How to Make a Referral to Interventional Radiology
3. The Appointment is Scheduled
4. Schedule Required Labs
5. Advise patient about
medications and allergies
interview and consent procedure
10. Care after
Contact the Interventional Radiology
Scheduler by calling (843) 792-9271 or MEDULINE toll-free at
1-800-922-5250. If you need to speak to an IR attending physician to
discuss a patient case or procedure, MEDULINE will page the physician
of the day for you.
Required referral information
The Interventional Radiology scheduler
will ask you to fax the following information to 843-792-2670:
to be ordered
of referring physician
The Appointment is Scheduled
The Division of Interventional Radiology
will contact you with your patient's appointment date and time.
Schedule required labs within seven days
of the procedure.
a Creatinine if:
-The patient is 65 or older, or
-The patient is insulin dependent (any age)
platelet count, PT/PTT, creatinine if:
- The patient has a diagnosis of cancer, or
- The patient has or is suspected to have liver or renal
NOT draw creatinine if patient is currently receiving dialysis
If not drawn at MUSC, fax lab
results to (843) 792-2672 before the procedure date.
Advise patient about medications and allergies
Stop taking blood thinners (Coumadin, Lovenox,
Plavix) at least 72 hours before the procedure.
NOT stop Plavix before a Carotid Stenting procedure.
the patient is allergic to contrast dye, write a prescription and
give to the patient for Prednisone 50mg p.o. times three to be taken 13
hours, 7 hours, and one hour before the scheduled procedure.
patient should take Benadryl 50 mg p.o. 1 hour before the procedure.
Pre-procedure interview and consent procedure
For some procedures a consult will be
scheduled in advance.
IR staff explains to the patient and family the procedure to be
performed, and what to expect during and following the procedure.
risks and benefits of the procedure are also discussed with the
patient and the informed consent is obtained.
patients are requested to stay NPO after midnight, but oral
medications may be taken with a small volume of water.
diabetic patients are given instructions on adjusting
the morning insulin dose, and they are usually scheduled for the first
slot of the day.
Patients should arrive one hour before the
scheduled time wearing loose clothing that will be comfortable after
all procedures, surgical and medical backup and admission are
available as necessary.
completion of the procedure the radiologist contacts the referring
physician with a verbal report on the patient's condition and a written
note is added to the chart, with the main findings. A final report is
usually provided within 24-48 hours.
outpatients a letter will be sent to the referring physician.
After the procedure the patient is
transferred to the recovery room and monitored by the nursing staff and
physicians for at least one hour, then they are transferred to the
short stay unit in the main hospital for discharge later in the day.
are discharged after two to eight hours if the vital signs are
back to baseline and stable.
summary physical examination is performed checking for extremity
pulses and non-bleeding puncture site.
patient is reminded about limitations to activity for that night.
If these and other criteria are met, the patient is
discharged if they are under the supervision of a responsible adult who
can drive them home and stay with them in case of a complication.
Care After the Discharge
Written instructions for immediate care is
telephone number and on call radiology resident/fellow telephone
number is given to the patient to call in if any problem arises.
24 hours of the procedure a nurse from IR calls to follow-up
with each patient and provide any necessary information.
term follow-up will be scheduled by the RN Patient Care