I haven't had to so far. The nephrologist gives the sedation through the dialysis access. But I know we do have an order set for patients that have shellfish/iodine/dye allergies that includes solumedrol, so I guess if the patient has an allergy we would start an IV prior to the procedure. Your dialysis experience will be a big plus! My background is Telemetry, so I'm learning a lot of new stuff.