Please see ongoing data from our ultrasound program.

Please see description of the roll-out of the program:

http://www.nyayahealth.org/Library/Ultrasound_rollout.pdf

Nyaya Health Ultrasound Program Operating Procedures

Machine Overview

The machine is a Logiq E portable ultrasound with the following probes:

4C-RS 2.0-5.5 MHz Wideband Convex Probe - Abdomen, OB Gyn

E8C-RS 4.0-10.0 MHz Wideband Microconvex Endocavity Probe - OB Gyn, Urology, Endocavity

3S-RS 1.5-4.0 MHz Wideband Phase Probe - Cardiac, ABD, OB Gyn

12L-RS 5.0-13.0 MHz Wideband Linear Probe - Vascular, Sm. Parts, Musculoskeletal, Nerves, Pediatrics

Appropriate Use

Only those uses that are pre-approved by the Nyaya Health board of directors, in consultation with the Yale Section of Emergency Medicine, may be utilized at the medical clinic. Beyond these pre-approved uses, there are NO appropriate applications. Use of the machine by staff outside of these preapproved uses may be grounds for disciplinary action. These appropriate uses are limited to those described in the ultrasound form. The following are the presently approved uses:

• Obstetric: evaluation of viable IUP, fetal products gestational age, fetal lie, placental location
• Vascular: intravenous line placement
• Renal: evaluation for hydronephrosis
• Abdominal: evaluation for free fluid
• Pulmonary: evaluation for pneumothorax or effusion
• Cardiac: evaluation of myocardial dysfunction or pericardial effusion
• Skin/soft tissue: evaluation of abscess

All patients must be properly informed of the risks and benefits of ultrasound. All patients must be cleaned off thoroughly from the gel.

Machine Storage and maintenance

During clinic hours, the machine is to be placed in its bay in the delivery suite. Off hours, the machine must be locked in the storage area. Following each use, sanitation fluid is to be applied to each probe used. At the end of each day, the midwive-in-charge is to wipe the probes and machine down with sanitation solution.

Protocol for Ultrasound Research and Review

• every patient must have a completed and accurate form filled out
• ultrasound log is transcribed to database at end of each week
• database is forwarded to EM group over email each week
• ultrasound images forwarded to EM group over email each week
• ultrasound clips burned onto CD/DVD at end of each month
• CD/DVD mailed to EM group each month
• Yale EM group provides feedback about ultrasound use