ACR–ASNR–ASSR–SIR–SNIS PRACTICE PARAMETER FOR THE PERFORMANCE OF IMAGE-GUIDED EPIDURAL STEROID INJECTION

PREAMBLE

I. INTRODUCTION

II. DEFINITIONS

III. OVERVIEW

IV. INDICATIONS AND CONTRAINDICATIONS

V. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

A. Physician

V. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

B. Qualified Medical Physicist

V. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

C. Non-Physician Radiology Provider (NPRP)

V. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

D. Radiologic Technologist

V. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

E. Nursing Services

VI. SPECIFICATIONS OF THE PROCEDURE

A. Guidance

VI. SPECIFICATIONS OF THE PROCEDURE

B. Technique

VI. SPECIFICATIONS OF THE PROCEDURE

C. Medications

SPECIFICATIONS OF THE PROCEDURE

Surgical and Emergency Support

VI. SPECIFICATIONS OF THE PROCEDURE

A. Patient Care

VII. EQUIPMENT QUALITY CONTROL

VIII. QUALITY IMPROVEMENT AND DOCUMENTATION

A. Documentation

VIII. QUALITY IMPROVEMENT AND DOCUMENTATION

B. Informed Consent and Procedural Risk

VIII. QUALITY IMPROVEMENT AND DOCUMENTATION

C. Success and Complication Thresholds

IX. RADIATION SAFETY IN IMAGING

X. QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

XI. ACKNOWLEDGEMENTS

XII. REFERENCES