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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5784_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •How to Use this Book
- •Contents
- •Contributors
- •Objectives
- •US Management
- •Ultrasound Management Goals
- •Quality Improvement
- •Clinical Protocols
- •Information Management
- •Ultrasound Strategy
- •Situational Awareness
- •Creating a US Network with Key System Personnel
- •Timing
- •New Frontiers
- •Pitfalls
- •References
- •Objectives
- •Introduction
- •Leadership
- •Ultrasound Equipment
- •US Training
- •Who Else Is Using Ultrasound?
- •The Ultrasound Director Job
- •Extramural Involvement
- •Compensation
- •System Wide POC US Director
- •Medico-Legal Issues
- •Defensive Planning
- •Key Recommendation
- •Relevant Literature
- •References
- •Objectives
- •Introduction
- •Job Search
- •Peak Value
- •Contract Considerations
- •Negotiation
- •Discussion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •The Presentation
- •Programming
- •Capture Your Data
- •Synergy
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Pre-course Materials
- •Ultrasound Courses
- •Course Setting
- •Supplemental Education
- •Determining Competency
- •Pitfalls
- •Key Recommendations
- •References
- •Learning Objectives
- •Introduction
- •Deliberate Practice
- •Educational Goals
- •Blended Learning
- •Web-Based Instruction
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Main Ideas
- •Curriculum Development
- •General Needs Assessment
- •Targeted Needs Assessment
- •Basic Competencies
- •Advanced Competencies
- •Educational Strategies
- •Implementation
- •Ultrasound Champion
- •Funding Considerations
- •Discussion
- •Pitfalls
- •Key Recommendations
- •Medical School Year 2
- •Medical School Year 3
- •Medical School Year 4
- •References
- •Objectives
- •Introduction
- •Curriculum
- •Faculty
- •Equipment
- •Competency Assessment
- •Other Residency Experiences
- •EUS Fellowship Guidelines/Core Content
- •Education Skills
- •Quality Assurance
- •Leadership
- •Equipment
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Networking
- •Coding/Billing/Reimbursement
- •Budget/Economics
- •Credentialing/Privileges
- •Point-of-Care Ultrasound Program Accreditation
- •Problem Solving
- •Politics/Institutional POC US/Negotiation Skills
- •Discussion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Initial Education
- •Trainee-Based Pathway
- •Practice-Based Pathway
- •Experiential Component
- •Credentialing
- •Supervision
- •Independently Practicing APPs
- •Non-independently Practicing APPs
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Simulator Considerations
- •Commercially Available Simulators
- •Partial-Task Trainers: Phantoms
- •Anatomic Simulator: Live Model
- •Anatomic Simulator: Phantom
- •Anatomic Simulator: Computer-Based
- •Discussion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Machine Selection
- •Compact Cart-Based Ultrasound Machines
- •Hand-Carried Ultrasound Machines
- •Pocket-Carried Ultrasound Machines
- •Pole or Arm Mounted US Machines
- •Probe Selection
- •Equipment Purchase Considerations
- •Service
- •Image Quality
- •Machine Companies
- •Summary
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •US Machine Cleaning
- •Preventive Maintenance
- •Basic Toolkit
- •VCRs/CD Recorders
- •Broken Control Surface Buttons
- •Ultrasound Cart Wheel Assemblies
- •Wiring Check
- •Customizing
- •Essential Supplies
- •Power Cords
- •Small Parts Transducer Holder
- •US Carts Are Not Sacrosanct!
- •Color Code Your Transducers
- •US Cart Supplies
- •Industrial Velcro
- •Label Maker
- •Midline Markers
- •Artwork
- •Anthropomorphize Your Fleet
- •Signage
- •Ultrasound Supply Storage Cabinets
- •Poster Printer
- •Service Options
- •Original Equipment Manufacturer
- •Biomed Engineering
- •Equipment Insurance
- •Multi-Vendor Service Providers
- •Breakdowns
- •Longevity
- •Pitfalls
- •Key Recommendations
- •Objectives
- •Introduction
- •Machine Accessories
- •Barcode Reader
- •USB Accessories
- •Probe Accessories
- •Endocavitary Probe Covers
- •Sterile Probe Covers
- •Ultrasound Gel
- •Ultrasound Gel Warmers
- •Procedural Guidance Accessories
- •Echogenic Needles
- •Control Syringes
- •Needle Guides
- •Peripheral Intravenous Catheters
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Bioeffects
- •System Power
- •Thermal Index
- •Thermal Bioeffects
- •Mechanical Index
- •Nonthermal Bioeffects
- •Prudent Use
- •Ultrasound Safety Education
- •Infection Control
- •Noncritical Devices (Noninvasive Probes)
- •Semi-Critical Devices
- •Critical Devices
- •Other Ultrasound Machine Elements
- •Summary
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Terminology
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Infrastructure
- •Middleware
- •Data Entry
- •Report Generation
- •Image Review/Quality Improvement
- •Education/Credentialing
- •Order Entry/Billing
- •Middleware Vendors
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Media Acquisition Options
- •Internal Image Acquisition
- •External Image Acquisition
- •Image Format
- •Internet Cloud Storage
- •Video Editing Software
- •Ultrasound Education Creation
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Departmental Aspects
- •Interdepartmental Aspects
- •National Organizational Aspects
- •The Contrarian’s Viewpoint
- •Accreditation
- •Future Considerations
- •Conclusion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Key Terms
- •Historical Background
- •Obtaining Point-of-Care Ultrasound Privileges (Step-by-Step)
- •You Were Denied Privileging, Now What?
- •Pitfalls
- •Key Points
- •References
- •Objectives
- •Introduction
- •What Is Accreditation?
- •Other Ultrasound Imaging Accreditation Organizations
- •Pitfalls
- •Key Recommendation
- •References
- •Objectives
- •Introduction
- •CPT Coding
- •Global vs. Professional vs. Technical
- •Facility Setting
- •Professional Component
- •Technical Component
- •Medicare Patients: Hospital Outpatient Prospective Payment System
- •Medicare Patients: Inpatient Versus Outpatient
- •RVUs
- •Machine Purchase
- •Hand-Held Ultrasound Devices
- •Limited vs. Complete Ultrasound
- •Diagnostic vs. Procedural Codes
- •Add-on Codes
- •Nonphysicians Performing Ultrasounds
- •RN/Medics Performing Ultrasound-Guided Procedures
- •Licensed Independent Practitioners
- •Insurance Payment Policies
- •Technical Billing
- •Core Emergency Ultrasound CPT Codes
- •Diagnostic POC US
- •Trauma Ultrasound 93308, 76705, 76604
- •Female Pelvic Ultrasound: Pregnant 76815, 76817; Nonpregnant 76857, 76830
- •Abdominal Aortic Aneurysm (AAA), Urinary Tract 76775, Screening AAA 76706, Bladder 76857
- •Cardiac 93308
- •Biliary, Bowel, Hemoperitoneum, Appendix 76705
- •Abdominal Ultrasound LCDs: L31572, L34572
- •Deep Venous Thrombosis (DVT) 93971
- •Soft Tissue/Musculoskeletal
- •Thoracic Ultrasound 76604
- •Ocular Ultrasound 76512
- •Ultrasound-Guided Procedures
- •Advanced Emergency Ultrasound Codes
- •Outpatient vs. Inpatient
- •Government ABCs
- •Medicare
- •MACs
- •Medical Necessity/ICD
- •Payment Edits
- •Multiple Procedure Payment Reduction (MPPR)
- •Billing Optimization
- •Conclusion
- •Exhibit 1
- •Emergency Ultrasound Coding Guide 2017
- •References
- •Objectives
- •Introduction
- •Ultrasound Management in Global Medicine: Key Concepts
- •Equipment
- •Maintenance
- •Program Implementation
- •Education Strategies
- •Politics: Funding, Billing, Infrastructure
- •Discussion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Pediatric Abdominal Complaints
- •Pre-urethral (Bladder Size) Catheterization
- •Head Trauma
- •Musculoskeletal Complaints
- •FAST
- •Soft Tissue Infections
- •Pneumonia
- •Venous Access
- •Equipment
- •Managing Anxiety/Pain
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Ultrasound During Triage
- •Incorporating Ultrasound into Disaster Planning
- •Equipment
- •Conclusion
- •Key Recommendations
- •Objectives
- •Introduction
- •Trauma Evaluation
- •Cardiac Arrest
- •Telemedicine
- •Limitations
- •Conclusion
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Commitment
- •Soliciting Department Chair/Director Support
- •Safety
- •Cost
- •Ultrasound Director Support
- •Following Guidelines
- •Conclusion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Applications
- •Education
- •Medical Knowledge
- •Pathways
- •Skills Acquisition
- •Program Infrastructure
- •Program Director
- •Research Protocol Implementation
- •Equipment
- •Data Management
- •Quality Assurance
- •Conclusion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Needs Assessment
- •Practical Considerations
- •Pitfalls
- •Key Recommendations
- •References
- •ACEP US Guidelines
- •ACEP Emergency US Imaging Criteria Compendium
468
ACEP US Guidelines
ACEP US Guidelines
469
470
ACEP US Guidelines
ACEP US Guidelines
471
472
ACEP US Guidelines
ACEP US Guidelines
473
474
ACEP US Guidelines
ACEP US Guidelines
475
476
ACEP US Guidelines
ACEP US Guidelines
477
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