Sonography
I selected to do my job shadowing at Jefferson Memorial Hospital. I went to work with a Sonographer on the morning of December 18, 2002. I was taken to the radiology department and introduced to her supervisor and the rest of the people with whom she worked. I was then familiarized with all the equipment that we would be using during exams. I have learned that before doing any kind of exam, the Sonographer must have knowledge of the human anatomy. A Sonographer must also know the machine and equipment used in doing an exam. There are many transducers that can be used to do different types of exams. Some are used for the abdomen, some are used for the pelvic and OB exams, others used for echocardiograms. When starting exams, a clean sheet is always put on the exam table before each patient. The Sonographer should always wash his or her hand before and after each exam, to prevent the spread of germs. It is also very important to make sure your patient is comfortable and at ease with what is going on. Explaining what you are doing, keeping the patient calm and reassuring him will make the experience better for both involved. The patients information is typed into the machine. A gel is then put on the area of
Patients are seen through the Emergency Room some days, but most have scheduled appointments. Ultra Sounds are most commonly done through the abdomen, but they may also be done through the vagina. This last type is done on women who are in their first-trimester of pregnancy. It maybe somewhat uncomfortable but it generally provides better images in the early stages of pregnancy and can be very useful in diagnosing ectopic pregnancies and fetal abnormalities. A basic ultra sound takes about 15 to 20 minutes. A more detailed (level 11) scan, which may use more sophisticated equipment, can take anywhere form 30 minutes to 90 minutes or more. There is a new 3-D ultrasound that uses special equipment to show a three-dimensional view of the baby that looks almost as detailed as a photograph, which I personally was very impressed with. This procedure is new and may only be available in major medical centers. This exam of the patient’s gallbladder went really well. The reason was, the patient was a small person, which I was explained, made it much easier as compared to a heavier set patient. She was very co-operative and at ease with the procedure. Diagnostic Medical Sonographers must complete a 2 year associate degree or better to be licensed. With a 4 year degree Sonographers are trained more into doing echocardiograms. This is one thing I am greatly interested in after observing the exam done on a patient. The time and training to be a Diagnostic Medical Sonographer will be worth it when I am able to perform the exams myself and have the ability to help others. Before starting with the first exam, The Sonographer introduced me to the patient who was there for a gallbladder exam. I ask her permission to stay in the room and help with her exam. The patient agreed, and stated that it was fine with her. The patient was made comfortable and the procedure was explained to her. To begin the exam, I was shown that the liver, pancreas, common bile duct and the gallbladder are all scanned because these organs are all connected in some way. Each organ was scanned in a different plane, longitudinally and transverse. This allows you to look at the organ in many ways.
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Approximate Word count = 1566
Approximate Pages = 6 (250 words per page double spaced)
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