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Vascular Ultrasound
Vascular Ultrasound
Name
First
Last
Date
MM slash DD slash YYYY
Self-Assessment Rating Scale:
No Experience
Theory or observation only during the past 12 months
Limited Experience
Performed less than 12 times within the past 12 months and may need a review
Experienced
Performed at least once per month within the past 12 months and may need minimal assistance
Highly Skilled
Performed on at least a weekly basis over the past 12 months; proficient
Work Settings
No Experience
Limited Experience
Experienced
Highly Skilled
Acute Care Facility
Clinic
Management Experience
Mobile Route
Physician's Office
Vascular Sonography
No Experience
Limited Experience
Experienced
Highly Skilled
Abdominal Aorta, IVC
Color/Doppler
Area for % Stenosis
Carotids
Diameter for % Stenosis
Hepatic/Splenic
IPG (Arms and Legs)
Lower Extremity Arterials
Lower Extremity Venous
Penile Doppler
Plethysmography for Finger, Toes, TOS
Pulsatility Index
PVR (Arms and Legs)
PW and/or CW for % Stenosis
Resistive Index
SMA, Celiac, Renals
TCD
Upper Extremity Arterials
Upper Extremity Venous
Equipment
No Experience
Limited Experience
Experienced
Highly Skilled
Phillips
Siemens
Toshiba
Hitachi
GE
HP
Age Specific
No Experience
Limited Experience
Experienced
Highly Skilled
Newborn/Noeonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 years to 64 years)
Geriatric Adults (65+ years)
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