Chapter 1: Before, During, and After the Ultrasound Examination

Chapter 1: Before, During, and After the Ultrasound Examination

Curry/Prince: Sonography, 5th Edition

TRUE/FALSE

• The sonographer should always review available patient information.

ANS: T

A sonographer is responsible for acquiring patient information pertinent to the ultrasound study before the examination procedure.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• The sonographer should write technical observations of the ultrasound examination in the

patient’s chart.

ANS: F

The sonographer’s technical observations serve as a reference for the interpreting physician. Written documentation of any type almost always becomes part of the patient’s medical record. Final interpretation of the ultrasound images and technical observations is always the responsibility of the interpreting physician.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• The sonographer should always review the ultrasound request form.

ANS: T

The process of reviewing available patient information begins with the sonographer reviewing the ultrasound request form.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• The sonographer should always provide the interpretive report.

ANS: F

An interpretive report is a formal, legal report of the ultrasound findings by a sonologist, radiologist, or other interpreting physician. A sonographer should never provide diagnoses, because this would be unjustified and potentially legally compromising.

OBJ: Contrast technical observation and interpretive report.

TOP: How to Describe Ultrasound Findings

• Procedural consent forms are found in the patient’s chart.

ANS: T

(Sonography, 5th Edition, Reva Curry, Marilyn Prince) (Test Bank all Chapters) 1 / 4

Consent forms for routine examinations, treatment, surgical procedures, medical procedures, and anesthesia are found in the patient’s chart.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• Laboratory values are part of the patient’s clinical history.

ANS: T

Laboratory values are part of the patient’s clinical history and usually are found in the patient’s chart.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Clinical History

• A living will can be found in the patient’s chart.

ANS: T

If the patient has a living will, it is kept in the patient’s chart.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• Test results are found in the patient’s chart.

ANS: T

Reports from correlating modality studies are found in the patient’s chart.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• The ultrasound request form contains the patient’s identification number.

ANS: T

The ultrasound request form should include the patient’s identification data, the clinical symptoms, the type of examination requested, and the reason for the examination.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• The ultrasound request form contains the patient’s Social Security number.

ANS: F

The patient’s Social Security number is not included on the ultrasound request form.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• The ultrasound request form indicates whether the examination is a regularly scheduled

exam or a “stat” exam.

ANS: T 2 / 4

Generally, the ordering physician checks a box on the ultrasound request for stat or portable sonograms.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• The ultrasound request form contains the patient history.

ANS: T

The ultrasound request form should include the patient’s identification data, the clinical symptoms, the type of examination requested, and the reason for the examination.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• The ultrasound request form contains the type of examination.

ANS: T

An ultrasound request form should include the patient’s identification data, the clinical symptoms, the type of examination requested, and the reason for the examination.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Before the Ultrasound Examination

• Sources of infection for HBV and HIV include saliva.

ANS: T

HBV and HIV can be transmitted in body fluids, such as blood, saliva, semen, vaginal secretions, amniotic fluid, cerebrospinal fluid, synovial fluid, and pericardial fluid.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Understanding Standard Precautions

• Sources of infection for HBV and HIV include amniotic fluid.

ANS: T

HBV and HIV can be transmitted in body fluids such as blood, saliva, semen, vaginal secretions, amniotic fluid, cerebrospinal fluid, synovial fluid, and pericardial fluid.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Understanding Standard Precautions

• Sources of infection for HBV and HIV include blood.

ANS: T

HBV and HIV can be transmitted in body fluids, such as blood, saliva, semen, vaginal secretions, amniotic fluid, cerebrospinal fluid, synovial fluid, and pericardial fluid.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Understanding Standard Precautions

• Sources of infection for HBV/HIV include pericardial fluid. 3 / 4

ANS: T

HBV and HIV can be transmitted in body fluids, such as blood, saliva, semen, vaginal secretions, amniotic fluid, cerebrospinal fluid, synovial fluid, and pericardial fluid.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Understanding Standard Precautions

• Using self-sheathing needles is a strategy for reducing exposure to blood-borne pathogens.

ANS: T

Strategies for reducing exposure to blood-borne pathogens include using sterilization techniques, self-sheathing needles, and proper disposal methods; wearing protective gear (e.g., gloves, face shields, and gowns); and frequent hand washing.

OBJ: Explain the roles of the sonographer and sonologist/radiologist.

TOP: Understanding Standard Precautions

• Performing frequent hand washing is a strategy for reducing exposure to blood-borne

pathogens.

ANS: T

Strategies for reducing exposure to blood-borne pathogens include using sterilization techniques, self-sheathing needles, and proper disposal methods; wearing protective gear (e.g., gloves, face shields, and gowns); and frequent hand washing.

OBJ: Explain the roles of the sonographer and sonologist/radiologist.

TOP: Understanding Standard Precautions

• Wearing gloves when handling body fluids is a strategy for reducing exposure to

blood-borne pathogens.

ANS: T

Strategies for reducing exposure to blood-borne pathogens include using sterilization techniques, self-sheathing needles, and proper disposal methods; wearing protective gear (e.g., gloves, face shields, and gowns); and frequent hand washing.

OBJ: Describe the importance of reviewing the patient's chart/EMR (electronic medical record)

prior to the examination. TOP: Understanding Standard Precautions

• Sagittal and coronal scanning plane images show only longitudinal sections of structures.

ANS: F

A structure’s appearance in any image, sagittal or otherwise, depends on how it lies (or is situated or oriented) in the body. For example, a sagittal scanning plane image at the mid epigastrium shows longitudinal sections of some structures (aorta, superior mesenteric artery, for example) and axial sections of other structures (pancreas body, splenic vein, for example).

OBJ: Explain the roles of the sonographer and sonologist/radiologist.

TOP: Ultrasound Scanning Planes

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