Mohd Farid

Mohd Farid

Friday, September 28, 2012

The Sonographer Attachment Programme At USA Report : Mayo Clinic Rochester =TTE= Part I


5.6 Mayo Clinic Stress Echo Lab Gonda 6:
Protocol For Tranthoracic Echocardiogram (TTE)





      Principles

·    This procedure outlines the process of completing an adult transthoracic echocardiogram in the Mayo Clinic Echo Lab.

      Scope

·    This procedure is to be used by all Echo Lab Staff in all Mayo Clinic Rochester Echo Labs and outreach Echo Labs staffed by Mayo Clinic Rochester staff.

      Applicable Policies

·         Echo Procedural Guideline 2004: Amyl Nitrite Administration
·         Echo Procedural Guideline 2501: Contrast Echocardiography
·         Echo Procedural Guideline 2502: Agitated Saline Administration
·         Echo Procedural Guideline 2601: Echo-Guided Pericardiocentesis
·         Echo Procedural Guideline 2701: Outreach Echocardiography
·         Echo Procedural Guideline 2801: On-Call Echocardiography
·         Echo Nursing Protocol MC 1156-434: Echo Lab Contrast Administration
·         Standard Transthoracic Echocardiography Protocol 2002
·         Limited Transthoracic Echocardiography Protocol 2003
·         Echocardiography Strain Protocol 2005
·         Mayo Nursing Medication Administration Policy PC-23
·         Echo Procedural Guideline 2902: Critical Test Results

Equipment And Supplies

  • Echo bed/cart
  • Adjustable chair
  • Sphygmomanometer
  • Step stool
  • Call light
  • Ultrasound machine
  • Oxygen supply/equipment
  • Sink area
  • Support wedges
  • Biohazard waste container
·         Electrodes
·         Ultrasound gel
·         Gloves
·         General disinfectant
·         Linen (towels, sheets, gowns, pillows)
·         Data sheets
·         Hand sanitizer
  • Desktop workstation (computer)
  • Telephone
  • Code cart

      Quality Assurrance

·         Sonographer and physician peer review
·         Quarterly Echo Lab QA conferences
·         Sonographer educational in-services
·         Weekly Cardiac Imaging Grand Rounds 

Correlation with surgical reports and other imaging modalities 

Procedural Notes

·         This procedure may also be performed at the patient’s bedside
·         Outreach patients must complete insurance, registration and consent forms
·         CV trainees under the supervision of a staff physician may assume the sonographer or physician role during this procedure
·         Sonography students under the supervision of a clinical instructor may assume the sonographer role during this procedure
·         For an emergency or on-call exam, the physician may perform the echocardiogram instead of the on-call sonographer. The emergency or on-call exams are typically performed at the patient’s bedside

No comments:

Post a Comment