Ch. 6 Clinical assessments and sonographic procedures Flashcards
What is a major goal for sonographers?
To master the sonographic techiques necessary to produce high quality diagnostic sonograms with minimal discomfort.
What position is it when the patient is on their back with head and shoulders slightly elevated?
Supine position
What position is it when the patient is on their side?
Lateral decubitus position
What position is it when the patient is on thier abdomen, arms flexed at either side or elevated alongside the head to widen the intercostal spaces?
Prone postition
What position is it when the patient sits on the edge of the scanning table, right arm elevated above the head, left arm and hand providing support?
Upright/ Erect position
What position is it when the patients head is elevated 25 degrees, knees slightly flexed and used in advanced pregnancy to avoid vena caval hypotension?
Modified fowler position
What position is it when the patient’s pelvis is higher than their head? (used when fetal parts obscure the LUS)
Trendelenburg position
What is sagittal plane?
longitudinal
What is Transverse plane?
horizontal
What is coronal plane?
Vertical
-divides into anterior and posterior
What is oblique scanning planes?
Any plane not parallel to sagittal, transverse, or coronal
What are some routine duties of a sonographer?
-review pertinent diagnostic or lab reports
-confirm patient preparation has been carried out
-brief patient history
-record and archive examination images
-prepare sonographer’s technical report
What are some laboratory related duties of a sonographer?
-Transducer preparation and care
-cleaning ultrasound equipment and preparing area for next patient
- maintaining supplies
-cleaning the room after each patient
True or False:
Sonographers should check the electronic patient record for any pertinent diagnostic, imaging, or laboratory test results that are available.
True
True or false:
sonographers don’t have to check accrediting organizations and professional societies to ensure that protocols are current.
False
Periodically check
Scanning plane and patient positions used, normal or abnormal echogenicity of the organs studied, measurements and locations, presence of shadowing or acoustic enhancement, presence and location of masses, are all things that should be included in what kind of report?
Technical report
Who is responsible for updating the current procedural terminology (CPT)?
American medical association
True or False:
You, as the sonographer, are responsible for keeping the procedural and diagnostic coding current in your department.
True
What areas are included in testing quality assurance?
-Instrument sensitivity evaluation
-image uniformity
-axial and lateral resolution
-vertical/ horizontal measurement accuracy
True or false:
Not all transducers need to be tested for quality assurance.
False
All transducers are required to be tested.
What supplies should you have in your exam room?
-Linens
-Gels
-Bedpan, urinal, emesis basin
-Tissue
-Wipes
-IV stand
-sterile trays
-Disinfectant solutions
What type of sonography looks at the abdominal cavity for fluid, abscesses, or lymph adenopathy?
Abdominal and retroperitoneal sonography
True or False:
Abdominal sonography should be done after diagnostic imaging tests that require contrast material.
False
should be done before.
What is it called when the transducer and the needle are not connected?
“Freehand” technique
