Image Quality ReviewFebruary 4th 2015

Agenda

General housekeeping issues Kronos History form Vacation picks Journal club Testicular Doppler orders

Team Leader introductions QA review and philosophy

Kronos

Use location code for in punches only. If you change locations during the day; stay

punched in during travel time and re-punch with new location when you arrive.

Any missed punches or errors can be corrected by any Team Leader that you are working with that day. Otherwise, just E-mail your Team Leader with missed punch information.

Approve your time card at the end of your shift on the Friday or the last day you work at the end of the pay period.

Kronos Approval

History Forms

Double check exam title Change history to reflect proper

indications Correct spelling and grammar in history Include a sonographers impression and

any unusual circumstances.

History Form

•History Form

Vacation request form…..

VACATION REQUEST FORM…..

Makes choices in order of importance. Choices are weighted against each other.

Please take at least one continuous week. Not just 10 Fridays.

Please give a brief description so we can help everyone get the critical time that they need.

Forms come out after Thanksgiving every year and are due in mid January.

JOURNAL CLUB Please try to attend Articles are sent out before the meeting We meet at HF and SC at 7 AM Various days of the week depending on

Radiologists schedule Contact a team leader if you want to

attend but are scheduled to work and we can get rooms closed.

Need volunteers to review articles Worth 1 CME each meeting

Testicular DopplerIf we do Doppler, we need an order.

Please check even if it has been scheduled with Doppler.

Make notes of what you do in the comments on online form.

Meeting Requests…

Please accept, deny or check tentative when you receive meeting requests

Simply gives me an estimated head count for food

You are expected to attend, but are not mandatory

TEAM LEADER TRIVIA• Will be more likely to say “Mahalo” instead of thank you.

• God, I love Sydney Crosby. Yumm.

• I think I’m a Team Leader butI'm not.

• I constantly bonkmy head on things.

• Malibu is a boat ,not a Rum. Well, maybe both.

• I think I've been here before ?

• You want a vacation day? Good luck!

ULTRASOUND MANAGEMENT

Lynnette Becker VP/VC

John Crowley-Manager

Rosemary Ermitano Breast US

Marian Wilkonski VC/Schedules

Kaelene Scoville SC

Julie Bronson HF

Bill Berry SHMC

UPDATE…JULIE BRONSON

IMAGE QUALITY BASICS…THE THREE F’S AND ONE B

• Frequency • Field of View/Depth • Focal • Balance

FREQUENCY

What is wrong with this image?

Should be zoomed!! Higher frequency. Need an additional lateral view for the septum. The grey map should be changed to add contrast. This image is not as sharp as one taken with harmonics.

An image of the entire thorax with a four chamber heart allows the assessment of cardiac size and axis, and demonstrates the area behind the heart as well.

What is wrong with this image?

Improper field of view and focal zone placement– good transducer frequency, but sector width needs to be narrowed and depth reduced. Focal zone should be adjusted to the level of the nose/lips.

Nose/lips are outlined by fluid. Highest frequency possible used. Zoomed in properly. Upper lip is completely demonstrated.

Recent QA Feedback

What’s Wrong ?

Cortical Thickness ?

Cortical Thickness

Post void image needed if Hydro is suspected

Missed RCC

Gallstones without the Gallbladder

Prior CT

Why did the Radiologist just have a heart attack ?

Nice work !

Nice work!

Nice work! Endometrial CA

Thank You !