Ultrasound-Enhanced Lung Examination

Name: Date:

Domain Construct (performance steps) Done Not Done

WIPE:
Wash hands
Introduce self & Inquire about the patient's name & identity
Introduction Procedure explanation
Permission to examine the patient
Privacy
Position of the patient: supine & left decubitus
Pain: enquire if patient is currently in pain
Exposure: the right upper chest (area of scanning)
Equipment-check
Switching “ON” the machine
Ensuring availability of required items before starting
(gel, tissue, suitable lighting, and privacy)
Ensure you’re in an appropriate ergonomic position
Preparation (The patient is within reach and screen is in line of vision). Avoid
prolonged bending and twisting of back & neck.
Probe (transducer) selection
Entering patient’s & clinician’s name, date etc)
Adjusting screen orientation, gain, focus, and depth
Determine probe orientation

Efficient gel application (place & amount)

Scanning Correct probe placement (place and directions) – see the

provided images, next page
Appropriate probe manipulation: Pressure, Alignment, Rotation,
and Tilting
Image quality Adequate Inadequate
- Pleural lines (visceral-parietal pleural interface)
Anterior

- Two ribs shadows

- A lines (horizontal)
- M mode image (seashore sign)
Lateral
Posterior

Save the study (i.e. image or video).

Retrieve saved images.
Closure Handing tissue to the patient
Probe cleaning
Situation, Background, Assessment & Recommendation (SBAR)
 Mid-clavicular line: 2nd-4th Intercostal space

Eight key lungs scanning zones anteriorly & laterally

Bat sign (normal): pleural line between two rib shadows M mode: seashore sign (normal)