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Number 2: Policies, Protocols and Procedures

The laboratory must have policies and detailed laboratory specific technical protocols that are compliant with The ICAVL Standards. The protocols should be written so that a competent vascular technologist can come into the laboratory, review the protocol and perform a complete examination in a consistent manner with each of the other vascular technologists in the laboratory.

Once a protocol is in place, it is critical to ensure that it reflects exactly the way the laboratory performs the examination and it is imperative that every vascular technologist follows the lab protocol, every time. It goes without saying that the quality of the studies performed should not be influenced by the schedule, the waiting room or the time of day. The most benign test at the time of the examination can come to litigation in two or three years. Consequently, documenting complete examinations, inclusive of images and waveforms of high quality, is of great importance. Section 3 - Techniques and Documentation of Examination Performance, as published in each of the testing sections of The ICAVL Standards, provides guidance for the development of thorough protocols and minimum examination documentation.

Number 3: Patient History

It is the responsibility of the vascular technologist to obtain a thorough and complete history. It is imperative to know the indications for the examination and the patient’s chief complaints. Vascular technologists have an obligation to ensure that the appropriate examination has been ordered, based on the history and physical examination of the patient. If necessary, they must develop a revised procedure plan in order to achieve the intended outcome.

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