Changes: The Latest Revisions To The ICAEL Standards
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BACK
Changes
Made To All Testing Standards
Reporting
standards were removed from the Part I Organization Standard
and now exist for each Testing Standard, within specific differences
based on the procedure.
ADULT
TRANSESOPHAGEAL
Report
text must include:
- Medication
used for the procedure
- Complications
of procedure
- Components
of procedure, i.e. color flow Doppler, PW/CW Doppler
Report text must include comments
on:
- Left Ventricle
- Right Ventricle
- Right Atrium
- Left Atrium
- Left Atrial Appendage
- Interatrial Septum
- Mitral Valve
- Aortic Valve
- Tricuspid Valve
- Pulmonic Valve
- Pericardium
- Aorta
ADULT
STRESS ECHOCARDIOGRAPHY
Report
text must include:
- The
protocol used
- The
exercise time, or maximum dose of pharmacologic agent used
- The
target heart rate
- The
maximum heart rate achieved
- Whether
or not target heart rate was achieved and/or stress adequate
- Blood
pressure response
- Reason
for termination
- Patient's
cardiac symptoms, if any, during the examination
- Any
ECG changes during the examination
- Pre-exercise
segmental wall motion and systolic function
- Post-exercise
wall motion comparison and systolic function
- A
summary of the results of the examination, including any pertinent
positive and negative findings
Procedure Volumes
While
the same recommended minimum procedure volumes exist (TTE: 600
per laboratory per year, 300 per staff per year; TEE: 50
per laboratory per year, 50 per staff per year; Stress:
100 per laboratory per year, 100 per staff per year),
the section now includes language explaining that while numerous
studies have confirmed that accuracy, performance and interpretation
of studies are all enhanced when high volumes are obtained,
the optimal numbers of studies that should be performed and
interpreted annually to maintain competence are unknown. Therefore,
laboratories with lower volumes than those recommended that
are otherwise compliant with the ICAEL Standards should
not be dissuaded from applying for accreditation.
You
are strongly encouraged to review the complete 2006 ICAEL
Standards, and in conjunction, make any necessary adjustments
to your laboratory's policies and protocols in order to reflect
the updated guidelines. If you have any questions regarding
the updated Standards or the accreditation process in
general, please contact the ICAEL office toll-free at 800-838-2110.
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