sonographer led training neck fna...2019/11/04 · sonographer led training neck fna claire lindsay...
TRANSCRIPT
![Page 1: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/1.jpg)
SONOGRAPHER LED TRAINING NECK FNA
CLAIRE LINDSAY
SONOGRAPHER
NHS GGC
![Page 2: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/2.jpg)
THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP
![Page 3: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/3.jpg)
TRAINING – NECK SCANNING
![Page 4: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/4.jpg)
RCR GUIDELINES
• Thyroid scanning: normal/abnormal, BTA scoring system of thyroid nodules.
• Salivary glands: obstructive patterns, calculi, salivary neoplasm (benign/suspicious).
• Cervical lymph nodes: comprehensive examination of groups I-VI, normal, reactive, malignant
• Major vessels: normal anatomy, normal variants, thrombosis
![Page 5: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/5.jpg)
BTA SCORING
![Page 6: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/6.jpg)
TRAINING - FNA
![Page 7: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/7.jpg)
FURTHER LOCAL TRAINING
• Attend local allergic reaction training
• Resus training
• Direct observation, direct supervision, indirect supervision
• Addition to Lidocaine PGD
![Page 8: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/8.jpg)
LABORATORY
• Slide preparation for optimum sampling
• Stains
• Under the microscope
![Page 9: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/9.jpg)
RCR GUIDELINES
• Accurately perform USFNA of neck masses with competent sample preparation
• 20-30 procedures documented
• Varying sizes of lesions
• Understand the practicalities of ultrasound
• Demonstrate awareness of consent and contraindications
![Page 10: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/10.jpg)
FNA GUIDELINES
• 70% of all FNA should be diagnostic on cytology assessment.
• Blood contamination
• Low cellularity
• Poor slide preparation
![Page 11: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/11.jpg)
SOP’S
• Neck scanning
• FNA
• Inclusion in lidocaine PGD
• Audit
• Attendance at MDT
![Page 12: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/12.jpg)
CHALLENGES
• Pathology
• Structures of the neck
• Local anesthetic
![Page 13: SONOGRAPHER LED TRAINING NECK FNA...2019/11/04 · SONOGRAPHER LED TRAINING NECK FNA CLAIRE LINDSAY SONOGRAPHER NHS GGC THE SWANSEA HEAD AND NECK ULTRASOUND WORKSHOP TRAINING –NECK](https://reader035.vdocuments.site/reader035/viewer/2022062922/5f06a7237e708231d419102e/html5/thumbnails/13.jpg)
MY EXPERIENCE
• Plain neck scanning – familiarisation with anatomy and the ultrasound appearances of thyroid nodules
• Direct supervision
• Indirect supervision
• Dedicated weekly list