EARLY PREGNANCY ULTRASOUND SKILLS EVALUATION
Trainer: _________________________________________________________________________ Date: ___________
Number of Sonograms Observed: _____________________________________________________________________
| TRAINING SKILLS | Beginner | Developing Competence | Competent | Did not experience |
|---|---|---|---|---|
| INTERPERSONAL SKILLS | ||||
| Introduces self to patient and establishes rapport | ||||
| Explains sonogram procedure to client, and routinely asks about LMP, latex allergy, desire to hear about twins, etc. | ||||
| Pays attention to patient comfort | ||||
| Uses appropriate language to discuss ultrasound findings in presence of patient | ||||
| Solicits and answers patient questions appropriately | ||||
| CLINICAL SKILLS | ||||
| Prepares ultrasound probe properly for use | ||||
| Uses keyboard and screen functions properly | ||||
| Keeps uterus in center of screen, zooming as needed | ||||
| Systematically identifies uterus in longitudinal and transverse views, taking appropriate images | ||||
| Systematically scans across pelvis, requesting help as needed. | ||||
| Measures gestational sac in 3 planes; able to explain how and why | ||||
| Identifies yolk sac | ||||
| Identifies fetal pole and cardiac activity | ||||
| Measures CRL in longest view (without limbs or yolk sac) | ||||
| Assures location of pregnancy is intrauterine | ||||
| Perform post procedural or post medical abortion US to establish no evidence of gestational sac, embryo or fetus | ||||
| Ensures transducer(s) cleaned between exams | ||||
| MEDICAL KNOWLEDGE | ||||
| Able to name key US characteristics of pseudo vs. true gestational sac (identify if possible) | ||||
| Accurately calculates GA with gestational sac measurements | ||||
| Accurately calculates GA with CRL measurement | ||||
| Knows when to switch to BPD measurement, and elements of an optimal BPD measurement | ||||
ADDITIONAL COMMENTS:
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Evaluation by Trainer:
[ ] Approved [ ] Further orientation and observation suggested/required
SIGNATURE OF EVALUATOR: _______________________________________________________ DATE:____________