Primarily hardcopy on color prints (video available if needed). We are a
vascular surgery based laboratory with only vascular surgeons interpreting.
We have NEVER had a problem with this method and our QI supports this. I
would not, however, recommend hardcopy only in a lab with poorly skilled
staff and no regular QI process in place. Stringent adherence to protocols
and policies must be enforced for obvious reasons.

Bonnie L. Johnson RDMS, RVT, FSVT
Stanford Medical Center
Director, Vascular Laboratory Services
Division of Vascular Surgery
Stanford, CA


-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]]On Behalf Of Rice, Ken
Sent: Thursday, April 13, 2000 12:56 PM
To: [log in to unmask]
Subject: Re: videotaping


Just a little question for those that do not video there exams. What type of
setting is your lab? Are you radiology based or other? We video everything
because our reading group is made up of Vas., Neuro. and Rad doctors. The
radiologist say that they could get away from video but the others are
opposed to snap shot diagnosis (their words).

Kenn Rice
Eugene, OR


-----Original Message-----
From: linda sulzdorf [mailto:[log in to unmask]]
Sent: Wednesday, April 12, 2000 4:06 PM
To: [log in to unmask]
Subject: Re: videotaping


I'm going with Bonnie on this one as well.  We don't videotape our exams
unless there's some reason I need to show the study to the Rad in realtime
and he/she isn't available to walk into the room while I'm doing my scan.
We use static B&W duplex images (24 per exam for carotid studies--other
duplex exams vary with the vessel being examined) for the majority of our
documentation and take 4 representative color images as well(again, for
carotid exams).  Our carotid QA over an 8-year period has a 95% correlation
with angio and we have had no problem going back to the exam in question and
reviewing static images.  Yes, the sonographer must work diligently to
understand and document the appropriate diagnostic images....but isn't that
our job?  My Rads wouldn't look at a videotape and make a diagnosis to save
their ______ !  They fully expect us to fill out the worksheet and grade the
stenoses for them--and frankly, I just as soon do it as we are, after all,
the ones performing the study.  It gives the control for what report comes
out of the u/s department to the sonographer which seems to work better for
our institution since our Rads and Surgeon aren't interested in spending
time looking at a video, much less trying to understand it.     Linda
Butte,MT
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