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Volume 28 Number 2 Summer 2017 THE JOURNAL OF egal Nurse Consulting INTERVENTIONAL RADIOLOGY

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PURPOSE American Association of Legal Nurse Consultants 330 North Wabash Ave. Suite 2000 Chicago, IL 60611 8774022562 3123215177 Fax 3126736655 Email Web site The purpose

ARTICLE SUBMISSION The Journal of Legal Nurse Consulting JLNC, a refereed publication, is the official journal of the American Association of Legal Nurse Consultants AALNC. We invite interested nurses

FROM THE PRESIDENT A Message from the President I Debbie Pritts RN, LNCC President, AALNC became interested in legal nurse consulting in early 2000 after I received a postcard advertising a certifi

FROM THE EDITOR Editors Note eve just returned from the terrific annual AALNC Forum in Portland OR. Sharp eyes will note a few new editorial committee members more will appear in the next issue. It w

FROM THE EDITOR According to the CDC HAN Dec. 3, 2012 microbial contamination was also found in NECC betamethasone, cardioplegia solution, and triamcinolone they were also concerned about solutions u

SCREENING SKILLS Test Your Case Screening Skills You decide reject, or investigate Answers on page 23. Test Your Case Screening Skills CASE 8 6811 Susan was referred to us by John Brown, Esq. She

FEATURE Visionary Treatment Todays Interventional Radiology IR Minda Lee Lockeretz RN, BSN, LNC Keywords Interventional radiology, radiology nursing, ARIN guidelines, standards of care, radiology per

SCOPE For an interventional radiologist, the vascular system is the bodys freeway, and the femoral, radial, and axillary arteries the onramps. In acute brain attack stroke care in primary and comprehe

Photo of Dr. Darren Orbach courtesy of Katherine C. Cohen with the kind permission of Boston Childrens Hospital, Boston MA. eters, so patients are often prepped and draped from head to toe. This allo

suite. Managing sedation and pain control during the procedure can be tricky when dealing with both narcoticnave and highly tolerant patients. A wellsedated, prone patient is easily awakened and may m

As healthcare advances give us lessinvasive, lowerrisk ways to treat patients with a wide assortment of medical and surgical needs, IR is at the leading edge as a specialty. ments have established ra

FEATURE Extravasation Injuries from Contrast Media in Radiology Lynn Hadaway, M.Ed., RNBC, CRNI Keywords extravasation, contrast agents, interventional radiology, pressure injector, intravenous thera

CT scans may be done with or without contrast agents, but use of contrast will require a rapid injection over a very short time, and this combination can increase the risk of extravasation injury to t

Perhaps the greatest problem is a lack of adequate site assessment before and during the contrast injection. Both ACR and INS emphasize this heavily. All devices, including short peripheral catheters,

Belzunegui, T., Louis, C. J., Torrededia, L., Oteiza, J. 2011. Extravasation of radiographic contrast material and compartment syndrome in the hand a case report. Scand J Trauma Resusc Emerg Med, 19,

FEATURE A Comparison of Monitored Anesthesia Care MAC and Procedural Sedation and Analgesia PSA What LNCs Need to Know Tracy Bedford, CRNA, MSN Sandy Dean, MSN, BSN, RN, FNPBC, PNPBC, LNC Joanne Walk

MONITORED ANESTHESIA CARE MAC Monitored anesthesia care MAC is care of a spontaneouslybreathing patient by an anesthesia provider, often including sedatives. The term covers situations from no sedatio

Hospital nursing policies are generally based on evidencebased, comprehensive professional nursing organization guidelines. The Association of periOperative Registered Nurses AORN, the American Associ

CASE STUDIES When reading the scenarios, consider the following Clinical situation, comorbidities, monitoring, staff present, documentation of critical procedure elements Data, both provided and mis

parietal area of the head and lacerations extending from the forehead to the right side of her head. Upon arrival the patient was slightly lethargic but able to answer questions. Her mother was at the

CASE STUDY ANSWERS DISCUSSIONS PSA Case Study 1 The patient was a 55year old male with a longterm history of alcoholism having a liver biopsy, as an outpatient in the IR suite, to investigate persis

PSA Case Study 2 This was a child who had received a head injury while unrestrained in an MVA. Points to consider Was this the most suitable venue to treat this pediatric patient Consider staffing.

FEATURE Could Your Expert Witness Cost Your Attorney 1 Million James Hanus, RN, BSN, OCN, MHA Keywords Expert Witness, Motion in limine, Sanctions The Fall 2015 JLNC included an article Could Your E

about the risk factors of cardiac disease. The physician expert testified that the patient had a 50year smoking history. The plaintiff moved for a mistrial, which the judge denied and instead used a c

2016 Sutch v. Roxborough Memorial Hospital 2016 PA Super 2513 to affirm the sanction. The Supreme Court of Pennsylvania on December 5, 2016 issued a onepage order denying an appeal4. STAY TUNED This

THE JOURNAL OF egal Nurse Consulting Looking Ahead... XXVIII.3, September 2017 Brain Injury XXVIII.2, June 2017 Interventional Radiology XXVIII.4, December 2017 Brain Injury XXVIII.3, September2