The sonographer or examiner should:
- Review data acquired during the exam to ensure a complete and comprehensive evaluation has been performed and documented.
- Explain and document any exceptions or limitations to the protocol.
- Document any changes compared with previous exams.
- Record technical findings on a worksheet or other appropriate method (e.g., computer software), and classify results according to the laboratory diagnostic criteria.
- Document the exam date, clinical indications, performing sonographer and exam summary in patient’s medical record.