HISSYTHECAT, the criteria for hiring in the Rad. Dept varies from one facility to another, depending on the RN's responsibilities. The RNs in our dept, as well as helping with just about every Radiology procedure in any modality, also monitor cardiac catheterizations, so we require RNs hired here to have at least one year of ICU experience. The nurses with ICU background know their rhythms and "what to watch for and how to respond," for moderate ("conscious") sedation administration and monitoring. Two recent hires came to us from the ED (trauma), rather than the ICU, though, and are doing very well.
Jaguar and Spirit A-glow, we use the standard Sedation Monitoring flowsheet for most exams where even mild sedation is required. There is a Pre-procedure page (nursing assessment
; checkoff for presence of H&P, consent, ASA score, labs . . .), an Intraprocedure page (VS, meds given, presence of essential personnel in room, contrast opened and used, room time in/out, procedure start/finish . . .), post-procedure (charting for PACU/Recovery Room), and an extra lined page for notes which don't fit on any of the other pages.
For simple exams (e.g., Dialysis cath removal, oral anxiolysis for claustrophobic pt for MRI, nephrostogram . . .) we developed a Nursing Procedure Record: what exam/procedure was done, a brief nursing assessment, area for VS pre and post procedure, MD signature, meds given (time, date, route) discharge info (who is driving pt home, what time they left, etc).
We love check boxes!! Got tired of writing in longhand for the MRI oral anxiolysis pts, so we found the preop assessment sheet used in Preop Holding would work for us too. When they phased it out and moved on to something else, we retained it, tweaked it a little for our use and renamed it. Works well also for, say, MS IV for HIDA scan, where you want to document what was done and that you did indeed assess the pt pre and monitor post MS injection, but you don't want to do a lot of longhand writing.
So, in my longwinded way, I should ask, 1) what do you need to document (moderate sedation vs. minor procedure) and, 2)is/are there flowsheets in place in your facility that will meet your needs, or do you need to develop one/some?
Have you tried the ARNA website? Lots of much more knowledgeable Radiology nurses and techs than I post there, on just these topics. American Radiological Nurses Association. PM me if you need more, or post here. I check in every now and then! Best regards, ---- Diana