Performing ultrasound studies

Performing Ultrasound Studies

Ultrasound (sonography) uses high-frequency sound waves to create real-time images of internal organs and tissues. It is non-invasive, safe for all patients including pregnancy, and produces images without ionizing radiation. After performing an ultrasound, document and store the results in the system.

Before you start

• The patient must have an active ultrasound order in the system.
• You must be a certified sonographer or trained ultrasound technician.
• Ensure the ultrasound machine is calibrated and the transducers are clean and functioning.
• Confirm the anatomical region and type of study ordered (e.g., "abdominal," "obstetric," "cardiac").
• Have coupling gel available and ensure patient comfort during the examination.
• For obstetric ultrasounds, confirm patient pregnancy status and gestational age if available.

Steps

1. Navigate to the Diagnostics & Laboratory section and find the pending ultrasound order. Open in Usystems

2. Verify the patient identity using two identifiers before beginning the examination.

3. Explain the procedure to the patient: ultrasound is painless and involves placing a transducer (probe) on the skin with gel. The examination typically takes 15–30 minutes.

4. Position the patient appropriately for the study (e.g., supine for abdominal, left lateral decubitus for cardiac).

5. Apply coupling gel and position the transducer over the target anatomical region.

6. Perform the examination:

   • Scan systematically through the entire region of interest using standardized views.
   • Obtain images and measurements as indicated by the order (e.g., organ dimensions, fluid volume).
   • Document any abnormalities, masses, or areas of concern in real time.
   • Save representative still images and video clips as needed.

7. Once the examination is complete, document the results in the system:

   • Mark the study as Complete or Performed.
   • Record the date, time, and duration of the examination.
   • Note the transducer type and frequency used.
   • Add a summary of findings (e.g., "normal liver, spleen, and kidneys; no free fluid").
   • Include any technical limitations or notes about image quality.

8. Save the record. Images and study information are stored and made available for physician interpretation.

What happens next

• Ultrasound images are archived in the imaging system.
• A physician or radiologist reviews the images and findings.
• An interpretation report is generated and added to the patient's record.
• The ordering physician is notified that results are ready for clinical decision-making.

Tips & common mistakes

• Use standard views: follow established scanning protocols for your specific study type; this ensures comprehensive examination and comparability with prior studies.
• Communicate with the patient: explain what you are looking for and why the study takes time; patient cooperation improves image quality.
• Document measurements accurately: measurements are often critical for diagnosis; take time to ensure precision.
• Note technical challenges: if patient body habitus, obesity, or bowel gas limits image quality, document this so the interpreting physician can account for it.