ULTRASOUND POLICIES
IS IT "EDUCATIONAL" OR IS IT "CLINICALLY-INDICATED"?
A clinically-indicated ultrasound examination:
Is performed for medical decision making for that patient during their emergency department visit
Standard imaging consent is obtained
Needs to be documented in QpathE and signed by the attending. When signed, the report and images will transfer to the patient’s chart, under the Imaging tab.
The physician should discuss their examination as part of their medical decision making in the chart
An educational ultrasound examination:
Is done for provider education only
Requires patient verbal consent and the patient should verbalize understanding that the exam is for education only
Must have a confirmatory study (CT, US, MRI) performed or ordered prior to the exam
Will be reviewed with the confirmatory study
Will have a completed worksheet in QpathE, but this information will not transfer to the patient’s chart
No information about the educational study is discussed in the patient chart
ACCEPTABLE CONFIRMATORY STUDIES
LIST OF ACCEPTABLE CONFIRMATORY STUDIES FOR EDUCATIONAL POC ULTRASOUND EXAMINATIONS
SUPERFICIAL
Consultative soft tissue ultrasound
X-ray of the body region being examined
CT of the body region being examined
MRI of the body region being examined
LEVEL 1 CARDIAC
Consultative Echocardiogram
CT of the chest
MRI of the chest
ADVANCED CARDIAC
Consultative Echocardiogram
CT of the chest
MRI of the chest
DVT
Consultative DVT ultrasound
MRI of the lower extremity
CT venogram of the lower extremity
GALLBLADDER
Consultative RUQ ultrasound
CT of the abdomen
MRI of the abdomen
ABDOMINAL
Consultative abdominal ultrasound
Abdominal CT
Abdominal MRI
SCROTAL
Consultative scrotal ultrasound
CT of the scrotum/pelvis
MRI of the scrotum/pelvis
NON-PREGNANCY PELVIC
Consultative pelvic ultrasound
MRI of the pelvis
CT of the pelvis
FAST
Consultative abdominal ultrasound
CT of the abdomen
MRI of the abdomen
Aorta
Consultative abdominal ultrasound
CT of the abdomen
MRI of the abdomen
Aortic angiography
Renal
Consultative renal ultrasound
CT of the abdomen
MRI of the abdomen
Obstetric
Consultative Obstetric ultrasound
Thoracic
Chest x-ray
CT of the chest
MRI of the chest
Musculoskeletal
Consultative ultrasound
CT of the body region being examined
MRI of the body region being examined
Ocular
Dilated eye exam by ophthalmology
MRI of the head/eye
Vascular
Vascular lab-performed consultative ultrasound
CT angiogram
Traditional angiography