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Sue Davies
Program Director
PO Box 434
Mermaid Beach, Q, 4218
tel: (07) 5526-6655
http://www.aiu.edu.au
-----Original Message-----
From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
DuBose, Terry
Sent: Friday, 20 February 2004 10:44 AM
To: Multiple recipients of list ULTRASOUND
Subject: Re: Nuchal Cord
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
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I absolutely agree......why is a sonographer telling the patient about
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the cord? Perhaps a policy should be put in place that the sonographer
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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
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-----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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