I am starting a new job in IR next month and would like some input as to what I should prepare myself for. I have never worked IR before. My background includes: ICU, telemetry, stepdown, med-surg. Anything in particular I should read about before starting? Is there a book I could buy (i.e. IR Nursing For Dummies)? I am excited but also nervous!
Appreciate all your comments!
Dec 8, '12
I have no books to suggest, but THAT is some wonderful and exciting nursing, imo! Bet you will love it!
I worked in both the 'plain' radiology dept, as RN for xray/CT/MRI/depts.
as well as rotating to
the "Special Procedures" dept, which fell under radiology wing,
where all manner of amazing things were done under fluoroscopy. My role in the "special procedures" dept, was almost always doing IV sedate while the docs did fascinating fascinating things to the patients, from depositing chemo-like substances directly onto a tumor in the brain via the femoral artery, or doing liver biopsys, to inserting tubes of all types, more types of things than i can list, all done in a room that looked like star trek to me. Techs did all the managing of the machinery and equipment, i was just the Versed/fentenyl fairy in the room, watching the monitor, VS, etc.
Some procedures we also served as almost a 'scrub' nurse role, too, depended on the procedure being done. I especially liked watching the kidneys pumping away.
In the event you would be doing what we used to call "conscious sedate", you could bone up on your cardiac monitoring, as you are only one watching THAT, and study the drugs most commonly used. Almost every hospital has to have you certified (often by that hospital itself) to give IV sedate, with a course and testing, to be qualified to perform that,
but studying ahead of time, can only help.
My hospital also required ACLS and cardiac monitoring tests, too, which are probably things you either already have with your background, or could easily ace.
Fascinating to watch the body under fluoroscopy. It'll be something new every day.
Last edit by somenurse on Dec 8, '12