The Sonographer Attachment Programme At USA Report : Mayo Clinic Rochester =TTE= Part I

5.6 Mayo Clinic Stress Echo Lab Gonda 6:

Protocol For Tranthoracic Echocardiogram (TTE)

      Principles

·    This procedure outlines the process of completing an adult transthoracic echocardiogram in the Mayo Clinic Echo Lab.

      Scope

·    This procedure is to be used by all Echo Lab Staff in all Mayo Clinic Rochester Echo Labs and outreach Echo Labs staffed by Mayo Clinic Rochester staff.

      Applicable Policies

·         Echo Procedural Guideline 2004: Amyl Nitrite Administration

·         Echo Procedural Guideline 2501: Contrast Echocardiography

·         Echo Procedural Guideline 2502: Agitated Saline Administration

·         Echo Procedural Guideline 2601: Echo-Guided Pericardiocentesis

·         Echo Procedural Guideline 2701: Outreach Echocardiography

·         Echo Procedural Guideline 2801: On-Call Echocardiography

·         Echo Nursing Protocol MC 1156-434: Echo Lab Contrast Administration

·         Standard Transthoracic Echocardiography Protocol 2002

·         Limited Transthoracic Echocardiography Protocol 2003

·         Echocardiography Strain Protocol 2005

·         Mayo Nursing Medication Administration Policy PC-23

·         Echo Procedural Guideline 2902: Critical Test Results

Equipment And Supplies

• Echo bed/cart
• Adjustable chair
• Sphygmomanometer
• Step stool
• Call light
• Ultrasound machine
• Oxygen supply/equipment
• Sink area
• Support wedges
• Biohazard waste container

·         Electrodes

·         Ultrasound gel

·         Gloves

·         General disinfectant

·         Linen (towels, sheets, gowns, pillows)

·         Data sheets

·         Hand sanitizer

• Desktop workstation (computer)
• Telephone
• Code cart

      Quality Assurrance

·         Sonographer and physician peer review

·         Quarterly Echo Lab QA conferences

·         Sonographer educational in-services

·         Weekly Cardiac Imaging Grand Rounds 

Correlation with surgical reports and other imaging modalities 

Procedural Notes

·         This procedure may also be performed at the patient’s bedside

·         Outreach patients must complete insurance, registration and consent forms

·         CV trainees under the supervision of a staff physician may assume the sonographer or physician role during this procedure

·         Sonography students under the supervision of a clinical instructor may assume the sonographer role during this procedure

·         For an emergency or on-call exam, the physician may perform the echocardiogram instead of the on-call sonographer. The emergency or on-call exams are typically performed at the patient’s bedside