TY Ultrasound rotation
This is a 2 week rotation in emergency point-of-care ultrasound (POCUS).
Goals:
1. Become familiar with the basic physics & technology of bedside ultrasound.
2. Understand the record keeping & documentation requirements for billing & medical records purposes as well as for clinical care.
3. Understand issues related to patient privacy, comfort, & patient education related to emergency ultrasound.
4. Understand the clinical utility & limitations of emergency bedside ultrasound.
5. Develop the ability to obtain & interpret scans for common emergency conditions of the following anatomic areas (Refer to the following PDF)
6.Become facile in communicating with other clinicians regarding the clinical implications & significance of ultrasound findings.
During orientation & the dedicated rotation, a combination of didactics, experiential learning and proficiency assessments will be employed. The following clinical ultrasound application topics will be covered:
Trauma/EFAST
Intrauterine Pregnancy (transabdominal and transvaginal)
AAA
Cardiac/Volume Assessment
Biliary
Renal/Urinary Tract
DVT
Soft Tissue/Musculoskeletal
Thoracic/Airway
Ocular
Procedural Guidance
Bowel
CLINICAL EXPERIENCE AND SCHEDULE
Supervised scanning shifts - please refer to the Google calendar (linked here and under Rotation Logistics column above) for dates/times to meet faculty in the ED for bedside scanning and teaching. An Ultrasound faculty member will meet with you on the first day of the rotation for orientation and introductory scanning shift. As an adult learner, the rest of your time is independent and you must meet rotation requirements.
Independent scanning shifts - during times when there is no supervised scanning, the resident should be scanning independently in the ED. Patients scanned independently should have a confirmatory study as a gold standard (e.g. CT abdomen, CXR, confirmatory US performed by radiology). Your go-to contact should be the EM2 on the ultrasound rotation and you’ll maximize your experience if you join one another on scan shifts. On days with unassigned activities, try and join POCUS faculty on clinical shifts. POCUS faculty include: Dr. Wilson, Dr. Pope, Dr. Ho-Gotshall
Ultrasound tech scanning shifts - Tuesdays at Grand Strand & Wednesdays at South Strand from 4:30 - 7:00 pm. Please refer to the POCUS Google Calendar for the Ultrasound Technician you will be scanning with. We ask that you reach out to them the day of to confirm meeting time and place. Their numbers should be listed on the Calendar. You are responsible for communicating with the ultrasound technicians if you are not available to scan with him for any reason, but you are otherwise expected to be there. They are RDMS and RVT certified and can serve as your guide for abdominal and DVT studies.
Weekly education/QA meetings - these take place every Thursday at 9am in the conference room of the Ocean View Building in Classroom 5. You must attend all Thursday meetings during your rotation.