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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?
  1. IV intravenous