Successful implementation of a point of care ultrasound (POCUS) gastroenterology program in a tertiary hospital setting.

Abstract

Introduction: With a growing need of abdominal ascites assessment and paracentesis in our patient cohort, we set out to implement a POCUS program to allow our gastroenterology physicians to assess the needs of their patients without the need for formal departmental scans and procedures. Method(s): Using the 5 pillars of POCUS education we established the appropriate governing, infrastructure, administration, education and quality. Result(s): Since the collaboration with Radiology and Gastroenterology departments began in 2019, we have successfully trained 6-7 gastroenterology registrars each year with great patient outcomes and no false positive or negative scans recorded. There have been no clinical complications from these appropriately trained and assessed registrars performing bedside ultrasounds and markings for paracentesis. Conclusion(s): With the right framework, it is possible to implement a successful POCUS program into the gastroenterology department and significantly improve patient outcomes.