IS IT "EDUCATIONAL" OR IS IT "CLINICALLY-INDICATED"?

Before a scan is performed, determine if this the study is an educational study or a clinically-indicated study. If you are unsure, discuss with the attending prior to starting the study.

An educational ultrasound examination:

  • Is done for provider education only

  • Requires patient verbal consent and the patient should verbalize understanding that the exam is for education only

  • Must have a confirmatory study (CT, US, MRI) performed or ordered prior to the exam

  • Will be reviewed with the confirmatory study

  • Will have a completed worksheet in QpathE, but this information will not transfer to the patient’s chart

  • No information about the educational study is discussed in the patient chart

A clinically-indicated ultrasound examination:

  • Is performed for medical decision making for that patient during their emergency department visit

  • Standard imaging consent is obtained

  • Needs to be documented in QpathE and signed by the attending. When signed, the report and images will transfer to the patient’s chart, under the Imaging tab.

  • The physician should discuss their examination as part of their medical decision making in the chart


ACCEPTABLE CONFIRMATORY STUDIES

LIST OF ACCEPTABLE CONFIRMATORY STUDIES FOR EDUCATIONAL POC ULTRASOUND EXAMINATIONS

SUPERFICIAL

Consultative soft tissue ultrasound 
X-ray of the body region being examined
CT of the body region being examined
MRI of the body region being examined

LEVEL 1 CARDIAC

Consultative Echocardiogram
CT of the chest
MRI of the chest

ADVANCED CARDIAC

Consultative Echocardiogram
CT of the chest
MRI of the chest

DVT

Consultative DVT ultrasound
MRI of the lower extremity
CT venogram of the lower extremity

GALLBLADDER

Consultative RUQ ultrasound 
CT of the abdomen
MRI of the abdomen

ABDOMINAL

Consultative abdominal ultrasound
Abdominal CT
Abdominal MRI

SCROTAL

Consultative scrotal ultrasound
CT of the scrotum/pelvis
MRI of the scrotum/pelvis

NON-PREGNANCY PELVIC

Consultative pelvic ultrasound
MRI of the pelvis
CT of the pelvis

FAST

Consultative abdominal ultrasound
CT of the abdomen
MRI of the abdomen

Aorta

Consultative abdominal ultrasound
CT of the abdomen
MRI of the abdomen
Aortic angiography

Renal

Consultative renal ultrasound
CT of the abdomen
MRI of the abdomen

Obstetric

Consultative Obstetric ultrasound

Thoracic

Chest x-ray
CT of the chest
MRI of the chest

Musculoskeletal

Consultative ultrasound
CT of the body region being examined
MRI of the body region being examined

Ocular

Dilated eye exam by ophthalmology
MRI of the head/eye

Vascular

Vascular lab-performed consultative ultrasound
CT angiogram
Traditional angiography