Monthly Archives: December 2014

Routing Day Form

Educators should consider using a Routing Day Form on the last day of the program.


Sonography Students have the responsibility to obtain the required signatures from the Director of Student Services, Billing Manager, Clinical Coordinator, and the Program Manager. They must go to all departments listed and have this form signed by the appropriate individual. Transcripts, diplomas, certification and licensure applications and any other documents needed will not be released until the Routing Day form has been completed and returned to the Program Manager.

Clinical Rules & Syllabus

By: Harry H. Holdorf

This document is intended to serve as a guide to the rules, format, and evaluation process of the clinical portion of the program. All students are to follow the procedures outlined in this document. No student will be permitted into clinical without the following: Malpractice Liability insurance, CPR documentation, health clearance, Private Health Insurance, Drug test and Background check. Clinical time lost, due to deficiencies in these requirements that leads to a lack of clinical objectives required for graduation, must be made up prior to program completion.


Attendance in your assigned clinical area is mandatory. Students must report to their assignments prior to 8:00 am on clinical days or upon an agreed time with the clinical affiliate and program faculty (4 or 8 hours total depending on the semester).  Leaving a clinical area EARLY (before the 4 or 8 hour shift is complete) is not appropriate, and will only be acceptable in cases of personal illness or emergency. The designated Clinical instructor (or designee) AND program faculty must be informed PRIOR to the student leaving their clinical area early. The program faculty must be contacted by phone prior to the student leaving early. Without permission from the program faculty, the student cannot leave early. Conversely, a faculty member must be informed if a student is to remain at the clinical site for at least one hour past their prescribed check-out time. (Normally beyond 5:30).

Each student is required to attend clinical on ALL scheduled days. The program utilizes the College Academic Calendar. Weekend clinical assignments are permitted only by special agreement between the school faculty, the clinical affiliate, and the student.  Sign-in sheets are furnished by the program and are to be utilized daily. Each student must record, in their own signature, their name, date and time of arrival and departure. ALL RECORDED TIMES MUST BE ACCURATE AND CAN ONLY BE RECORDED FOR THAT SPECIFIC DAY. RECORDING TIMES FOR PAST OR FUTURE CLINCAL DAYS ARE NOT PERMITTED AND CAN LEAD TO DISMISSAL FROM THE PORGRAM (Falsifying program records). The students will deliver the time sheet to the program faculty on a monthly basis. NO other form of time keeping is acceptable. The usual clinical session is 8 hours in length (8am to 4:30 pm. Half-hour lunches are not counted towards clinical time, but must be taken). All absences are to be registered as an excused absence: (See student Handbook). NOTE: Any Doctor’s appointments should be scheduled on Class days only. It is the student’s responsibility to report all absences. All absences must be called in to the assigned clinical affiliate prior to the day’s clinical assignment.

The program faculty must also be notified by 8:00am (Place school numbers here). NOTE: failure to call in your absence requires an automatic make-up session regardless of your previous attendance record.

If you are ill or going to be tardy, you must call both the site and the program faculty prior to the time of your scheduled arrival on site. You must do this each time if you are ill for a second day and already called in the day before.

If any student falls short of reaching the prescribed clinical objectives, additional hours can only be made up by extension of the program, at an additional cost to the student (Prorated). If and only then will the student be allowed to complete the program.

The clinical evaluation prcess for establishing competency requires that student are to complete clinical practice procedures under the direct supervisor of a registered Diagnostic Medical sonographer (ARDMS or ARRT/S. Student observation, participation and experience are extremely important to the clinical process. Adequate practice cannot be accomplished through excessive absenteeism/tardiness. Continued disregard for this policy may jeopardize continuation in the clinical semester in which the infractions occur.

Cover Letter Template

A well-drafted and professional cover letter is absolutely essential to a successful job application. Spend plenty of time on your resume, but do not underestimate the importance of the cover letter.

Feel free to utilize this cover letter template:

Suzy Sonographer
1234 Anywhere Avenue – Nice Place, State 12345
Home: 000-000-0000 – Cell: 000-000-0000 –

Dear Hiring Manager,

I am currently attending NAME OF SCHOOL, NAME OF PROGRM.  I will be graduating in December 20xx with an Associate in Science Degree and a certificate in Diagnostic Medical Sonography.  My outgoing personality, patient care skills, and my clinical experience would make me an ideal addition to your Ultrasound department.

My experience through the twenty-eight months as a Diagnostic Medical Sonography student has taught me how to meet and exceed every patient and physician’s needs.  I have demonstrated the ability to perform clinical objectives during the course of my program.  I have excellent communication skills that will allow me to work effectively in a clinical setting or an office environment.

I have the maturity, skills, and abilities to embark on a career in Ultrasound.  I would appreciate the opportunity to discuss any position you may have available.  I have enclosed my resume for your review.  Please contact me by phone or e-mail.  I look forward to hearing from you soon.

Thank you for your time and consideration.


Suzy Sonographer

Obstetrics Study Sheet

Diagnostic Medical Sonography Program
Obstetrics/Multiple Pregnancies Study Sheet
By: Harry H. Holdorf

  • The following twin abnormality demonstrates a venous-to-venous anastomosis: Acardiac twin
    Acardiac twins shunt blood from the vein of one twin to the other or from one artery to the other. Twin-twin transfusion demonstrated an arteriovenous anastomosis.
  • A Monochorionic twin pregnancy in which one develops without an upper body is termed: Acardiac twin
    Acardiac twin is a rate anomaly of a monozygotic pregnancy. The Acardiac twin demonstrates a poorly developed upper body and an absent or rudimentary heart and receives blood through the normal twin gestation.
  • A Dizygotic gestation is expected to be: Dichorionic/diamniotic
    Two zygotes will always demonstrate dichorionic/diamniotic gestational sacs.
  • Twin gestation arising from two separate fertilized ova is termed: Dizygotic twins
    Fraternal or Dizygotic twins arise from separate ova that are individually fertilized.
  • This sonographic finding confirms the presence of a diamniotic pregnancy: Two gestational sacs
    Two individual amnions will demonstrate two separate gestational sacs. Monoamniotic pregnancies can demonstrate two Allantoic ducts, yolk sacs, and embryos. Dichorionic pregnancies will demonstrate two individual placentas.
  • With twin-twin transfusion syndrome, the recipient twin is likely to acquire: Hydrops Fetalis
    The recipient twin receives too much blood and may acquire hydrops Fetalis, placenta-megaly, and Polyhydramnios. The donor twin may display IUGR and Oligohydramnios.
  • Arteriovenous shunting within the placenta occurs with: Twin-twin transfusion
    In twin-twin transfusion the arterial blood of the donor twin shunts into the venous system of the recipient twin.
  • Which of the following is likely to occur if a single zygote divides 7 days after fertilization? Two amnion and one chorion
    Division of the zygote 4 to 8 days after fertilization will demonstrate two amnions (two gestational sacs) and one chorion (one shared placenta)
  • When a membrane is present between two fetuses in seen on a first trimester sonogram, this demonstrates: Diamniotic twins
    A membrane is present between the two fetuses (diamniotic). It is too early to determine placenta number and location (dichorionic).
  • A patient presents for an early second-trimester sonogram. A cross-sectional image reveals two fetal abdomens that appear to be joined.  This image is most suspicious for: Conjoined twins
    When the anterior abdominal walls of a twin pregnancy are conjoined is termed Conjoined twins. When an image is at the abdominal level, diagnosis of Acardiac twin is not possible.
  • What percentage of twin gestations will generally result in a singleton pregnancy at term? 70%
  • Which of the following most accurately describes twin-twin transfusion? Arterial blood from the donor twin is pumped into the venous system of the receiving twin
    In twin-twin transfusion, arterial blood from the donor twin pumps into the venous system of the receiving twin.
  • Fetal papyraceus is a term used to describe: Demise of a twin too large to resolve
  • Twin-twin transfusion generally demonstrates: Minimum fetal weight discordance of 20%
    A fetal weight discordance of > or equal to 20% defines Twin-twin transfusion. The donor twin may display Oligohydramnios and IUGR while the receiving twin may display Polyhydramnios and fetal hydrops.
  • Monozygotic twins are referred to as Identical twins because they arise form a single fertilized ovum, and are always the same gender.
  • Dizygotic or fraternal twins occur when two ova are fertilized by two sperm. Dizygotic twins comprise about two thirds of all twins.

Understanding Radiation Safety

Working Safely With Radiation Power-Point:
Understanding Radiation Safety

By: Harry H. Holdorf


  • Sonographers should be worried about radiation, as prolonged exposure can cause serious cell, tissue, and DNA damage.
  • If you take proper precautions and adhere to the ALARA principle, you will be just fine!
    • ALARA is a radiation safety principle which stands for As Low As Reasonably Achievable.
      • Minimize Exposure Time
      • Maximize Exposure Distance
      • Maximize Shielding
    • Use common sense!
    • Follow safety procedures!

Student Presentation Evaluation Rubric

Use this Rubric anytime/anywhere for evaluating your students’ presentation:
Anytime Anywhere Rubric

“This rubric is designed to make clear the grading process for this course by informing you, the student, the key elements that are required and expected to produce a quality presentation.”

Utilize the following scale to grade each of the criterion listed below:
5=Excellent        4=Very good        3=Good        2=Fair        1=Poor

  1. Presentation
    1. The purpose and focus are clear and concise
    2. The main topic is clear, significant, and challenging.
    3. Organization is purposeful, effective, and appropriate.
    4. Sentence form and word choice are varied and appropriate.
    5. PowerPoint, images, graphs, charts, etc. are appropriate.
  2. Content
    1. Information and evidence are accurate, appropriate and are integrated effectively.
    2. Points and facts are supported and elaborated.
    3. Alternative perspectives are carefully considered and represented.
  3. Critical Thinking
    1. Connections between ideas are made
    2. Analysis/synthesis/evaluation/interpretation is effective and consistent.
    3. Independent thinking is evident.
    4. Creativity/originality is evident.
    5. Documents evidence (handouts) appropriately.

Thinking of Ultrasound as a Career?

What does it take to be a successful student in any Diagnostic Medical Sonography Program?

  • When at your clinical site, be sure to speak up so you can have as much “transducer time” as possible.
  • Be ready to take criticism, sometimes harsh, at something that you are proud of.
  • Be ready to spend many hours every night and weekend (at least 15-20) studying course materials.
  • Don’t be discouraged by some negativity from staff sonographers at your clinical sites.
  • Do not get drawn into any politics within your clinical sites; best to stay neutral.
  • Be sure your family and friends are ready to support your endeavor.
  • Be ready to adapt and to be flexible with each new clinical assignment.
  • Be ready to refine (or develop) excellent organizational skills.
  • Be ready to handle the high stress and fast pace of the program.
  • Be ready to consider the time required for the program (Drive time, class time, and study time).
  • Do you work? How much? Can you fit a full-time day program into your weekly schedule?
    • This time issue keeps popping up. Wonder Why? Do you think it’s important?
  • Be ready to practice, practice, and then practice some more. The technique of scanning is much more difficult than the in-class work.
  • Be ready to use every muscle in your body….can you stand and push and pull for 8 hours straight?
  • Be sure to be very patient.
  • Be ready to give attention to fine detail.
  • Be sure to have a high level of motivation and self-direction.
  • Be ready for a rigorous, extensive program.