NECK/ARM VENOUS ULTRASOUND – SONOGRAPHER WORKSHEET

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Presentation transcript:

NECK/ARM VENOUS ULTRASOUND – SONOGRAPHER WORKSHEET Patient Name: __________________ Patient MRN: __________________ (Your Hospital Logo) NECK/ARM VENOUS ULTRASOUND – SONOGRAPHER WORKSHEET Current Date: __________ Comparison Date: __________ Age: ________ Sex: F M VEIN RIGHT LEFT Patent DVT non-occl DVT occl. Internal jugular (IJ) Brachiocephalic (Bc) Subclavian (Sc) Axillary (Ax) Brachial (Br) Basilic (Bsl) Cephalic (Ce) RIGHT LEFT IJ IJ Sc Sc Ce Ce Bc Bc Ax Ax SVC Catheter: ☐No ☐Yes, Location(s): COMMENTS: Bsl Bsl Br Br