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CAHPU LOG BOOK BASIC/ADVANCED (Please circle one) FOR ….……………………… Please select one of the following: Clinical Nurse Consultant in Neonatology Clinical Nurse Specialist (Advanced Neonatal Practice) or Neonatal Nurse Practitioner …………………………………. HOSPITAL 2012 - 2013 Serial Number Date of CPU Patient’s MRN & Addressograph Patient’s relevant history and clinical findings Indication for CPU Findings of CPU Supervised by Supervisor’s Comments Supervisor’s Signature & Date. CERTIFICATE This is to certify that,…………………………., has satisfactorily completed the LOG BOOK requirements for the Basic CAHPU course in Neonatology with recommended duration of training. He/she has completed the required scans under my direct supervision at ……………………… Hospital. Signed by: Date: CERTIFICATE This is to certify that,…………………………., has satisfactorily completed the LOG BOOK requirements for the Advanced CAHPU course in Neonatology with recommended duration of training. He/she has completed the required scans under my direct supervision at ……………………… Hospital. Signed by: Date: Basic Cardiac Ultrasound Scans Learning Goals 1. Understand and appreciate the needs of an infant during scanning 2. Understand and appreciate the infection risks of scanning 3. Understand and appreciate the optimal choice of probes and settings for neonatal scanning 4. Demonstrate an understanding of the normal anatomical structure of the heart as it relates to the standard echocardiographic windows 5. Competently perform 2D imaging of the neonatal heart using the parasternal long axis, short axis, high parasternal ductal/arch view, apical and subcostal echocardiographic windows 6. Use of M mode to measure the LA:Ao ratio and assess left ventricular contractility 7. Use of pulsed wave Doppler and colour Doppler as to demonstrate normal blood velocities across heart valves and through the outflow tracts. 8. Understand the common conventions of cardiac scanning and competently record a series of images to clearly demonstrate normal cardiac anatomy 9. Competently interpret the heart ultrasound findings in relation to the clinical Scenario 10. Need to recognise when referral should be mandatory because of an incomplete scan or a possible anatomical or functional abnormality Signed by: Date: Basic Cranial Ultrasound Scans Learning Goals 1. Understand and appreciate the needs of an infant during scanning 1. Understand and appreciate the infection risks of scanning 2. Understand and appreciate the optimal choice of probes and settings for neonatal scanning 3. Demonstrate an understanding of normal cranial anatomy 4. Competently use coronal and sagittal cranial ultrasound windows via anterior fontanelle to demonstrate normal anatomical structures. 5. Recognise intracranial bleeding with competent assessment of sub-ependymal, intraventricular and parenchymal bleeding 6. Understand the common conventions of cranial scanning and competently record a series of images to clearly demonstrate normal cranial anatomy 7. Need to recognise when referral should be mandatory because of an incomplete scan or a possible anatomical or functional abnormality 8. Competently interpret the ultrasound findings in relation to the clinical scenario Signed by: Date: Advanced Cardiac Ultrasound Scans Learning Goals 1. Demonstrate an understanding of the normal anatomical structure of the heart as it relates to the standard echocardiographic windows 4. Assessment of size and shunt direction of the patent ductus arteriosus 5. Measure right and left ventricular output 6. Measure superior vena cava flow 7. Assess myocardial function using M-mode and other means 8. Assess significance and direction of interatrial shunting 9. Measure or assess pulmonary artery pressure using tricuspid incompetence, ductal shunt velocities or pulmonary artery Doppler acceleration times Recognition of common Congenital Heart Disease (CHD) 10. 11. 12. Need to recognise when referral should be mandatory because of an incomplete scan or a possible anatomical or functional abnormality Competently interpret the ultrasound findings in relation to the clinical scenario Signed by: Date: Advanced Cranial Ultrasound Scans Learning Goals 1. Demonstrate an understanding of normal cranial anatomy 2. Competently use coronal and sagittal cranial ultrasound windows via anterior fontanelle to demonstrate normal anatomical structures. Recognise intracranial bleeding with competent assessment of sub-ependymal, intraventricular and parenchymal bleeding 3. 4. Recognise common structural abnormalities of cerebral development 5. Be able to perform and interpret Doppler studies of the anterior and middle cerebral artery 6. Need to recognise when referral should be mandatory because of an incomplete scan or a possible anatomical or functional abnormality 7. Competently interpret the ultrasound findings in relation to the clinical scenario Signed by: Date: Advanced Abdominal Ultrasound Scans Learning Goals 1. Demonstrate an understanding of normal abdominal anatomy 2. Demonstrate an understanding of anatomy and relationships of major organs 3. Demonstrate an understanding of anatomy and relationships of IVC and abdominal aorta 4. Attain proficiency in image optimisation in order to enable appropriate demonstration of the IVC and abdominal aorta including umbilical catheter and PIC tip location 5. Attain proficiency in image optimisation in order to enable appropriate demonstration of ascites/pleural effusions 5. Attain proficiency in image optimisation in order to enable appropriate demonstration of the location and identification of the kidneys 6. Attain proficiency in image optimisation in order to enable appropriate demonstration of the Bladder location and assessment of relative volume 7. Need to recognise when referral should be mandatory because of an incomplete scan or a possible anatomical or functional abnormality 8. Competently interpret the ultrasound findings in relation to the clinical scenario Signed by: Date: