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Chapter 1
Know the dates when different Ultrasound Exams became available to take
1974: (ASUTS) credential exam
October 1974: Practical, oral, and written
1976: 10 ARDMS exams
1983: Vascular, practical and oral integrated put in as written questions, hands on was eliminated
1990: Cardiac
1991: computer based
1994: Ohio to maryland
2016: Intelos
Know when research for medical ultrasound applications began
-In the late 1940s, Dr. George Ludwig developed the first application of ultrasound for medical purposes when trying to detect gallstones. It remained classified until 1949, when it was released to the public.
-In the early 1970s, research began on what would become the modern real-time machines
When were the first practical, oral and written ultrasound examinations administered?
In 1974 there was the 1st practical, oral and written examination
administered in Winston-Salem, North Carolina, and almost 400
sonographers took some aspect of the testing process.
In October 1974, the first practical, oral, and written ultrasound examinations were administered in Winston- Salem, North Carolina.
Be familiarized with who discovered x-ray and ultrasound
-X-ray is the oldest imaging modality and was discovered in 1895 by Wilhelm Rontgen.
-Ultrasound roots go back to the discovery of the piezoelectric effect in 1880 by Jaques and Pierre Curie.
Know the different individuals that helped to develop ultrasound and Doppler systems for ultrasound machines
Dr. George Ludwig, medical sonography
Shigeo Satomura: first doppler ultrasound device for medical purposes
Dr. Robert Rushmer and Dean Franklin: Prototype for continuous wave doppler for blood flow
Dr. Eugene Standess: vascular disease doppler
Know the different levels of sound (human hearing, ultrasound etc.)
Infrasound: below 20hz
Human: 20 to 20,000 Hz 20kHz
Ultrasound: over 20,000 Hz 20kHz
Who discovered the importance of a full urinary bladder while scanning the pelvic area?
professor Donald and dr. James Willocks
Know the different shades of grey that were available in the beginning of ultrasound
64
What were early sonographers called? What does Sonography mean?
Early sonographers were called ultrasound technical specialists
Sound graph
Know what individuals developed the first applications of ultrasound for medical purposes
Dr. George Ludwig
In the late 1950s, Shigeo Satomura developed the first Doppler ultrasound device used for medical diagnostic purpose
What is the difference between technician & technologist?
Technician: 6w to 6, beyond high school.
Technologist: someone who specializes in a technology, which is why the type of technology must be specified.
Who led the development of color Doppler?
Japan
Chihiro Kasai
Koroku Namekawa
Ryozo omoto
Review the piezoelectric and reverse piezoelectric effect
The ability of certain materials to generate an electric charge in response to applied mechanical stress, such as a sound wave.
The reverse piezoelectric effect generates the sound beam when electricity is applied to the material.
Know about continuous wave M-mode as discussed in Chapter 1
In 1953, Dr. Inge Elder and Carl Hellmuth Hertz explored the use of ultrasound in the heart using a technique that added a continuous moving display of the returning echoes (M-mode) to evaluate the motion of the heart valves
Review Christian Doppler’s theory
known as the Doppler effect — that the observed frequency of a wave depends on the relative speed of the source and the observer, with the frequency increasing when the source and the observer moved closer and decreasing when they moved apart. He used this concept to explain the color of binary stars. The Doppler effect causes shifts in wavelengths of sound and light and is a major factor in demonstrating the existence of an ever expanding universe. He designed an experiment using horn players on a moving train.
Review color flow imaging as discussed in Chapter 1
December 1984, first colored doppler RSNA
1987 United states
What is ARDMS?
In 1975, the American Registry of Diagnostic Medical Sonographers (ARDMS) was tasked with the mission of providing
valid and high-quality certification procedures for medical professionals who perform Diagnostic Medical Sonograph
American registry of diagnostic medical sonography certification
What is Annual Sonographer awareness week?
October of 1991
1st annual sonographer awareness week > month
Chapter 2
Review obstetrical ultrasound procedures as discussed in Ch. 2
Review chaperone information and need for one
What is sympathy, empathy & compassion?
Go over transvaginal ultrasound procedures
empty bladder
Know transient fetal bradycardia
Brady less than 110
Tachy more that 160
trasient = abrupt and intermittent
reduce transducer poessure
left side= increase fetal heartrate
Know how information is exchanged or how it can take plac
Review invasive procedures
biopsies
Read over high – risk patients and what we need to do with them
What are universal precautions?
Gloves, gowns, goggles to prevent bodily fluids
What does HIPAA do for our patients?
What patient positions might be used for a cardiac or vascular ultrasound?
Know helpful skills for good communication
Review checklists of what to do before, during and after an examination
Go over consent and refusal
Read about moving patients
What is supine hypotensive syndrome?
when woman lays on back and IVC is blocked
tell then to sit up
Know ALARA concept and why it is important
As low as reasonably achievable
Chapter 3
Know the stages of the grieving process
1: denial
2: anger
3: bargaining
4: depression
5: acceptance
What are negative communication traits?
Judgemental responses
arguing
interrupting
changing the subject
false assurances
untruthfulness
avoidance
false reassurance
Go over critical thinking
Review communication triads
3
Read about Sonographer reports
written verbal reports
measurments, comments on echogenictiy location of positions, scanning planes, intrumnetation ch/////////////////////////////////////////////////////////////////////////////////nages
What are the different types/kinds of communication?
Verbal
nonverbal
body language
eye contact
facial expressions
gestures
posture
tone of voice
touch
Review communication barriers
speaking too fast
Know how we communicate with patients with special communication problems,
such as hearing or vision impairments
low tone
What is collaborative learning?
an instruction method in which students at various performance levels work together in small groups towards a common goal. students are responisble for one anothers learning including their own
What are effective communication skills?
Listening
observing
responding appropeirartly
mainting silence
claryfiying
repaeating
gathering information
touching