Soulfari Posted August 5, 2015 Share Posted August 5, 2015 I am a PAS-II rotating in an academic hospital in the IR service this month. My rotation last month was IM and not very hands on with procedures, I'd like to change that this month. Being a "student" - how much can I push being allowed to do procedures? What kind of procedures should I push to perform? The attending said that he would like to get me doing PICCs and LPs by the end of the month, which is cool. But I would also like to get my hands on some biopsies, thoras, paras, and other stuff. I understand that I'm probably just going to be an observer for the large cases like hepatic adenonoma embos, but I don't want to be a fly on the wall for the next 4 weeks, and I need some insight on how to firmly push that agenda but remain within my student limits (and not step on any toes). Link to comment Share on other sites More sharing options...
PAS2014 Posted August 6, 2015 Share Posted August 6, 2015 I will be starting an IR rotation early next year, so I'm certainly very interested to see what others have to say on this topic as well. Link to comment Share on other sites More sharing options...
SERENITY NOW Posted August 6, 2015 Share Posted August 6, 2015 I only spent a few days with IR but they were letting me do paras practically on my own after a few practice runs, so you should definitely be able to push for those. Generally speaking, the more you know about the procedue before-hand, the more they'll be willing to let you do. Read up on the steps of the procedure. Know the anatomy; what are you trying to locate w/ US and avoid when you insert the needle? Also, know things like what labs you'll want to get before. Know how much you can drain off before having to stop, if you'll need to replace anything if you drain off certain amounts. You'll likely do it ultrasound guided, so refresh your ultrasound basics. Make sure youre comfortable with creating and maintaining a sterile field. If you come in prepared with this info, they'll let you do a lot more. Link to comment Share on other sites More sharing options...
PattyMc19 Posted June 16, 2016 Share Posted June 16, 2016 Do you mind if I ask where you all are doing your IR rotations? I will starting rotations January 2017 and since it is an elective I think they want me to set it up myself (which I heard can take months sometimes!). I'm not even sure where to start looking. Any help is appreciated. Thanks! Link to comment Share on other sites More sharing options...
PAS2014 Posted June 22, 2016 Share Posted June 22, 2016 I am in the Kansas City metro. Saint Luke's Hospital system. Link to comment Share on other sites More sharing options...
Z PA-C Posted July 20, 2016 Share Posted July 20, 2016 This was during my ER rotation but the radiologist down the hall was cool so I would sneak off and do procedures with them sometimes. I got to perform thoracentesis, paracentesis, LPs, help with fluoro studies and bone biopsies. It was pretty fun. Link to comment Share on other sites More sharing options...
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