ILOILO DOCTORS COLLEGE

COLLEGE OF RADIOLOGIC TECHNOLOGY

ILOILO CITY


QUESTIONNAIRE

Respondent No. ____

Name: (Optional)
________________________________________________


Age: ______________


Gender: ( _ ) Male ( _ ) Female


Years of working as ultrasound technologist: ___________


Institution Currently Employed:

( _ ) Private Hospital
( _ ) Public Hospital
( _ ) Private Clinic






ILOILO DOCTORS COLLEGE
COLLEGE OF RADIOLOGIC TECHNOLOGY
ILOILO CITY


Direction: Read each statement carefully and kindly check the column at the right that
corresponds to your answer.

I. Knowledge
Statements True False
1. Ultrasound utilizes high frequency sound waves
2. A-mode ultrasound is mainly used in ophthalmology study today
3. B-mode is incorporated in Real-Time mode that is widely used today
4. 3.5MHz probe is used for evaluating deep structures
5. 5 7MHz is used for brain imaging of infants
6. Ultrasound cannot be used to evaluate brain anomalies in adult patients
7. Thicker crystal element size has lower frequency and used for deep
structure evaluation.

8. In pregnancy ultrasound, during the 1
st
trimester, the scanning method
used is transvaginal

9. For the 3
rd
trimester, scanning method used is transabdominal
10. Ultrasound transducer cannot be cleaned using warm or hot water.
11. Ultrasound transducer cannot be autoclaved.
12. Doppler ultrasound is primarily used to evaluate blood flow.
ILOILO DOCTORS COLLEGE
COLLEGE OF RADIOLOGIC TECHNOLOGY
ILOILO CITY


13. Probe can only be cleaned by wiping it with a tissue after used and not
with soap and water.

14. During transvaginal ultrasound, patient is advised to empty the
bladder prior to ultrasound examination.

15. In HBT ultrasound examination, patient prep should be fasting
16. For patient instructed for fasting prep, chewing gum and smoking is
also prohibited prior to the scheduled ultrasound examination

17. Aqueous gel is most widely used coupling agent because it dries easily
and does not cause stain to cloth/linen unlike mineral oil.

18. Diabetic patients should be scheduled first for an ultrasound
examination

19. Patient preparations/instructions should be given clearly and must be
repeated by the patient (or folks), if necessary, to gain his full
cooperation/avoid delays in the procedure

20. For lower transabdominal examinations, full bladder is necessary.





ILOILO DOCTORS COLLEGE
COLLEGE OF RADIOLOGIC TECHNOLOGY
ILOILO CITY


II. Skills

Statements

Always

Sometimes


Never
1. I assess patients physical condition prior to the
actual examination

2. I apply knowledge of pathologies relevant to the
examination

3. I answer patient queries appropriately
4. I identify common adnexal abnormalities
5. I am able to consistently and systematically identify
the features of intra uterine and extra uterine gestation

6. I write a structured report of the scan findings and
keep appropriate hard copy or video records of
anomalies

7. I identify fetal number and chorionicity
8. I am able to move probe with purpose to identify
structures of interest (pancreas, spleen, stones, mass,
etc)

9. I do counsel patient about procedure
10. I appropriately sets up machine and correctly
selects the probe to be used for various exams (transab,
transV, transRec, etc)

11 I completely fills up the official ultrasound report
12 I arrange appropriate follow up examination, if
necessary with the patient/folks

13. I correctly interprets ultrasound findings in the
context of the clinical setting

14 I independently measure CRL, FL, BPD, AC, etc
during fetal evaluation

15 I identify between normal and pathologic structures
through the use of ultrasound

ILOILO DOCTORS COLLEGE
COLLEGE OF RADIOLOGIC TECHNOLOGY
ILOILO CITY


16. I review relevant information and records to
determine examination requirements

17. I extends or modifies the examination according to
sonographic findings and clinical presentation

18. I review examination findings to confirm
thoroughness

19. I document the examination in accordance with
organisational protocols

20. I communicate findings to reporting practitioner
21. I perform all requested sonographic examinations
as ordered by the attending physician.

22. I Prepare preliminary reports and contacts referring
physicians when required, according to established
procedures.

23. I coordinate with other staff to assure appropriate
patient care is provided.

24. I addresse problems of patient care as they arise
and makes decisions to appropriately resolve the
problems.

25. I organize daily work schedule and performs
related clerical duties as required.

26. I assume responsibility for the safety and well-
being of all patients in the sonographic
area/department.

27. I report equipment failures to the appropriate
supervisor or staff member.


Validated by:

________________________________________
HARIETTE A. WENDAM, RRT, RSO, MMEM
Program Head, Fellowship Baptist College
Negros Occidental