Any Rad nurses out there?? - page 2

What? No radiology posts!?!?! Well.......we need to start one... Let's see....... how did everyone get trained in radiology nursing? Anyone actually have an organized training program or did... Read More

  1. by   dianah
    Ummmmmm . . . did I kill another thread??? Didn't mean to. Got sidetracked. Continue w/discussion of documentation and credentialing, please!! -- D
  2. by   earthmother
    Lots of folks go into Radiology the way you are. First nurse in the dept., no visible support (altho you will have, and those of us older Rad nurses can help as well as nursing services, patient care comittees at your facility and your DON- by law she/he is accountable for any nursing practice within your facility[B]. So, these things may be usable to you. Or not, but they are food for thought.
    Approach your problems/ concerns slowly and calmly.
    Contact any councils that set certain policies/ guideline / standards within your facility ( ex: JCAHO wants EVERYONE doing conscious,ie moderate sedation the same way, same forms. In most places anesthesia is involved in the evolution of just such a policy. So your conscoious sedation worries may be aleviated.) Also know this - you may get some resistance because you are new, not a Rad technologist, ARE a nurse. Be kind, be helpful, don't take offence (altho it is difficult when you are a stranger in a strange land),learn all you can about procedures and outcomes. It helps you understand their job as well as helps you identify patient needs. To help you learn more about radiology nursing I highly recommend the ARNA website, but beware, it is ".org" not "net". Net gets you a nudist colony in France!!! (I had to explain this to Information Systems once). There is also a Radiology certification exam study guide thru ARNA. A good reference tool. :imbar Anyway , good luck!!
  3. by   frann
    Hi Everyone,
    I've Been in IR for about 1 year. I'llnever go back. I love it. I trained otj. I came from a telemetry floor with icu experience.
    My biggest problem is I work parttime and it is hard to remember everything we do. Thankfully the techs and other nurses are allways around and are such a big help. I really work with a great bunch. My biggest goof was a few months ago when a sprayed one of our docs with Omni . Got all in his hair. He was really pretty good about it. I'm his new hairdresser now!
  4. by   RadRN2

    chuckle That's pretty funny about the Omni! Good aim!!! That's one of the things I really love, too, about working in Radiology -- the techs (especially IR techs), nurses, and alot of the Rads become really close. We're like a bunch of brothers and sisters. You have to watch your back all day long for a "kick me" sign!!! :chuckle

    I bet it is hard remembering things when you're working PT. It seems that we start doing something new every week. Sometimes its hard keeping up FT! Maybe keeping your own little "cheatsheet" would help. Maybe having a written procedure manual....

    Nice talking to other Rad nurses!
  5. by   dspring
    I'm fairly new to Radiology Nursing myself. I have been doing it full time since Aug 2002, but I was moonlighting in it for the last 2 years a work in a 200+ bed facility in OH, and I have taken a postion as the only full time RN in the Department. One of the other RN's I work with was the initial Radiology nurse for almost 16 years, and she is getting ready to retire. She is a great resource person for me. All my training was OJT, but I have also been an ER nurse for 10 years now. I still moonlight in the ER regularly. It gets in your blood. I am interested in swapping war stories with other RAD Nurses, and I am really interested in othe facilities documentation for procedures. I was told the Department will eventually be "My Baby" so I am always looking at ways to improve things.
  6. by   RadRN2

    Welcome, dspring!! It's great to keep this thread going. I came from an ER background (and ICU) myself, 10 yrs there. But, now in my late 40's, it's sure hard to keep up with the ER pace. Not to say that Radiology isn't busy, just not as consistently so as ER at my facility. Rad really grows on you fast, though. I just love it now and consider it my "specialty". Have been there nine years now.

    You will be the only nurse in your dept? Have heard from several nurses in that situation.

    Here's a hot button question for radiology nurses -- what's everybody's dept policy on using power injectors with central lines?
  7. by   dspring
    our hosp policy is we are not to use them. I have had to start countless IV's on patients with Central Lines and picc's because of this. Usually the whole time the patient is giving me grief about not using their central line also. I work with one other nurse at a time, but they are both part time.
  8. by   dianah
    We went thru a lot of discussion about this subject (using power injectors to inject contrast thru central lines) too. All the literature we requested from the vendors clearly states not to use power injector w/lines. However, our Radiologists (one from UCSD, one from Baylor, others from LLUMC) feel it IS safe to inject at a rate under 1.5cc/sec, have done so at other facilities without incident. Our policy HAD been: no, don't. But we re-wrote it so that the CT tech must consult the Radiologist if a central line is the ONLY IV access. The Rad. will then review the need for the contrast and direct the power injection, again, at 1.5cc/sec or less, depending on the exam. In otherwords, the window was left open to power inject at the discretion of the Radiologist. -- D
  9. by   DeterminedOne
    Hi everyone! Glad I found this site. Should be very informative as I am also a fairly new, lone nurse in our angiography suite. We have been doing everything except cardiac caths - till now. Got certificate of need to do cardiacs about 6 months ago and have been preparing extensively for this. We will be doing only diagnostic cardiac caths - no interventions. We do interventions when necessary on peripheral cases. I will have another nurse joining me when we start and I have had lot of critical care and supervisory background so I am fairly comfortable with my role. However - any advice would be appreciated. For those out there who have a lab that does both peripheral and cardiacs, is there a competition or disagreement between your vascular docs, cardiologists, and radiologists about "whose" lab it is? Our radiologist was first to do angios in our facility. He is great to work with and much more easy going than the others. Then we got a new, fresh out of school vascular doc who does his own angios, plasty/stents (he doesn't feel a radiologist is qualified to do them!). Now that our cardiac guys will be cathing - the vascular guy is "concerned" that they understand that is His lab. Is this type of turf war common? Seems pretty childish, doesn't it? Any advice, words of wisdom will be greatly appreciated.
  10. by   DeterminedOne
    Dianah - in response to your question about power injectors - we do not use on our central lines or picc lines. Has been an on-going battle though to prevent this. We instruct our patients not to allow any power injector use through their line.
  11. by   RadRN2
    DeterminedOne -- We don't do any cardiac caths in our labs but just in the last 6 months, two cardiologists have started using our labs for peripheral work. And, BOY, you talk about turf battles!!! We think its pretty entertaining!!. Our radiologists have always figured it's "their" lab even though they refuse to sign any contract with the hospital (don't know quite how they get away with that one) and we have always been at their mercy as far as showing up late, adding on "emergencies" on Friday afternoons, etc. Now here come the cardiologists who, by the way, show up on time, have all their H&P's, etc. completed. Of course, we make this well known!!! And then they kind of secretly try to watch each other's cases. What a day care!!
  12. by   dspring
    Hey Radrn2, It must be a new trend, we have 2 Cardiologist that are going to start coming down to our lab. There is also 1 cardiologist that has been doing peripheral work in the cardiac cath lab in the hospital across town from us. I have a hunch the turf wars are just starting here in OH. by the way I see your from ID, I have friends in Pocatello, and one of them is a nurse also.
  13. by   smittybike
    I am a cath lab nurse transitioning into radilogy, I've worked in IR for 3 1/2 years, and now I am assisting in CT, ultrasound, xray. nuc med. I don't have much to go on as far as policy and procedure, documentation of my time etc. Any resources you could recommend would be great!