EARLY PREGNANCY ULTRASOUND SKILLS EVALUATION
Trainer: Date:
| Beginner (B): Limited fund of knowledge; requires constant assistance/supervision.
Advanced Beginner (AB): Developing independent thinking. Requires intermittent assistance. Knows limits and seeks guidance as needed. Developing Competence (DC): Developing independent thinking. Needs intermittent assistance; knows limits, seeks guidance as needed; Competent (C): Occasional assistance. Knows limits, seeks guidance as needed. Asks appropriate questions to advance understanding and technique. Advanced Competence (AC): No observation required. Rare assistance. Knows limits and seeks guidance as needed. Discusses complex cases with a trainer. |
N/A | B | AB | DC | C | AC |
|---|---|---|---|---|---|---|
| INTERPERSONAL SKILLS | ||||||
| Introduces self to patient and treats patient with respect | ||||||
| Explains US procedure | ||||||
| Routinely asks about LMP, latex allergy (if using latex products) | ||||||
| Asks whether the patient wishes to see image or have findings described | ||||||
| Pays attention to patient comfort and adjusts accordingly | ||||||
| Uses appropriate language to discuss US findings | ||||||
| Solicits and answers patient questions | ||||||
| CLINICAL SKILLS | ||||||
| Selects appropriate probe (abdominal or intracavitary) depending on clinical situation | ||||||
| Prepares ultrasound probe properly for use | ||||||
| Uses keyboard and screen functions properly | ||||||
| Keeps uterus in center of screen, zooming in as needed | ||||||
| Maintains cleanliness and gloving as moves between keyboard & patient | ||||||
| Systematically identifies uterus in longitudinal and transverse views, taking appropriate images | ||||||
| Systematically scans across pelvis | ||||||
| Measures gestational sac in 3 planes | ||||||
| Finds and identifies yolk sac | ||||||
| Identifies fetal pole and cardiac activity | ||||||
| Measures CRL in longest view (without limbs or yolk sac) | ||||||
| Identifies cervix and body of uterus to determine location of pregnancy | ||||||
| Perform post procedural or post medication abortion US to establish no evidence of gestational sac, embryo or fetus as needed | ||||||
| Ensures transducer appropriately cleaned/disinfected between exams | ||||||
| Can evaluate adnexa when no definite IUP, eg: probable IUP or PUL | ||||||
| MEDICAL KNOWLEDGE | ||||||
| Can list and identify FEEDS criteria | ||||||
| Defines the discriminatory zone for ultrasound | ||||||
| Accurately calculates gestation with gestational sac measurements | ||||||
| Accurately calculates gestation with CRL measurement | ||||||
| Knows when to switch to BPD measurement, and elements of an optimal BPD measurement | ||||||
ADDITIONAL COMMENTS:
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# Scans Observed _____ ☐ Approved ☐ Further observation suggested
EVALUATOR: DATE:
TRAINEE: DATE: