A brief introduction -- dipping of one's toe into the waters of Radiology Nursing, a challenging and exciting area that combines the best of nursing with one-on-one patient care and working with technology and innovations to improve patient outcomes.
Radiology Nurses provide care for patients undergoing various imaging exams. This simple sentence is only the tip of the iceberg, so to speak, of the many ways RNs in imaging departments facilitate and advocate for patients.
RNs may work in either a hospital or a free-standing Imaging Center.
Some imaging departments may require RNs be on-call for trauma or emergent procedures.
Each imaging department will have certain requirements for prospective RNs to meet. Some departments may require previous Radiology/Imaging experience as an RN, or experience working as an RN in an ED or in the ICU.
In larger facilities, RNs may work in specific areas only, such as Radiation Therapy(Oncology), Diagnostic Radiology or Interventional Radiology. Radiology Nurses working in smaller facilities may well have to be more of a Jack-(or Jill)-of-all-trades, juggling procedures and presence in several areas during the shift.
Radiology Nursing can be an exciting, exhausting, rewarding field. Interventional Radiology by itself, as new techniques are developed, is revolutionizing the way health services are delivered. Performing minimally invasive interventions often results in decreased recovery times, decreased costs and shorter (if any) hospital stays.
Some facilities employ Advanced Practice Radiology Nurses and Clinical Nurse Specialists as mid-level providers for key positions within the imaging field.
Duties and Responsibilities
- Provide pre- intra- and post-procedure patient education
- Administer moderate sedation and monitor the effects of sedation during a procedure or imaging exam, as well as the patient's tolerance of and response to the procedure/exam itself
- Assist with procedure setup
- Scrub and assist MDs performing various procedures (e.g., angiograms, interventions, biopsies, fluid/abscess drains)
- Inject intravenous contrast agents and monitor for side effects or adverse reactions
- Perform pre-procedure assessments which may include reviewing labs and medications and appropriateness of the procedure for the patient
- Initiate IV access
- Possess a working understanding of the basics of multiple imaging venues (diagnostic radiology, ultrasound, CT and MRI imaging, for example) and safety measures needed to best protect patients and staff during imaging
Skills and Qualities
RNs must possess strong nursing skills, the ability to multitask, critical thinking skills, good problem-solving skills, resourcefulness, and excellent interpersonal and communication skills. Good hand-to-eye coordination is important too, as well as physical stamina if the position entails scrubbing tableside to assist the Radiologistor Cardiologist. Yes, some Radiology Nurses will assist with Cardiology procedures as part of their duties.
After working in an imaging area for a few years, an RN may pursue additional certification to become a Certified Radiology Nurse (CRN). RNs interested in maintaining Radiology as the focus of their advanced practice specialty may obtain their Master's or Doctoral degree in nursing as an FNP, an Adult Nurse Practitioner or a Clinical Nurse Specialist. Some employers seeking advanced practice Radiology Nurses may require they hold a Master's degree in nursing, an advanced practice nursing license and additional specialty certification.
Average salaries vary from state to state and area to area but range from around $44,000 (entry level) to $96,000 and more per year (median $65,950). Salary for skilled Radiology Nurses is usually higher than for other nursing areas.
As experienced Radiology Nurses retire and the imaging field expands with new procedures and techniques, the need for Radiology Nurses, and thus job opportunities, is expected to remain strong.
Association for Radiologic and Imaging Nursing (ARIN): "The professional organization representing nurses who practice in ... diagnostic, neuro/cardiovascular, interventional, ultrasonography, computerized tomography, nuclear medicine, magnetic resonance, and radiation oncology."
Journal of Radiology Nursing: The official journal of ARIN
American College of Radiology: "...members of the American College of Radiology include radiologists, radiation oncologists, medical physicists, interventional radiologists, nuclear medicine physicians and allied health professionals. For over three quarters of a century, the ACR has devoted its resources to making imaging safe, effective and accessible to those who need it."
Radiological Society of North America: "...an international society of radiologists, medical physicists and other medical professionals... dedicated to patient care through science and education in radiology"
Association for Vascular Access (AVA): "founded in 1985 to promote the emerging vascular access specialty"Last edit by Joe V on Nov 19, '13
About dianah, ADN Senior Moderator
I have been an RN over 37 years, and worked in the highly stimulating and exciting areas of Radiology, Interventional Radiology and Cardiac Catheterization for 32 of those 37 years.
dianah has '39' year(s) of experience and specializes in 'Cath Lab/Radiology'. From 'at my home desk or at work'; 61 Years Old; Joined Apr '02; Posts: 26,038; Likes: 14,956.Nov 20, '13 by subeeInterventional radiology is a high-stress area so you've got to love the adrenalin. Also spend your day in a lead apron but they are getting lighter in weight Usually call from home is involved. It's wonderful to care for patients who can avoid an invasive operation with the procedures that are always being developed.Nov 27, '13 by dianah, ADN Senior ModeratorAgree with you, subee!
It can be fast-paced and challenging!
It is satisfying, though, to know one is making a difference for patients undergoing procedures.
I liked giving one-on-one care,
getting hands-on with assisting the Radiologist,
trouble-shooting and dealing with unusual reactions/cases,
becoming competent in setting up for procedures,
becoming highly skilled starting IVs on all sorts of patients,
Had a little 7yo we had to cath several times in one year, for a VCUG.
She always asked for me, screamed her little head off each time I cathed her but stayed still and was a trooper for the exam.
I recall advocating for a patient who requested no students be in the room during her procedure.
One resident insisted he could stay, "that's why they sign the waiver when they're admitted!"
Patient will have the room staff only. Period.
Radiologist backed me up.
I worked at a County facility and for awhile patients needing cardiac catheterization were transported by ambulance to us from a local community hospital without a cath lab.
The patients arrived quite anxious and wide-eyed, to "The County," --- quite apprehensive about what to expect (after all, County Hospitals routinely employ staff with three eyes and more than ten digits!!).
I was gratified to watch them relax as we met and prepped them for the procedure, as they realized we were serious and skilled, passionate and compassionate professionals.
Sounds silly, but some of the most satisfying procedures to me were placing nephrostomy tubes and CT- or US-guided abscess drainages!
Patients in pain with a kidney obstruction realize almost instant relief when the hydronephrosis is decompressed after nephrostomy tube placement!
And it is amazing to watch the Radiologist identify JUST the right spot to approach and insert a drainage catheter into a troublesome pocket of fluid.
I have helped table-side to embolize AV malformations, to reduce the amount of bleeding during surgery.
Received a call one day that an outpatient scheduled for an IVP couldn't come in, couldn't get out of bed.
I questioned the caller (his mother): "Is this new? Could he get out of bed yesterday?"
"Well, yes he could. He's had this back pain and he went to the doctor and got some medicine but the pain is worse and now he can't get out of bed."
"Ma'am," (I wanted to scream!) I said, using my best Mom Voice. "call 911 and have them bring him to the hospital right away."
Later that day we got an add-on IVP from the ED who, it turns out, was this man (in his 40's) with the back pain.
His mom had indeed called 911 and he was in the ED, going to be admitted, and was sent for his IVP.
IVP turned out OK.
Seems he had a spinal abscess!!
Oh my, I educated him on listening to his body. Going to the MD is fine -- even good!
Taking your meds = GREAT!
But if the problem is getting WORSE, you need to tell the MD or he will think the meds cured the problem!!
It is rewarding to work as a team with the Radiologists and Technologists, each adding their skills and strengths to care for the patients.
Ahhh, I could go on and on.... it's a good area for a nurse to work!!Feb 25, '14 by not.done.yet, MSN, RN GuideThanks for posting this. Interviewing in IR today and have my fingers triple crossed.