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Ultrasound/Sonographer

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Abdominal

Aorta *

Appendix/Intussusception *

Kodak Processor *

IVC (Inferior Vena Cava) *

Liver/Biliary Tract *

Pancreas/Spleen *

Renal/Urinary System *

Hewlett Packard *

Vasculature *

OB & Gynecology

1st Trimester *

2nd/3rd Trimester *

High Risk OB *

Placenta *

Gestational Age *

Complications *

Amniotic Fluid/Amniocentesis *

Fetal Demise *

Fetal Abnormalities *

Fetal Biophysical Profile *

UGR Protocols *

Coexisting Disorders *

Follicular Study *

Ovaries and Adnexa *

Pediatric *

Pelvic Pathology *

Postmenopausal Pathology *

Trans-Vaginal *

Uterus and Adnexa *

Nuchal Translucency *

Interventional

Aspiration *

Biopsies *

Drainage *

Intraoperative *

Laparoscopic *

Neonatal

Congenital Abnormality *

Neonatal Head *

Neurosonology

Enlargement/Displacement *

Cranial Hemorrhage *

Atrophic Lesions *

Spinal Lesions *

Inflammatory Lesions *

Brain Swelling/Edema *

Spinal Tethering *

Trauma *

Small Parts

Abdominal Wall *

Breast *

Haematomas/Vessels *

Musculoskeletal *

Scrotum and Testes *

Superficial Masses *

Thyroid *

Non-Cardiac/Chest *

Vascular

Color Doppler *

Digital Acquisition Systems *

Diameter for Percentage of Stenosis *

PW&OR CW for Percentage of Stenosis *

TCD *

PVR (Arms & Legs) *

IPG (Arms & Legs) *

Resistive Index *

Pulsatility Index *

Power Doppler *

Segmental Pressures *

Pulse Volume Recording *

Abdominal Aorta, IVC *

Abdominal Doppler *

Carotid Doppler *

SMA, Celiac, Renal *

Hepatic, Splenic *

Arterial Graft Duplex *

Arterial Upper Extremities *

Venous Upper Extremities *

Arterial Lower Extremities *

Venous Lower Extremities *

Penile Doppler *

Plethysmography for Fingers & Toes *

Vein Mapping *

Echo

Transthoracic *

Transesophageal (TEE) *

Holter Monitoring *

EKG *

Bubble Studies *

Adult *

Neonatal *

Fetal Demise *

Pediatric *

2-D and M Mode *

Exercise Pharmacological (Dobutamine) *

Pulsed Doppler *

Color Doppler *

Treadmill Exercise Testing *

ECG *

Stress *

Experience in Primary Areas

Hospitals *

Clinics *

Physician Office *

Mobile *

Supervisory Experience *

Age Specific Practice Criteria

Newborn/Neonate (birth - 30 days) *

Infant (30 days - 1 year) *

Toddler (1 - 3 years) *

Preschooler (3 - 5 years) *

School age children (5 - 12 years) *

Adolescents (12 - 18 years) *

Young adults (18 - 39 years) *

Middle adults (39 - 64 years) *

Older adults (64+ years) *

EMR

AllScripts *

ARIA *

Athena *

Canopy *

Cerner *

Eclipsys *

EPIC *

McKesson *

Meditech *

Other Computerized System *

Computerized Physician Order Entry *

Bar Coding for Medication Administration *

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