Cecilia Juarez's Friends

View All

Cecilia Juarez's Groups

PACS & Work Stations

6 members
Contrast Agents

9 members

3D Echocardiography

21 members

View All

Cecilia Juarez's Page

Gifts Received

Cecilia Juarez has not received any gifts yet

Give Cecilia Juarez a Gift

Profile Information

What you should know about me...

Today, I am the CPACS Administrator and the Intraoperative TEE Tech. Tomorrow I may be doing Echo's in the lab at the Vets office or on outreach. Jack of all trades master of Dung.

Comment Wall (17 comments)

You need to be a member of EchoChief.net to add comments!

Join EchoChief.net

At 8:08am on August 12, 2009, john davidson said…: CJ what's crackin down in Oz these days? I'm heading back at year end.

At 1:34am on August 12, 2009, Micheal said…: Checkout echo library at http://bit.ly/HJsze

You can join the website at http://bit.ly/DGgDh

At 7:05am on June 24, 2009, kathie dean motherway said…: CJ, Sorry I didn't get a chance to reintroduce myself at SCC last week. I was trying to remember where I had met you in the past. Maybe at a head to head demo? Moons ago I worked at ATL doing applications. Hallesy was my mentor if that tells you anything!

At 10:40am on May 21, 2009, Shane Sullivan said…: Cecelia, I sent your e-mail address to Jeff Harmson our lead sonographer he will find an electronic copy of our job description and send it to you.
Shane

At 8:44am on May 20, 2009, Shane Sullivan said…: Cecilia, sorry it took so long to get back to you, I was on vacation and have not checked e-mail for a long time. We had some issues regarding this but the short story is we had administration write in our job description that we aquire TEE images in the OR under the supervision of the cardiac surgeon. I still do not believe this covers us or the hospital if there was ever a legal issue with any harm being caused by the probe or if medicare looked into billing fraud. Medicare guidlines state that a reimbursable TEE is a TEE that is performed by a physician and is accompanied by a report that is completed by the physician that performed the study. Hope this helps.
Shane

At 8:44am on April 30, 2009, Dennis Carney said…: CJ it was great fun! There is a nice article in this months JASE under Intraoperative Council Communication by Mark Adams from Boston Mass. It is titled The Cardiac Sonographer in the Operating Room: Who's Left Holding the Probe? I am not aware of any specific Guidelines or Scope of Practice docs that cover sonographers in the OR. You might contact Rob McDonald it seems he was developing some a few years back for OHSU and Shane Sullivan might be a good source for the Sacred Heart experienc, I town it is the cardiac sonographer manipulating the probe. Ken Horton or Marsha might have some idea also as I believe they are manipulating the probe also?

At 8:02am on October 29, 2008, Shane Sullivan said…: When we first started, we were asked to hold the view as well. But as you do more of them they will probably only call you when they are ready to advance the guidewire and cannula. In fact some of our anesthesiologists have gotten to the point of advancing the CS line without calling echo unless they have difficulty. They have become fairly easy.

At 9:46am on October 28, 2008, Colleen Cailes said…: Hey there, thought I would send you a note and let you know that I am on this also.

At 9:13am on October 23, 2008, Shane Sullivan said…: Cecelia, the only difference for the sonographer is the Heart port cannulation. It is essentialy the same as cannulation for Robotic heart surgery. We us TEE to guide the coronary sinus catheter and then image the IVC/SVC as the guidewire is advanced then followed by the cannula as it is advanced. The side holes tend to show up well so that helps.. The only challenge is when image quality is not optimal and there are various other lines/wires in the heart. For instance pacerwires along with CVP lines etc. It can be difficult to visualize the guide wire. But like anything, the more you do the easier it seems to be. I will see about forwarding a protocol. I assume you ar performing TEE in the OR now.
Shane

At 11:06am on October 22, 2008, Dennis Carney said…: CJ I like the talk, very relevant and you would be a great one to give it. Sacred Heart is doing a lot of robotics these days and you can probably get some good information from Shane Sullivan let me know if you want his contact info. He is also listed with EchoChief. I will let David know to count on you. By the way everyone is going to want a ride on that bad boy. Take care, Dennis