Diagnostic Medical Sonography News April 2020 | Page 7

Ultrasound Reporting
Preliminary ultrasound reports (and the importance of their liability) may
seem straightforward when it comes to documenting artery size, blood flow,
blockages or plaque; however, accuracy is vital to the patient’s findings,
diagnosis and plan of care. In addition to the liability of the physician and the
medical center, the ultrasound technician’s credibility is also at stake.
The American Registry for Diagnostic Medical Sonographers (ARDMS) has
a standard of integrity and excellence. Their vision embodies “the global
standards of professional excellence in sonography.” Their mission “empowers
sonographers to provide exceptional patient care through rigorous assessment
and continual learning.” With conscious accountability, the job of an ultrasound
technician holds great distinction in the healthcare industry.
Preliminary vascular ultrasound reports contain a lot of vital information. For
example, on a carotid ultrasound, the technician sizes the right and left common
carotid artery (CCA) and the internal carotid artery (ICA), along with their
peak systolic velocity (PVC) and end diastolic velocity (EDV). The report also
documents visual plaque, vertebral artery flow and external carotid artery (ECA)
with PSV.
Because carotid arteries are major blood vessels that supply blood to the brain,
neck and face, accuracy is critical. Errors made by medical professionals may
cause unnecessary harm or even lead to fatality if not addressed promptly.
They are a liability for healthcare professionals and facilities alike. Protocol for
the oversight of an error starts with an incident report and patient disclosure,
which may result in a lawsuit or termination of employment, as accuracy on the
preliminary report is consequential.
The radiologist counts on the technician to provide the best images and
information so as to diagnose the findings with accuracy. Patient care is a
priority for all healthcare professionals, but following protocols and procedures,
using proper technique, communicating and taking safety measures always
provides the best experience for the patient.
Jodi Modica
Sonography Intern
References:
ardms.org/discover-ardms/about-ardms/mission/
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