STANDARD COMPETENCIES:

 

 I.      Describe the working components of a basic sonographic machine

 II.     Explain the differences in wave motion with various tissue densities

 III.    Identify beneficial and detrimental artifacts seen in the sonographic examination

 IV.     List the use, components, and care of ultrasound transducers

 V.      Perform a quality assurance test with a tissue phantom

 VI.     Apply the different types of image modalities to include: 2D, 3D, real-time, static, M-mode, A-mode, B-mode, and the various forms of Doppler (spectral, color, power)

 VII.    Recognize the importance of the ALARA principle

 VIII.   Analyze personal scanning style for correct ergonomics to prevent future musculoskeletal injury (MSI)

 IX.     Demonstrate proper ergonomic scanning and room set up

 TOPICAL OUTLINE:

 

 I.      Scanning technique (holding transducer, exam prep, clinical expectations etc.), obtaining Patient history, and charting

 II.     Sound Ergonomics

         A.      Set up scan area for optimal ergonomics for each student.

 III.    Complete the tutorial:Basic Ultrasound Physics: http://www4.medical.philips.com/education/education.asp

         A.      Provide CME certificate/prove successful completion at 70% or higher.

 IV.     Complete the tutorial:Imaging Transducer Basics:

 V.       http://www4.medical.philips.com/education/education.asp

         A.      Provide CME certificate prove successful completion of a 70% or higher.

         B.      Pulse-echo Ultrasound

         C.      Locate and identify use of the following controls;

         D.      overall gain

         E.      TGC

         F.      Dynamic range/compression

         G.      M-mode

         H.      B-mode

         I.      frame rate

         J.      Transducer identification

         K.      (3 linear, OB)

         L.      (curvilinear, OB, ABD, GYN)

         M.      (2 sector, Large ABD, GYN, OB )

                 1.      (endoscopic)

                 2.      (7 linear, vascular)

                 3.      ( 5 linear, some small parts)

                 4.      (10-12 linear, breast, small parts, MSK)

                 5.      (endocavity vagina, rectal, or surgical transducer)

         N.      Surface anatomy of the transducer

 VI.     Image Storage and Display, Axial and lateral resolution, Attenuation vs. frequency

 VII.    Complete the tutorial: Doppler in Ultrasound Applications

 VIII.   http://www4.medical.philips.com/education/education.asp

         A.      Provide CME certificate prove successful completion of a 70% or higher.

 IX.     Complete the tutorial: Doppler Ultrasound Signal Analysis and Optimization

 X       http://www4.medical.philips.com/education/education.asp

         A.      Provide CME certificate prove successful completion of a 70% or higher.

 XI.     Doppler Controls

         A.      Location

         B.      Activation

         C.      Spectral Doppler

         D.      Angle correction

         E.      Measurements

         F.      Color vs. Spectral vs. Power

 XII.    Characteristics and Artifacts: Resolution Improvement?

         A.      Artifact production

 XIII.   Ultrasound Equipment and QC: Use of Tissue Phantoms, Depth and Thickness Measurements of Ultrasound Reflectors

 XIV.    Bioeffects and Safety Considerations