Table 4 Vascular POCUS checklist for basic competency in image acquisition and anatomy identification
From: Development of a multisystem point of care ultrasound skills assessment checklist
Lower extremity deep venous thrombosis (DVT) | Peripheral IV insertion (transverse approach) |
|---|---|
Selects high freq linear transducer | Selects high freq linear transducer |
Selects vascular, venous, or arterial EXAM | Select vascular, venous, or arterial EXAM |
Correct probe LOCATION | Correct probe LOCATION |
Correct probe ORIENTATION | Correct probe ORIENTATION |
Probe CONTROL | Probe CONTROL |
Obtains quality COMMON FEMORAL VEIN VIEW (Vein should appear oval/triangular in the center of screen; avoid oblique, off-axis views) | Tracks needle tip as needle advances toward vein Successfully uses transverse approach to insert peripheral IV |
Points to common femoral vein Points to common femoral artery Points to common femoral vein/greater saphenous vein junction Demonstrates common femoral vein COMPRESSION Points to femoral vein Demonstrates femoral vein COMPRESSION | Image DEPTH optimized appropriately Image GAIN optimized appropriately |
Peripheral IV insertion (longitudinal approach) | |
Selects high freq linear transducer Selects Vascular, Venous, or Arterial EXAM Correct Probe LOCATION Correct Probe ORIENTATION Probe CONTROL | |
Obtains quality POPLITEAL VEIN VIEW (Both popliteal vein and artery should be seen clearly in center of screen) | Tracks needle tip as needle advances toward target vessel in longitudinal orientation Successfully uses longitudinal approach to insert PIV |
Points to popliteal artery | Image DEPTH optimized appropriately Image GAIN optimized appropriately |
Points to popliteal vein | |
Demonstrates popliteal venous COMPRESSION | |
Image DEPTH optimized appropriately Image GAIN optimized appropriately | – |
Based on the overall performance of this learner through all the views obtained and identification of anatomic structures during this hands-on skills evaluation, do you consider this learner to have the minimum skills to be considered COMPETENT in image acquisition and anatomy identification to perform LOWER EXTREMITY DVT POCUS exams of patients? | Based on the overall performance of this learner through all the views obtained and identification of anatomic structures during this hands-on skills evaluation, do you consider this learner to have the minimum skills to be considered COMPETENT to perform ultrasound-guided PERIPHERAL IV INSERTION on patients? |