Ultrasound checklist from the ISRRT Response Document

1. Preparation, during and post procedure precautions

1.5. Ultrasound general advice

  • Note that screening procedures are or may be paused, with the exception of time-sensitive procedures within Fetal Anomaly Screening programmes. 
  • Consider rescheduling non-urgent examinations 
  • Designate a waiting area which should be set up to adopt international guidelines for social distancing of at least 1 meter (3 feet) minimally or whenever possible adapt to local or national guidelines i.e. 2 meters (6 feet). 
  • Designate a specific Ultrasound room and machine and probes for use COVID-19 units 
  • Allow time between appointments for decontamination of the US system and room 
  • Single use ultrasound gel sachets should be considered for patient suspected or having COVID-19 
  • Cover probe with dedicated probe covers before procedure
  • High level disinfection of any probe used to perform the examination on a COVID-19 infected 
  • Remove all probes from the unit except the ones needed for the examination when performing exams mobile or in the designated exam room in order to avoid the necessity of high-level disinfection in the event the patient coughs or sneezes within the designated distance 
  • Separate in-patients on the ward from out-patients 
  • If staffing levels impact on obstetrics and gynaecology scanning services, the International Society of Obstetrics and Gynaecology (ISUOG) provide guidance which can be used to prioritise patients. These include 
o Early pregnancy 
o Routing and specialist obstetric scans 
o Gynaecology 

  • Routine practice is to scan with one hand and annotating with the other to keep clean glove 
  • Follow manufacturer’s recommendation for decontamination ultrasound system 
  • Waiting areas should be set up for international guideline for social distancing of at least 1 m (3 feet) or adapt best practice of local and national guideline 
  • Consider performing examinations using mobile unit in the patient’s room 
  • Droplet Precautions considered for Treadmill or Bicycle stress echocardiograms which should be changed to pharmacological stress echo (due to patient coughing during test) 
  • Considered Aerosol Precautions use of PAPR recommended for Transthoracic echocardiograms (TOE) using a sterile Probe cover