Download Task Inventory for Vascular Interventional Radiography

TASK INVENTORY FOR
VASCULAR-INTERVENTIONAL
RADIOGRAPHY
®
ARRT Board Approved: July 2014
Implementation Date: July 2015
Certification requirements for vascular-interventional radiography (VI) are based on the results of a
comprehensive practice analysis conducted by The American Registry of Radiologic Technologists®
(ARRT®) staff and the Practice Analysis Advisory Committee. The purpose of the practice analysis is
to identify job responsibilities typically required of staff vascular-interventional radiographers at entry
into the profession. In 2013, the ARRT did an interim update and reviewed a select number of tasks
that were of interest. The results of the practice analysis and interim update are reflected in this
document. The purpose of the task inventory is to list or delineate those responsibilities. The task
inventory is the foundation for both the clinical experience requirements and the content
specifications.
Basis of Task Inventory
The practice analysis survey was used to identify the responsibilities typically required of staff
technologists who perform VI. When evaluating survey results, the advisory committee applied a
40% guideline. That is, to be included on the task inventory, an activity must have been the
responsibility of at least 40% of staff technologists who perform VI. The advisory committee could
include an activity that did not meet the 40% criterion if there was a compelling rationale to do so
(e.g., a task that falls below the 40% guideline but is expected to rise above the 40% guideline in the
near future).
Application to Clinical Experience Requirements
The purpose of the clinical experience requirements is to verify that candidates have completed
fundamental clinical procedures in VI. Successful performance of these fundamental procedures, in
combination with mastery of the cognitive knowledge and skills covered by the VI examination,
provides the basis for acquisition of the full range of clinical skills required in a variety of settings. An
activity must appear on the task inventory to be considered for inclusion in the clinical experience
requirements. For an activity to be designated as a mandatory requirement, survey results had to
indicate that the vast majority of technologists who perform VI performed that activity. The advisory
committee designated clinical activities performed by fewer technologists, or which are carried out
only in selected settings, as elective. The clinical experience requirements are available from
ARRT’s website (www.arrt.org) and appear in the Vascular-Interventional Radiography Certification
Handbook.
Application to Content Specifications
The purpose of the ARRT VI Examination in is to assess the knowledge and cognitive skills
underlying the intelligent performance of the tasks typically required of staff technologists who
perform VI. The content specifications identify the knowledge areas underlying performance of the
tasks on the task inventory. Every content category can be linked to one or more activities on the
task inventory. Note that each activity on the task inventory is followed by a content category that
identifies the section of the content specifications corresponding to that activity. The content
specifications are available from ARRT’s website (www.arrt.org) and appear in the VascularInterventional Radiography Certification Handbook.
Copyright © 2015 by The American Registry of Radiologic Technologists. All rights reserved.
Reproduction in whole or part is not permitted without the written consent of the ARRT
Content
Categories
Activity
1.
Maintain inventory of sterile supplies and medications.
2.
Prepare materials or trays with medications and materials for special
treatments or procedures according to standard order.
3.
Prepare treatment or examination equipment for sterilization.
4.
Provide regular daily maintenance and cleaning of the automatic pressure
injector.
5.
Monitor performance and dependability of the automatic pressure injector on a
continual basis as related to programmed injection parameters.
6.
Inspect, prepare, and troubleshoot all equipment components of the procedure
room.
7.
Verify presence of appropriate signed informed procedural consent.
8.
Verify patient’s identification.
9.
Obtain information about the patient which might indicate a risk of drug or contrast
reaction prior to any procedure, using patient records or by questioning patient.
10.
Measure and record vital signs of patient prior to the procedure to establish a
baseline.
11.
Participate in pre-procedural time-out activity.
12.
Prepare the access site to include the required sterile drapes and covers.
13.
Provide for patient comfort and cooperation by familiarizing patient with the
equipment and procedural aspects of the examination and by responding to
questions, and by providing general physical and emotional support.
14.
Physically prepare the patient for the examination to include ECG electrodes
and physiological monitoring equipment.
In conjunction with supervising physician, select the appropriate contrast
agent:
15.
ionic
16.
nonionic
17.
a. low osmolality
18.
b. isosmolar
19.
20.
CO2
Set-up or operate the automatic pressure injector for administering contrast
media.
Prepare or assist in administering (e.g., obtain medication, fill syringe, etc.)
the following types of injectable medications according to physician’s
orders:
21.
analgesics
22.
anticoagulants
23.
IV conscious sedatives
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Content
Categories
Activity
24.
thrombolytics
25.
vasoconstrictors
26.
vasodilators
27.
Monitor patient’s vital signs and ECG readings.
28.
Recognize patient emergencies (seizure, cardiac distress, etc.).
29.
Respond to patient emergencies (e.g., CPR, defibrillation).
30.
Monitor and maintain medical equipment (e.g., IVs, oxygen) used during the
procedure.
31.
Use sterile or aseptic technique as required to help prevent infection.
32.
Handle blood and body fluids in a manner appropriate to biohazardous materials.
33.
Position the patient and/or imaging equipment to achieve desired projections.
34.
Adjust exposure factors (e.g., mA, kVp, sec.) as required to obtain quality image
while minimizing dose.
35.
Employ special image-enhancement techniques (magnification, filtration, etc.)
during procedure to improve image quality.
36.
Initiate digital acquisition of the radiographic images.
Process images as required:
37.
digital processing
38.
3D reconstruction
39.
Assist with ultrasound guidance for vascular access or organ access/biopsy.
40.
Adjust and calibrate the pressure transducers used for intravascular pressures
and/or intraventricular pressures.
41.
Scrub-in with the physician.
42.
Record and maintain all procedural data. (e.g., radiographic exposure factors,
injection data, elapsed fluoroscopic time, physiologic data, administered
medications, and complications).
Assist with or perform the following procedures:
Neurologic
Diagnostic Procedures
43.
cerebral arteriography
44.
carotid arteriography
45.
spinal arteriography
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Content
Categories
Activity
Interventional Procedures
46.
embolization
47.
thrombolysis
48.
thrombectomy
49.
angioplasty
50.
stent placement
51.
distal protection device placement
52.
foreign body retrieval
53.
vertebroplasty
54.
kyphoplasty
55.
discography
Thoracic
Diagnostic Procedures
56.
aortography
57.
pulmonary arteriography
58.
pulmonary pressure measurement
59.
superior vena cava (central venography)
Interventional Procedures
60.
chest tube placement
61.
thoracentesis
62.
endograft placement
63.
embolization
64.
thrombolysis
65.
thrombectomy
66.
angioplasty
67.
stent placement
68.
biopsy
69.
drainage procedures
70.
foreign body retrieval
71.
thermal ablation
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Content
Categories
Activity
Abdominal
Diagnostic Arterial Procedures
72.
aortography
73.
pelvic
74.
renal
75.
adrenal
76.
reproductive
77.
celiac
78.
superior mesenteric artery (SMA)
79.
inferior mesenteric artery (IMA)
Diagnostic Venous Procedures
80.
pelvic
81.
inferior vena cava
82.
renal
83.
adrenal
84.
gonadal
85.
venous sampling
86.
hepatic
87.
portal
Interventional Procedures
88.
caval filter placement
89.
caval filter removal
90.
endograft placement
91.
paracentesis
92.
thrombolysis
93.
thrombectomy
94.
angioplasty
95.
stent placement
96.
foreign body retrieval
97.
TIPS
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Content
Categories
Activity
98.
chemoembolization
99.
radioembolization
100.
embolization (other)
GU and GI, non vascular
GU Interventional Procedures
101.
nephrostomy
102.
ureteral dilatation/stents
103.
percutaneous renal stone extraction
104.
drainage procedures
105.
thermal ablation
GI Interventional Procedures
106.
percutaneous biliary stone extraction
107.
percutaneous transhepatic cholangiogram
108.
biliary drainage/stenting
109.
cholecystostomy
110.
gastrostomy/gastrojejunostomy
111.
drainage procedures
112.
biopsy (percutaneous or transvascular)
113.
thermal ablation
Peripheral
Diagnostic Arterial Procedures
114.
upper extremity
115.
lower extremity
Diagnostic Venous Procedures
116.
upper extremity
117.
lower extremity
Interventional Procedures
118.
embolization
119.
thrombolysis
120.
thrombectomy
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Content
Categories
Activity
121.
angioplasty
122.
stent placement
123.
atherectomy
124.
foreign body retrieval
Dialysis Management
125.
hemodialysis graft/fistula study
126.
thrombolysis
127.
thrombectomy
128.
angioplasty
129.
stent placement
Venous Access
130.
PICC lines
131.
temporary dialysis catheter
132.
tunneled dialysis catheter
133.
port placement
134.
central lines
135.
peripheral IV
Follow-Up Patient Care
136.
deploy vascular closure device
137.
apply pressure to arterial or venous puncture site
138.
apply dressing to puncture
139.
explain post-procedure care instructions to patient
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