Princess Alexandra Hospital Emergency Department Ultrasound Accreditation
Vascular Access Logbook
Name : Click here to enter text.
Initial Accreditation Requirements prior to Independent Practice
1. Attend accredited course2. Complete 6 proctored scans; including 2 central lines & 2 femoral nerve
blocks3. Submit logbook of proctored images
Please note, this logbook requires Microsoft Office 2010 (.docx) to operate as intended.
Any questions please contact: Katherine Isoardi; mobile via switch or [email protected]
Princess Alexandra Hospital Emergency Department Ultrasound Accreditation
Vascular Access 1 Click here to enter a date.
Patient UR Click here to enter text.
Supervisor Click here to enter text.
Cannulation Site Choose an item.
Survey Scan
Complications? Yes ☐ No ☐ Click here to enter text.
Vascular Access 2 Click here to enter a date.
Patient UR Click here to enter text.
Supervisor Click here to enter text.
Cannulation Site Choose an item.
Survey Scan
Complications? Yes ☐ No ☐ Click here to enter text.
Princess Alexandra Hospital Emergency Department Ultrasound Accreditation
Vascular Access 3 Click here to enter a date.
Patient UR Click here to enter text.
Supervisor Click here to enter text.
Cannulation Site Choose an item.
Survey Scan
Complications? Yes ☐ No ☐ Click here to enter text.
Vascular Access 4 Click here to enter a date.
Patient UR Click here to enter text.
Supervisor Click here to enter text.
Cannulation Site Choose an item.
Survey Scan
Complications? Yes ☐ No ☐ Click here to enter text.
Femoral Block 1 Click here to enter a date.
Princess Alexandra Hospital Emergency Department Ultrasound Accreditation
Patient UR Click here to enter text.
Supervisor Click here to enter text.
Survey Scan
Complications? Yes ☐ No ☐ Click here to enter text.
Femoral Block 2 Click here to enter a date.
Patient UR Click here to enter text.
Supervisor Click here to enter text.
Survey Scan
Complications? Yes ☐ No ☐ Click here to enter text.
