HOW TO USE QPATHE

QPathe Instructions

  • Every exam MUST have an operator, the operator can be a resident or attending - whomever acquired the images

  • Every patient care exam MUST have an attending who is privileged for that exam - the privileged attending can be listed as the operator OR the attending in QpathE

  • Do not perform studies for medical decision making (aka “clinically indicated”) if your attending does not have privileges.

  • Only mark an exam as clinically indicated if you are completely certain that it was for patient care

  • ALWAYS end the exam when you are done.

  • Always complete the worksheet.

  • You should complete the documentation for an exam on the SAME shift when you performed the exam

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


HOW TO DOCUMENT ULTRASOUND WITH QPATHE

Full QpathE with Sparq Workflow Document - VIEW
Full QpathE with Sonosite Workflow Document - VIEW


WORKFLOW

Sparq Workflow with Qview Lite

Full Sonosite Workflow

MINDRAY

 

WORKFLOW FAQ - Damn You QPathe!

Spitting Exams in QpathE

Worksheet completion and signing

HOW TO add operator and attendings

QPathe Attending Exams TO SIGN FILTER

How to export images to computer

Add operators to study where attending/operators already assigned

REVIEWING YOUR QA