Re: AIUM Accreditation and the Hippocampal Oaf

From: DRoss38040 (DRoss38040@aol.com)
Wed Dec 24 02:04:06 1997


In a message dated 97-12-22 22:24:25 EST, you write:

<< In response to Mark's post below. The purpose of the AIUM 30 minute rule was simple. We know there are are lot of physicians out there who take advantage of sonographers. By this I mean the ones that let the sonographer do all the work, and never get involved with the patient except to sign off the report and the bill, and who may merely fast-forward through a video or flip films a day or 2 later. We were concerned about the potential for harm if a sonographer sees, for example, an ectopic, and the films won't be seen for a day or two, or identifies an anomaly in a fetus and nobody informs the patient. >>

Dear Dr. Copel:

What about the blood test results that nobody gets to the patient? This has happened to me! Where was HCFA? It is the tester's responsibility to relate all test results in a timely fashion. Why pick on ultrasound? This is the radiologist's or obstetrician's responsibility! If they do not fulfill their responsibilities they should be fired! I was working in a hospital where about 1/4 of the xrays were lost before they were read. Where is HCFA on this? Why don't they make regulations about turn-around time for reports? I mean reports for all medical tests!

When a sonographer sees an ectopic they always report it to the radiologist or obstetrician they work for. If they don't, they are negligent, IMHO. You know very well that it is the doctor who may not report it to the referring, thinking the referring will call them, or perhaps just afraid to commit themselves. I have seen this several times. Making them stand in the room will not help this situation. Sorry to sound so strident.... I'm sure you can see the point I'm trying to make. I'm trying not to point the finger at doctors, because I know some sonographers don't care about their patients as well as some doctors. Can we ever legislate this to change?

Diana Ross, RT, RDMS




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