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WIRS

Pillar 02

Periprocedural patient care

The IR clinician as physician, not technician — patient selection, work-up and optimisation, post-procedural care, and ward and clinic skills.

  • Patient selection
  • Work-up & optimisation
  • Post-procedural care
  • Ward & clinic skills

Core registrar

Working knowledge expected across the FC Rad Diag(SA) registrar years.

Patient selection

WIRS curriculum draft

Patient selection and work-up

How indication, contraindication and pre-procedure imaging review come together in deciding whether, and how, to intervene.

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Why it matters. Good IR begins before the procedure. Clinical reasoning about who benefits is as important as any technical skill.

Learning objectives

  • Describe how indication and contraindication reasoning shapes IR decisions.
  • Explain the role of pre-procedure imaging review in planning.
  • Discuss the clinical assessment expected before an intervention.
  • Lecture
  • Case conference

Framework reference: CIRSE IR curriculum

Work-up & optimisation

In consultant review

Coagulation and medication considerations

The peri-procedural considerations around coagulation, anticoagulant and antiplatelet agents, allergies, renal function and contrast — framed as clinical reasoning, not protocol.

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Why it matters. These considerations recur in almost every case and are a common source of avoidable harm and cancellations.

Learning objectives

  • Outline why coagulation status is assessed before intervention.
  • Describe the peri-procedural relevance of antiplatelet and anticoagulant agents.
  • Explain renal-function and contrast considerations at a conceptual level.
  • Lecture
  • Journal club
  • Retrieval & review

Framework reference: CIRSE IR curriculum

Post-procedural care

In consultant review

Post-procedural care and complication recognition

What happens after the procedure — observations, access-site care, discharge considerations, and recognising and escalating complications.

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Why it matters. Recognising a complication early and escalating appropriately is a core registrar responsibility and a frequent M&M theme.

Learning objectives

  • Describe standard post-procedure observations and access-site care.
  • Recognise common complications and the principle of timely escalation.
  • Explain the role of follow-up and communication with referring teams.
  • Lecture
  • Case conference

Framework reference: CIRSE IR curriculum

Where this leads.

Every pillar connects to the training and career pathways that follow registrar learning — from supervised exposure to certification and beyond.