Guidelines For Professional Working Standards Ultrasound Practice

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2.7 Guidelines Relevant To The Ultrasound Examination Of Superficial Structures When undertaking ultrasound examinations of superficial structures, the sonographer should: • consider the nature of the examination with regard to patient privacy and ascertain the necessity for the presence of a chaperone • be familiar with the guidelines on intimate examinations* * Refer to Section 1.6 The anatomical structures which the sonographer should be able to examine correctly are listed in Table 13. TABLE 13 Structures for Superficial Ultrasound Examinations STRUCTURE(S) Neck Testes Anus Eyes Other EVALUATION thyroid gland, parathyroid glands, salivary glands, lymph nodes, trachea, oesophagus, vasculature and muscles normal anatomy and vascular supply of the scrotum/penis (proceed to renal assessment when appropriate continuity of the internal and external sphincters chambers, lens, retina, retro-orbital structures including the vessels; orbital biometry the nature of other superficial, palpable masses e.g. lipoma For each examination the sonographer should: • assess the size, shape, contour, ultrasound characteristics of the organ and the relevant vascular structures • identify normal anatomy/variants and abnormal appearances due to disease processes or trauma © UKAS 42
2.8 Guidelines Relevant To Vascular Ultrasound Examinations The vascular structures which the sonographer should be able to examine are listed below in Table 14. TABLE 14 Structures for Vascular Ultrasound Examinations STRUCTURE(S) Head And Neck Abdomen Upper Limb Lower Limb EVALUATION common internal and external carotid arteries; vertebral and subclavian arteries; jugular and subclavian veins; cerebral arteries by transcranial examination abdominal aorta and main branches; inferior vena cava (IVC) and branches; other visceral arteries and veins as included in general abdominal and gynaecological examinations* arteries and veins (deep and superficial) of the upper limb; subclavian, axillary, brachial, radial and ulnar arteries; subclavian, axillary, brachial, radial, ulnar, basilic and cephalic veins arteries, veins (deep and superficial) and infra-inguinal grafts of the lower limb aorta, Iliac, femoral, popliteal, peroneal, anterior and posterior tibial arteries; IVC, iliac, femoral, popliteal, gastrocnemius, peroneal, anterior and posterior tibial veins; posterior calf, gastrocnemius and soleal venous sinuses; long and short saphenous veins and their variants Grafts * Refer to Sections 2.2 and 2.3 inflow vessels, proximal anastomosis, body of graft, distal anastomosis and run-off The sonographer should be able to: • demonstrate the vessels relevant to specific clinical criteria in terms of: • position and course • congenital variations • ultrasound characteristics of the lumen and walls including venous compressibility • presence/absence of collaterals and/or fistulae • ultrasound characteristics of surrounding tissues • assess by use of pulsed, colour and/or power Doppler the haemodynamics of vessels, including their presence or absence, interruption to flow, flow direction, velocity and resistance measurements. (The angle caliper should be set correctly, with an angle =/
Page 1: Guidelines For Professional Working
Page 4 and 5: Section 3 Reporting 3.1 Guidelines
Page 6 and 7: © UKAS 6
Page 8 and 9: 1.1 Safety Of Medical Ultrasound
Page 10 and 11: 1.3 Ultrasound Examination Procedur
Page 12 and 13: 1.5 Informed Consent For Ultrasound
Page 14 and 15: 1.7 Ergonomic Practice Prevention a
Page 16 and 17: TABLE 1 Recommended Examination Tim
Page 18 and 19: • for growth examinations the ima
Page 20 and 21: By consenting to any ultrasound sca
Page 22 and 23: Observations Examination of focal l
Page 24 and 25: TABLE 2 Structures for Abdominal Ul
Page 26 and 27: In relation to departmental procedu
Page 28 and 29: Assisted Reproductive Techniques Th
Page 30 and 31: 2.4 Guidelines Relevant To Musculo-
Page 32 and 33: Table 6 provides a list of examples
Page 34 and 35: Maternal Obesity In order to reduce
Page 36 and 37: • Fetal Anomaly Screening In keep
Page 38 and 39: TABLE 10 Additional Structures Exam
Page 40 and 41: 2.6 Guidelines Relevant To Paediatr
Page 44 and 45: © UKAS 44
Page 46 and 47: • • Action taken should be repo
Page 48 and 49: EXAMPLES OF EXAMINATION SPECIFIC RE
Page 50 and 51: 3.3 General Medical Ultrasound It m
Page 52 and 53: 3.4 Gynaecological Ultrasound The r
Page 54 and 55: 3.5 Musculo-Skeletal Ultrasound Sho
Page 56 and 57: First Trimester - Nuchal Translucen
Page 58 and 59: Third Trimester Fetal Growth • Gr
Page 60 and 61: 3.8 Superficial Ultrasound Thyroid
Page 62 and 63: Lower/Upper Limb/Graft Arterial Ult
Page 64 and 65: 4.2 Acquisition, Archiving And Use
Page 66 and 67: 4.4 Use Of Patient, Staff And Hospi
Page 68 and 69: 4.6 Guidelines Relevant To Setting
Page 70 and 71: 5.2 Code Of Professional Conduct Fo
Page 72 and 73: FETAL ANOMALY EXAMINATION WORKSHEET
Page 74: FETAL GROWTH EXAMINATION WORKSHEET

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