We recommend the following minimum time-slots for performing out-patient non-complex echocardiography in the UK. The following time-slots are recommended minimums, longer may be required where for example departments rely on echocardiographers to manually transcribe measurements into reports, or where there are no Echo Support Workers (ESWs).
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Echo category
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Minimum time-slot
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Additional factors
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Routine triaged outpatient (all referrals should be fully triaged using BSE national triage guidance)
Best practice recommendations to help echocardiographers achieve optimal workflow include having ESWs and administrative staff.
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45 minutes
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ESWs can help reduce patient contact time for the echocardiographer, for example measuring blood pressure and undressing and positioning the patient.
ESWs can work on an apprenticeship basis: this may aid recruitment.
Local audit of the impact of ESWs should focus on the effect of ESWs on ‘in-room-time’ and ‘actual scan time’ per patient.
The ESW can release time for senior colleagues to support more junior staff.
Triaging is vital for list planning and allows prior identification of patients with known pathology who may require a longer assessment time than the standard minimum slot of 45 minutes.
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Routine triaged outpatient where a trainee is present and scanning.
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60 minutes
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Effective workforce training is a national focus and places an additional time and work pressure on the echocardiographer.
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Routine triaged outpatient where enhanced cleaning and/or PPE is required between patients
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60 minutes
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Guidance on specialty scientist/physiologist clinics will be published separately.
BSE Council and Trustees, January 2024