We have 2 full-time RN's in my dept and 2 part-time nurses, a 3rd nurse is starting in a week. Our dept has quadrupled the business in IR since bringing on an interventional radiologist. We do cover call but only til 7pm on the weekdays and only 8a-12p on weekends. The managers say we r changing call until 12 midnight during week. The nurses don't scrub on cases here, only the IR techs which is fine with me, I like monitoring the patients. I do love my job however find that our managers not having nursing backgrounds gives us the usual frustrations, we are the redheaded step-children of the hospital, lol. We frequently get left out of important changes in the hospital And find out with second hand conversations we other nurses. Since getting the IR doc we have gone to hospital provided OR scrubs! Thank heaven! With the changeover we now do dialysis related issues, angioplasties, etc. It has been frustrating with trying to explain to all that monitoring pt's can be different for each. They have done nothing to get us more education on these newer procedures, soon we our going to be doing RFA's and embolization, all of which uses heavy sedation, a side note to that, I was an ICU nurse for 14 years and have problem with using heavy sedation however there are limits to what I can do by hospital policy. Not sure about what we will do with this issue. Anyway sorry to run on with this. We do insert PICC lines but are developing a criteria patients must meet to have one placed, as always PICC's are not emergency cases however we seem to get called in for them all the time. We do a basic assessment with our thyroid and breast biopsies. We also do lumbar spine pain injections. I would be interested to know what sedation and pain meds other facilities use, does anyone use diprivan without an anesthesiologist. Do u have a protocol for it? What meds do you use for post biopsy patients, do they get sent home with a prescription. Thanks all! Any and all responses welcome.