Provider Interventional Radiology Ordering Guide

Effective August 15, 2022.

View the new Interventional Radiology referral protocols and lab order process.

Ablations – renal cyst, celiac plexus block

• Pre-admission testing visit.

Angiography – lower extremities, upper extremities, mesenteric, cerebral, abdominal aorta, and thoracic aorta

• Pre-admission testing visit.

Arterial Intervention – angioplasty, stenting, aortic aneurysm repair, thrombolysis, embolizations (UFE’s, etc), and chemoembolizations

• Office consultation with interventional radiologist.
• Pre-admission testing visit.

Arthrograms – hip, shoulders, knees, ankles and wrists

• Bring medication list.
• Blood thinners must be stopped for appropriate time frame as approved by the physician.
• Order for procedure to scheduler.
• History and physical to scheduler.

Biliary Catheters Placements

• NPO

Biopsies – liver, lung, kidney, bone marrow, thyroid, transjugular, vertebral disc, other

• Bring medication list.
• Pre-admission testing visit for all except thyroid.
• Blood thinners must be stopped for appropriate time frame as approved by the physician.
• Order for scheduler prior to pre-admission testing visit.
• History and physical prior to pre-admission testing visit.
• Patient will need a driver.

Drainages – abscess, wound fistulas, chest tube placement, thoracentesis, paracentesis, pleurx drain placement, cholecystostomy drain placement

• NPO

Feeding Tubes – gastrostomy tube placement/change, jejunostomy tube changes, gastrojejunostomy tube placement/change

• Pre-admission testing visit.

Foreign Body Removal – venous or arterial

• Pre-admission testing visit.

Kyphoplasty

• Pre-admission testing visit.

Lumbar Punctures – blood patch, LP

• Bring medication list.
• Blood thinners must be stopped for appropriate time frame as approved by the physician.
• Order for procedure to scheduler prior to appointment date.
• Patient to stay after the procedure for 6 hours, will be lying flat.
• Have the patient drink extra water or liquids the day before the procedure so well hydrated.
• Patient will need a driver.

Myelograms – lumbar, cervical, thoracic

• Bring medication list.
• Blood thinners must be stopped for appropriate time frame as approved by the physician.
• Order for procedure to scheduler prior to appointment date.
• Patient to stay after the procedure for 6 hours, will be lying flat.
• Have the patient drink extra water or liquids the day before the procedure so he or she is well hydrated.
• Patient will need a driver.

Sialograms

• No prep needed.

Sphenopalatine Ganglion Block (SPG) – treatment for migraine headaches

• No prep needed.

Steroid Injections – epidurals, hips, SI joints, intercostal, and facet

• Bring medication list.
• Stop any blood thinner 5 days before the procedure if cleared with prescribing physician.
• Must have a driver.

Transjugular Intrahepatic Portosystemic Shunt (TIPS)

• Pre-admission testing visit.

Tumor Ablations – radiofrequency, microwave, and cryoablation

• Pre-admission testing visit.

Vena Cava Filter Placements/Removals

• Pre-Admission testing visit.

Venous Procedures – upper and lower extremity venography, DVT thrombolysis, stenting, angioplasty, central line placement, portacath placement

• Pre-admission testing visit.

Urology (including nephrostograms, nephrostomies with catheter placement/exchange)

• Pre-admission testing visit.
• Bring medication list.
• History and physical to scheduler prior to preadmission testing visit.
• Order for procedure/study to scheduler prior to preadmission visit.