Resident Ultrasound QA Evaluation

Resident Reviewer:_______________________________________ User:__________

Med Rec #/Pt Identifier:__________________________________

1. Study complete, are all required images present? Y N

a. AAA (4 views: 3 TRV, 1 SAG- all with measurements)
b. Cardiac (2 views: PSLX, PSSX, SUBX or Apical)
c. DVT (2 views: CFV & Pop video clips or split screen with compression)
d. FAST (4 views: RUQ, LUQ, SUBX/PSLX, Pel)
e. GB (2 views: TRV, LNG, ant wall measurement)
f. Ocular (2 views: 1 of each eye)
g. Pelvic TA or TV (2 views: TRV, LNG)
h. Renal (5 views: TRV, LNG of each kidney & bladder)
i. Soft tissue (2 views: TRV, LNG)
j. Thoracic ( 2 views)
i. PTX eval: m-mode or video of slide
ii. Effusion eval: B UQ views

2. Images adequate? Y N
a. Correct probe used
b. Depth set properly
c. Image centered on the screen
d. Complete organ visible
e. Gain set correctly
f. Labeled correctly
g. Measurements taken properly

3. Diagnosis correct? Y N
a. Report completed
b. Correct diagnosis based on images submitted

4. Are there any ways this study can be improved? If so, how?

5. All criteria met to count for credentialing? Y N