Re: Nuchal Cord

From: DuBose, Terry (DuboseTerryJ@uams.edu)
Thu Feb 19 17:42:58 2004


As I understood the original question, it was not the sonographer telling the patient about the cord, but the physician did not want to know if the cord was just draped over the fetal shoulder, with a film showing this, because the physician then felt obligated to comment in the report about in case there was a poor outcome.

So should the sonographer take a picture of a nuchal cord that does not encircle the neck two or more times? Or ignore it... that is the question, as I understand it.

Sonographers are expected to take diagnostic images, but not considered a diagnostician, even though their credential is "Registered Diagnostic Medical Sonographer". They are between a rock and a hard place with many physicians.

Peace, Terry J. DuBose, M.S. RDMS Little Rock, Arkansas

------------------------------------ I absolutely agree......why is a sonographer telling the patient ------------------------------------ about the cord? Perhaps a policy should be put in place that the

--
------------------------------------
sonographer tells the doc about the cord, then leaves it up to the doc
to tell the pt.

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

Assistant Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ http://www.uams.edu/chrp/dms/default.asp http://www.obgyn.net/us/panel/panel.htm ---------------------------------------------------------------

-----Original Message----- --------------------------------------------------------------- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of --------------------------------------------------------------- Ilvlucy@aol.com Sent: Thursday, February 19, 2004 5:19 PM To: Multiple recipients of list ULTRASOUND Subject: Re: Nuchal Cord

In a message dated 2/19/2004 4:28:18 PM Central Standard Time, sue@aiu.edu.au writes:

If I could buy into this one - surely a sonographer is duty bound to examine the fetus in all its aspects and document the findings. We routinely include cord examination in third trimester scans, it is the obstetrician's duty to discuss the results with the patient and make decisions on management, if a sonographer finds a nuchal cord wrapped securely (3 or 4 times circumferentially) and does not report this, they would be liable for censure if anything went wrong. Maybe the best outcome for your current difficulty would come from the referring physicians having a discussion with the sonographer in question and make them aware of their cocerns

Cheers

I absolutely agree......why is a sonographer telling the patient about the cord? Perhaps a policy should be put in place that the sonographer tells the doc about the cord, then leaves it up to the doc to tell the pt.

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