Panel Examines Work Conditions

A panel chaired by Robert Scissons, RVT, at the Current Issues Conference discussed current working conditions. Published reports show that workloads have dramatically changed as the result of declining reimbursement and demands for greater productivity. In 1997, a report on vascular laboratory efficiency concluded there was a maximum of 5.7 hours per day for each technologist to perform examinations. Current internet dialogue on the FlowNet suggest that vascular technologists may be averaging between 7 and 10 exams per day. The recent SDMS survey reports 38% of the respondents were scanning more than 11 patients per day, and the median number ranged between 6 and 10 patients per day.

Joan Baker, MSR RDMS RDCS, presented evidence of a widespread prevalence of musculoskeletal injuries (MSI) within the ultrasound profession. Data obtained from a survey and published in JDMS 13:219-227 Sept/Oct, 1997 notes that 84% of sonographers have experienced pain while scanning since becoming a sonographer. Joan suggested modifications in the workplace to prevent and minimize these injuries, including the use of ergonomically correct stretchers, ultrasound tables and chairs, monitors; light weight cables; and correct scanning posture. Baker stressed that sonographers must go to their employers whenever they feel they have been injured as the result of performing ultrasound procedures. She added that it would be important to document the actual number of hours worked and the number of procedures performed and file incidence reports whenever pain was noted as the result of new equipment or daily work loads. She stated all ultrasound professionals should familiarize themselves with workload behaviors that may expose them to injury and to communicate these problems so that corrective measures can be taken.

Other panelists, Anne Jones, RN BSN RVT RDMS FSVU, and William Schroedter, BS RVT FSVU, discussed the new Scope of Practice and the development of specific practice standards and protocols that will address growing concerns about how safety and quality of vascular technology exams can be compromised by inappropriate workload expectations.