Interventional Radiology and Hospital Medicine Bill Schaeffer, MD Chief, Interventional Radiology University of New Mexico and Sandoval Regional Medical Center

5 Things Hospitalist should know People Clinical Service More to come Processes Inpatient Triage Inpatient NP’s (cavalry) Procedures Patient Prep Lines

Providers 6 Physicians 2 Nurse Practitioners 1 Fellow in 2015-2016 5 Interventional Radiologists 2 Board Certified IM 1 Interventional Neuroradiologist 2 Nurse Practitioners 1 Fellow in 2015-2016 Coming in 2016 - 3 additional IR and 2 NP’s

Coverage SRMC added in 2014 Call is 24 -72 hours at a time without time off for good behavior Attending:Resident ratio not 1:1 Attendings are present for every case in its entirety 6000 cases / year 60% inpatient 40% outpatient

Staff 12 Radiologic Technologists 14 Nurses 1 UBE 2 PCC 1 Clinic nurse 2 Supervisors

Triage Finite space in which to work 12 to 20 inpatient requests/day Scheduled outpatients performed in same location Difficult to send and receive patients during shift change Managing the flow is a lot like air traffic control Accessed through Power Order After hours these orders are not seen by us

Patient Prep Labs: Coags/platelets and Bun/Cr if contrasted Stop anticoagulation: Time variable depending on therapeutic vs prophylactic. Stop antiplatelet therapy: Most of the time. We follow our Society’s guidelines Conscious Sedation 6 hours NPO

Lines Don’t put PICC’s in patients with poor renal function-preserve the veins for future dialysis use We will place tunneled power lines for you

Inpatient Biopsies Prefer to do as outpatient unless absolutely necessary

Location Department of Radiology Contact Inpatient referrals 272-2883 Outpatient referrals 272-1818 After hours non-emergency inpatient referrals 272-8351 After hours emergency inpatient referrals 951-0991 or of course the PALS line