Training activity: 11

Details

Perform, interpret and report resting and post exercise ABPI on diseased and normal patients

Type

Entrustable training activity (ETA)

Evidence requirements

Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion. ​

Reflection at multiple timepoints on the trainee learning journey for this activity.

Considerations

• Patient centred care and support
• Local SOPs
• National and national guidelines and standards
• Documentation and record keeping
• Use of machine controls
• Principles of doppler ultrasound
• Frequency continuous wave
• Doppler probe to use
• Patient positioning and exam technique.
• ABPI ranges
• Haemodynamics of normal and diseased arteries on continuous wave Doppler
• Effects of limb infection/hyperaemia on haemodynamics
• Optimisation of continuous wave Doppler (angle)
• Impact of disease on Doppler signal
• Safe exercise technique
• Limitations and pitfalls
• Local SOPs for report writing
• Acting on clinically urgent findings
• Referrals and escalation

Relevant learning outcomes

#	Outcome
# 1	Outcome Communicate effectively with a range of patients and other professionals.
# 2	Outcome Assess vascular anatomy using ultrasound.
# 3	Outcome Apply the principles of ultrasound safety and ergonomics whilst performing a scan.
# 5	Outcome Apply the principles of ultrasound physics to adjust and optimise an ultrasound machine to obtain quality images.
# 6	Outcome Analyse and interpret ultrasound images with reference to haemodynamics whilst performing a range of scans.
# 7	Outcome Analyse and interpret the results of a range of vascular scans.
# 8	Outcome Prepare the associated diagnostic clinical reports of the ultrasound scan performed.
# 9	Outcome Identify and communicate scan results to both patients and the multidisciplinary team.
# 10	Outcome Evaluate protocols and national guidelines and their impact of vascular science practice.