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

2. 5 Things Hospitalist should know
People
Clinical Service
More to come
Processes
Inpatient Triage
Inpatient NP’s (cavalry)
Procedures
Patient Prep
Lines

3. 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
Coming in additional IR and 2 NP’s

4. Coverage
SRMC added in 2014
Call is 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

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

11. 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

13. 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

14. 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

15. Inpatient Biopsies
Prefer to do as outpatient unless absolutely necessary

16. Location Department of Radiology Contact Inpatient referrals 272-2883
Outpatient referrals
After hours non-emergency inpatient referrals
After hours emergency inpatient referrals or of course the PALS line