Ultrasound

QPath: Viewing and Interpreting your Ultrasound Images

General Documentation Protocols

ENSURE the correct clinicians and patient MRN are registered on the image.
DOCUMENT only what you see!
If you are unable to ascertain a view necessary for completion, DOCUMENT WHAT VIEW WHAT NOT OBTAINED due to “limited view”.
If you are unsure of a finding, USE GENERAL LANGUAGE such as “no visible stones” or “no obvious right heart dilation”
CONSIDER arrows or question marks for findings you believe to be pathology and ask your attending to review the image.
OBGYN images must be reviewed by an attending at the bedside.
SAVE a still image of your interpretation
CLEAN the probe
Consider including them in the MDM section of EMR