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Re: OB sonographer communication with patientFrom: Scotia Phillips, RT, RDMS (scotia@bellsouth.net)Thu Mar 25 04:34:30 1999
At Wed, 24 Mar 1999, saskia wrote: > >I am an ARDMS sonographer (OB/AB) and RVT, of 12 years experience, working > lack of actual "hand's on" >experience under didactic supervision at the clinical sites, ... are >ill-prepared to extemporize. Of course this will vary with the maturity >and communication skills of each sonographer, > >Experience is indeed the key to proper communication with the patient. Lack of experience does make it difficult to think about what you are viewing and explain at the same time. Having performed OB sonography for several groups of physicians, and working for one group for over 20 years, I know what my Docs like me to explain and what they would prefer to explain. I cannot imagine any of my employers wanting the patient to leave Sonography without a complete exam of the fetus. Explaining the anatomy is simple and does much to decrease parental concerns regarding the health of their baby. Leaving the parents in the dark about what is visualized will increase the stress level of all parties involved. Perhaps, outlining in a written procedure, what can the explained during the exam by the sonographer, and what is "off-limits" will help. This could aid the inexperienced sonographer in communication with the patient. If the Radiologist will not allow the sex and anatomy to be explained, then he or she should talk to the patient immediately following the exam to alleviate their fears from non-communication during the exam. It is very interesting to me and has indeed been my experience, that radiologists are the most reluctant to allow sonographers to tell patients what they see. Maybe this is another reason that OB sonography is more "patient friendly" in the office of the OB/GYN! When I worked in a hospital setting with radiologists, I was constantly told that the referring physicians did not want us to tell the patients anything. Later, when working for the referring physicians, I discovered that was not the case. Could this be an ego problem or a turf battle for radiologists? Feel free to flame me as well!
-- Scot
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