommended
Recommendation
Hours/ Days off Meds*
when to resume
* Ordering Physician
must give
instructions to patient
Diagnostic Venogram
Superficial
Biopsy/Aspiration (MINIMAL RISK)
! Extremities
! Lymph nodes
! Diagnostic Thoracentesis /
Paracentesis
Neuro Interventions
(MINIMAL RISK)
! Nerve Root Block
! Facet Block
! Paraspinal injection
Musculoskeletal (MSK)
Procedures
! Joint Injection or Aspiration
FINAL Approved: Oct. 19 /09 Safety Guidelines Version 7:
Preparation (Recommendation) Guidelines for Patients Having Invasive Procedures in Medical Imaging
Anticoagulant / Antiplatelet MEDS
Discontinue
Anticoagulant
Procedures (LOW RISK)
Recommended
Recommendation
Hours/ Days off Meds*
when to resume
* Ordering Physician
must give
instructions to patient
Core Biopsies
! Extremity MSK
! Prostate
Fluid Drainage per Catheter
! Thoracentesis / Paracentesis
! Ascites
! Abscess
Neuro Interventions
(LOW RISK)

Booking Clerk Script:

! “You are booked for a: ____________________________ procedure in Medical Imaging. If you are on any blood thinner medication, you must ask your Ordering Physician for instructions on discontinuing and resuming your medications”. ! We ask that you contact your doctor for more details on this, as we have faxed this info to them. ! If you don’t discuss this with your doctor, your procedure may be cancel ed. ! Patients on anti-inflammatory medication such as the fol owing: (Advil® (ibuprofen) Voltaren® Celebrex®) may continue taking them.
! Please inform your Ordering Physician if you are taking supplements as these may affect blood
Reference

1. SIR Journal of Vascular Radiology 2009; 20:S240-S249 – Consensus Guidelines for Periprocedural
management of Coagulation Status and Hemostasis Risk in Percutaneous Image-guided Interventions

Version 7 Revised Oct. 19, 2009

Source: http://vanrad.org/docs/SAFETY%20GUIDELINES%20-%20SEPARATED%20V7%20Oct%2019_09.pdf