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GUIDELINES FOR ULTRASOUND EXAMINATION SCHEDULING AND TIME ALLOTMENTS Medical Imaging Workload Measurement Systems (PDF) Medical Imaging Schedule of Unit Values (PDF) The above documents have been provided to Sonography Canada, from the Canadian Institute for Health Information (CIHI) regarding the Management Information Systems (MIS) Standards for 2016. The Medical Imaging Schedule of Unit Values represent the average number of minutes required of the unit-producing service provider (e.g diagnostic medical sonographer) to perform all the steps needed to complete a defined exam once for the average service recipient (patient/client) under average circumstances. The workload measurement system used to determine the unit values, assesses the average output per exam for similar functions and work performed in various facilities across Canada and takes into consideration workflow, technical protocols and resource utilization. These average time values / workload units, should be considered as "points of reference" rather than absolute measures of the time required to perform an activity. The unit values listed for the exams/activities include the following aspects: Initial Handling/Setup • Review of requisition • Enter information/demographic data into a computer system interfaced/integrated with imaging equipment • Add service recipient identification to images • Set-up equipment prior to exam • Prepare examining room • Prepare equipment and materials for the service recipient • Prepare room for aseptic techniques Service Recipient Preparation / Instructions • Assess the service recipient’s status • Educate service recipient • Consult and review the chart • Explain exam • Ensure the consent for treatment is complete • Prepare and position the service recipient Diagnostic/Therapeutic Activities • Perform assessment (pre and post exam monitoring) • Administer radiopharmaceuticals, contrast media and medications • Perform service recipient care activities • Perform MRSA/VRE/Latex activities • Participate in catheterization activities • Acquire image • Process image/post processing • Perform image quality assessment Service Recipient Assistance • Assist service recipient to and from waiting area to bed/ stretcher/wheelchair • Assist other health care providers in preparing the service recipient for transport Cleanup • Clean up work area • Perform decontamination procedures • Disassemble equipment Clinical Documentation • Chart service recipient and exam-related information • Process images and/or data post exam • Insert tracings or other documentation into the service recipient’s file • Perform calculations or interpretation of data • Perform picture archiving activities See page 10 of the Medical Imaging Schedule of Unit Values document for the unit values and relevant information for ultrasound examinations. See page 20 of the Medical Imaging Schedule of Unit Values document under “Miscellaneous” for the additional unit values for exams performed outside the department (portables, operating room, and isolation) To properly understand and correctly implement the schedule and for additional information on the MIS Standards, please refer to the Medical Imaging Workload Measurement Systems document. Any questions or concerns regarding these documents can be send to [email protected]