Sonographer Application To Obtain Prenatal Screening Laboratory NT Measurement Accreditation Preliminary Notes: 1. 2. 3. The five laboratories that carry out prenatal screening in Ontario for Down Syndrome and other aneuploidies have begun to apply more stringent quality provisions to the nuchal translucency (NT) measurements used in the calculation of screen risk. The laboratories now accept the NT measurements of new sonographers only if they have completed the specific training given by the Fetal Medicine Foundation (FMF) at www.fetalmedicine.com; and then submitted a total of 15 NT measurements acquired over the CRL range listed on the pages below. This is to check that the NT-CRL distribution follows the expected pattern. For Integrated prenatal screening (IPS), the NT ultrasound will be booked by the referring health care provider as an IPS ultrasound. The patient should present with a prenatal screening requisition with the top and bottom sections already filled in. The sonographer will be responsible for the ultrasound information. The patient then takes the form to any Ontario registered clinical laboratory for the blood tests, preferably on the same day as the ultrasound but before a gestational age of 13 + 6 is reached. For further information regarding the program, you may contact any of the testing laboratories below: Credit Valley Hospital: 905-813-4104 North York General Hospital: 416-756-5996 London Health Sciences Centre: 519-667-6592 Mt Sinai Hospital: 416-586-8510 Children’s Hospital of Eastern Ontario: 613-737-7600 extension 3093 Checklist: (make sure you have completed and included the following, and then fax it back to CHEO laboratory fax number (613) 738- 4819. Do not apply to multiple sites.) the completed application form a copy of your FMF 11 – 13 Weeks Scan Certificate of Competence. Last updated July 2010. Sonographer Name: ___________________________________________________ Work Address: (please make sure to also indicate the name of the centre(s) you work at) ____________________________________________________ _____________________________________________________ Phone number: ____________________________________________________ Fax number: ____________________________________________________ e-mail address: ____________________________________________________ Name of MD department head/quality advisor: ____________________________ (please print clearly) Name:________________________________ FMF#:________________ NUCHAL TRANSLUCENCY (NT) DATA TABLE: Please complete the following table. As you can see, we require 15 NT measurements in total spanning the gestational age range between a CRL of 41 mm to 84 mm. Please remember that the CRL is the best image CRL, not necessarily the same image that gives you the best NT. You will be contacted once these data are reviewed. Sometimes, you might be asked to provide some additional NT/CRL measurements to facilitate the assessment for registration. CRL 41mm-55mm NT measurement (mm) 1. 2. 3. CRL 55 mm-62 mm NT measurement (mm) 1. 2. 3. 4. 5. CRL 63mm-70 mm NT measurement (mm) 1. 2. 3. 4. CRL 71 mm-84 mm 1. 2. 3. NT measurement (mm)