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Guidelines for Professional Ultrasound Practice
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SCoR BMUS Guidelines for Professional Ultrasound Practice Revision 4 December 2019. SOCIETY AND COLLEGE OF RADIOGRAPHERS AND BRITISH MEDICAL. ULTRASOUND SOCIETY, Guidelines for Professional Ultrasound Practice. DECEMBER 2015, Revision 4 December 2019, Acknowledgements 4. Foreword to the December 2015 edition 6, Rationale and Terminology used within the document 6. Publication History Summary 9, SECTION 1 Introduction 10. 1 1 Explanation of the Professional Title Sonographer 10. 1 2 Registration for Sonographers 11, 1 2 1 Professional Standards Authority report on sonographer regulation 2019 12.
1 3 Profession vs Tool 13, 1 4 Screening examinations using ultrasound 13. SECTION 2 Governance and Safety 16, 2 1 Code of Practice for Sonographers 16. 2 2 Professional Indemnity 17, 2 3 Safety of Medical Ultrasound 18. 2 4 Medico legal Issues 20, 2 5 Transducer and Equipment Cleaning and Disinfection 21. 2 6 Ergonomic practice including managing the high BMI patient 22. 2 7 Intimate examinations and chaperones 25, 2 8 Examination times 26.
2 9 The 6 C s patient identification communication and consent 27. 2 10 Clinical Governance 29, 2 11 Ultrasound equipment and quality assurance testing 30. 2 12 Professional responsibilities and safeguarding 31. 2 12 1 Raising concerns 31, 2 12 2 Safeguarding 32. 2 12 3 Female Genital Mutilation FGM statutory requirements of practitioners 32. 2 12 4 Duty of Candour 33, SCoR BMUS Guidelines for Professional Ultrasound Practice Revision 4 December 2019. 2 12 5 Conscientious objection 33, 2 13 Acquisition archiving and use of ultrasound data 33. 2 14 Recording of images by patients during examinations 35. 2 15 Have you paused and checked posters and prompt cards 36. 2 16 Independent Practice 36, SECTION 3 Education and Accreditation 39.
3 1 E learning for Healthcare 39, 3 2 Quality Standard for Imaging QSI updated 2019 previously ISAS standard 39. 3 3 Continuing Professional Development 40, 3 4 Audit and learning from discrepancy 42. SECTION 4 The Ultrasound Examination 48, 4 1 Overview of ultrasound examination procedures 48. 4 2 Obstetric Vascular Echocardiography and Breast examinations 48. 4 3 NICE and other guidelines 49, 4 4 Vetting of ultrasound requests 50. 4 5 Justification of ultrasound requests 50, 4 6 Recommendations for the production of an ultrasound report 52.
4 7 Gynaecological ultrasound examinations 59, 4 7 1 General scanning principles 59. 4 7 2 Structures to examine and evaluate 60, 4 7 3 Common Pathologies 61. 2 7 4 Extending the examination 67, 2 7 5 Pelvic ultrasound reporting 67. 4 8 Abdominal ultrasound examinations 70, 4 8 1 General principles 70. 4 8 2 Ultrasound examination of the liver 74, 2 8 3 Ultrasound examination of the gallbladder and biliary tree 75.
4 8 4 Transabdominal ultrasound examination of the pancreas 77. 4 8 5 Ultrasound examination of the spleen 78, 4 8 6 Ultrasound examination of the abdominal aorta 2018 81. 4 8 7 Ultrasound examination of the bowel 82, 4 9 Uro genital system including testes and scrotum 86. 4 9 1 Ultrasound examination of the kidneys 2018 86. 4 9 2 Ultrasound examination of the testes and scrotum 2018 90. 4 10 Ultrasound examination of the adult head and neck 92. 4 11 Paediatric ultrasound examinations 97, 4 11 1 Paediatric liver and biliary system 97. 4 11 2 Paediatric urinary system 102, SCoR BMUS Guidelines for Professional Ultrasound Practice Revision 4 December 2019. 4 11 3 Paediatric gastro intestinal tract 103, 4 11 4 Neonatal hip 104.
4 11 5 Neonatal intracranial ultrasound 105, 4 12 Musculoskeletal ultrasound examinations 106. 4 12 1 Shoulder 108, 4 12 2 Elbow 114, 4 12 3 Wrist and hand 116. 4 12 4 Hip 119, 4 12 5 Knee 121, 4 12 6 Foot and Ankle 123. 4 12 7 Rheumatology ultrasound examinations 126, 4 13 Elastography 137. 4 14 Contrast enhanced ultrasound CEUS 139, 4 15 Interventional and extended scope examinations for sonographers 2018 141.
4 16 Patient group directions 142, SCoR BMUS Guidelines for Professional Ultrasound Practice Revision 4 December 2019. Acknowledgements, The Society and College of Radiographers SCoR and the British Medical Ultrasound Society BMUS. would like to acknowledge the help and assistance provided by the following. December 2015 Edition, For the Society and College of Radiographers SCoR. Mr Nigel Thomson Professional Officer Ultrasound Society and College of Radiographers. Ms Wendy Williams Superintendent Sonographer University Hospital Llandough. Cardiff Member Ultrasound Advisory Group Society and College of Radiographers. All past and current members of its Ultrasound Advisory Group who have contributed to or. commented on previously published documents available via www sor org. The following SCoR members provided feedback on the final draft. Alexandra Drought Gill Harrison Sally Hill Steve Savage Margaret Taylor. For the British Medical Ultrasound Society BMUS Professional Standards Group. Dr Oliver Byass Consultant Radiologist Hull and East Yorkshire Hospitals NHS Trust. Mr Peter Cantin Consultant Sonographer Plymouth Hospitals Trust. Dr Nick Dudley Medical Physicist United Lincoln Hospitals Trust. Dr Rhodri Evans Consultant Radiologist Assoc Professor College of Medicine Swansea. University, Miss Pat Farrant Sonographer Kings College Hospital London. Mrs Alison Hall Consultant Sonographer Keele University. Mr Gerry Johnson Consultant Sonographer Tameside Hospitals NHS Trust. Mrs Pamela Parker Ultrasound Specialty Manager Hull and East Yorkshire Hospitals NHS. Dr Peter Rodgers Consultant Radiologist University Hospitals of Leicester. Mrs Jane Smith Consultant Sonographer United Leeds Hospital Trust. Mrs Jean Wilson Programme Director Diagnostic Imaging University of Leeds. Due recognition is given to the editors and contributors to previous editions of United Kingdom. Association of Sonographers UKAS Guidelines whose earlier work forms the foundation of this new. document UKAS merged with the Society and College of Radiographers in January 2009. SCoR BMUS Guidelines for Professional Ultrasound Practice Revision 4 December 2019. The previous 2008 UKAS Guidelines for Professional Working Standards Ultrasound Practice has. been archived but is available on line at http www sor org learning document library guidelines. professional working standards ultrasound practice. Thanks is also given to J M Bridson and G Johnson of University of Liverpool and Dr P Rowlands of. The Royal Liverpool and Broadgreen University Hospitals NHS Trust Liverpool for their previous. work on the document Clinical Standards and framework for the assessment of initial and ongoing. competence of ultrasound practitioners BMUS 2011 which forms the foundation for section 4 6. Recommendations for the production of an ultrasound report. Subsequent revisions new contributors named at first contribution. December 2017 Revision, Acknowledgement and thanks to the following new contributors to the December 2017 revision.
Dr Jonathan Burdach of Nanosonics Ltd, Mrs Catherine Kirkpatrick consultant sonographer United Lincolnshire Hospitals NHS Trust. Dr Mike Smith Senior Lecturer Physiotherapy Cardiff University. December 2018 Revision, Acknowledgements and thanks to the following new contributors to the December 2018 edition. Hazel Edwards sonographer East and North Hertfordshire NHS Trust. Gill Harrison Ultrasound Programme Director Lead for Teaching Excellence City. University of London and Professional Officer Ultrasound Society and College of. Radiographers, December 2019 Revision, Acknowledgements and thanks to the following new contributors to the December 2019 edition. AXREM Association of Healthcare Technology Providers for Imaging Radiotherapy and. Note relating to December 2019 Revision, A new style of hyperlink is introduced that is integral with the text and the referencing within the. document standardised Section to section hyperlinks have been included and the document re. ordered Thanks are due to Gill Harrison Associate Professor City University of London for this. SCoR BMUS Guidelines for Professional Ultrasound Practice Revision 4 December 2019. Foreword to the December 2015 edition, It is my pleasure to introduce the updated Guidelines for Professional Ultrasound Practice in the.
past affectionately known to sonographers as the UKAS Guidelines The United Kingdom. Association of Sonographers UKAS was set up to support sonographers provide advice and. practice guidance and ultimately get sonography recognised as a profession in its own right To this. day the latter still remains a challenge However since the last edition of the Guidelines was. produced in 2008 UKAS has merged with SCOR so while UKAS no longer exists its legacy lives on in. this revised document It is a testament to the quality of the original Guidelines that some sections. are relatively unchanged The advice is as equally sound and relevant today as it was. then Guidelines however need to keep in step with evolving technology changes in practice and. professional progression For this reason it was decided to produce the revised version as a web. based document that can be regularly updated amended and expanded as and when required. As with all previous editions these Guidelines are not designed to be prescriptive but to inform good. practice May they continue to be used in departments across the United Kingdom for years to. Wendy Williams, Member Ultrasound Advisory Group Society and College of Radiographers. Former UKAS committee member, December 2015, Rationale and Terminology used within the document. These current Guidelines are a collaboration between the Society and College of Radiographers. SCoR and the British Medical Ultrasound Society BMUS The format of a web based document. provides easier access to relevant sections and hyperlinks whilst allowing for annual updates Some. links within the Guidelines are to members only SCoR or BMUS content and may require additional. The document has been written to complement the 2014 joint document by the Royal College of. Radiologists RCR and the Society and College of Radiographers entitled Standards for the. Provision of an Ultrasound Service 1 It provides guidance on topics that were not included in the. joint RCR SCoR Standards document and provides further detailed advice on some areas of practice. There can be overlap between the terms Standards Guidelines and Protocols and this can cause. confusion For the purposes of this document the definitions used are the same as those in the. 2014 Royal College of Radiologists RCR and Society and College of Radiographers SCoR. A required or agreed level of quality or attainment A standard is a way of ensuring optimum. levels of care or service delivery Standards promote the likelihood of an ultrasound. examination being delivered safely and effectively are clear about what needs to be done to. comply are informed by an evidence base and are effectively measurable 1. A general rule principle or piece of advice Guidelines provide recommendations on how. ultrasound examinations should be performed and are based on best available evidence. SCoR BMUS Guidelines for Professional Ultrasound Practice Revision 4 December 2019. They help ultrasound practitioners in their work but they do not replace their knowledge and. An agreement preferably based on research between practitioners to ensure the delivery of. high quality standardised ultrasound examinations, These Guidelines which are not prescriptive are made available to be used as recommendations for. good practice Since the first publication of the UKAS Guidelines for Professional Working Practice. in 1993 service provision technology and patient expectations in medical ultrasound have been. transformed The examination specific section including guidelines and common clinical scenarios. ref section 4 has been compiled by the British Medical Ultrasound Society Professional Standards. team and is presented as examples of best practice They have been included so that departments. can use them as a basis to generate their own departmental examination protocols when there are. no nationally agreed ones available There are also sections giving general guidance and advice. including reporting and audit Hyperlinks have been extensively used within the text to give access. to the many relevant documents already published on a wide range of topics by organisations other. than the SCoR and BMUS, IMPORTANT These guidelines do not and cannot cover all elements of an ultrasound. examination and in addition ultrasound practitioners are advised to access standard texts. documents and research in order to fully inform local departmental protocols and procedures. There are no guidelines included for obstetric ultrasound within these Guidelines Practitioners are. referred to publications from other sources such as the national fetal anomaly screening. programmes the Royal College of Obstetricians and Gynaecologists RCOG especially their. Greentop Guidelines National Institute for Health and Care Excellence NICE the Fetal Medicine. Foundation FMF Association of Early Pregnancy Units AEPU British Society of Gynaecological. Imaging BSGI and the International Society of Ultrasound in Obstetrics and Gynaecology ISUOG. The term patient has been used throughout the document in preference to other terms such as. Guidelines however need to keep in step with evolving technology changes in practice and professional progression For this reason it was decided to produce the revised version as a web based document that can be regularly updated amended and expanded as and when required As with all previous editions these Guidelines are not designed to be prescriptive but to inform good practice May

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