Sonography Canada Statement: Sonographers and COVID-19

On March 11, 2020, the World Health Organization (WHO) officially declared COVID-19 a pandemic. The
Coronavirus has important implications for both patients and healthcare providers.
Diagnostic medical sonographers are an important part of Canada’s healthcare team. We understand the need to
maintain ongoing operations and to continue to provide Canadians with the medical treatment they need.
However, this must be done in keeping with infection prevention and control and occupational health standards
in order to prevent unnecessary exposure to, and transmission of, the Coronavirus (COVID-19) during the provision
of health services.
Unlike other imaging procedures (e.g. X-rays, MRIs, etc.), ultrasound examinations do not comply with Health
Canada recommendations for social distancing during the COVID-19 pandemic. A 2-meter spatial separation
between the patient and the sonographer is not possible and the examinations involve extended periods of
exposure to the patient as most assessments require a minimum of 20 minutes to complete.
With this in mind, and in keeping with recommendations put forth by Health Canada, the World Health
Organization, and the Centres for Disease Control and Prevention, Sonography Canada:
1. Invites members to consult their place of employment’s pandemic or emergency plan to confirm how
ultrasound examinations are to be addressed as part of the core department functions that must be maintained
during a pandemic/emergency situation.
2. Supports the recommendation to “prioritize urgent and emergency visits and procedures now and for the
coming several weeks”, thereby potentially delaying elective and non-urgent diagnostic medical imaging
examinations, where possible.
3. Supports waiving cancellation or administrative fees normally incurred for patients/clients who choose not to
proceed with an ultrasound examination during the COVID-19 pandemic, whether or not they have been
diagnosed with the Coronavirus.
4. Supports the recommendation that places of employment ensure access to, and the use of, Personal
Protective Equipment (PPE) to prevent the acquisition and transmission of a disease such as COVID-19.
Please consult your place of employment’s practice guidelines.
5. Encourages members to implement the equipment and technical standards outlined in the Sonography
Canada Professional Practice Guidelines and Member Policies regarding safety and bioeffects, quality control,
and high-level transducer decontamination.
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6. Supports the screening of patients/clients and their support people before arriving and entering healthcare
facilities to reduce the risk of acquiring and transmitting the Coronavirus during ultrasound examinations.
Please consult local guidelines for both active and passive screening processes.
7. Supports the recommendation by Health Canada that sick employees be encouraged to stay
home. Personnel who develop respiratory symptoms (e.g., cough, shortness of breath), those who have
recently been out of country (within 14 days), and/or been in direct contact with someone with COVID-19 are
typically being instructed not to report to work and to seek the necessary medical advice. Employers should
ensure that sick leave policies are flexible and consistent with public health guidelines and that employees
are aware of these policies.
To keep up to date on the recommendations being made by Health Canada and the Centres for Disease Control and
Prevention (CDC) and to learn more about preventing spread of COVID-19, please access the following links and
consult your local and provincial resources:
Health Canada
• COVID-19 Information
• Coronavirus disease (COVID-19): For health professionals
• Canadian Pandemic Influenza Preparedness: Planning Guidance for the Health Sector
Centres for Disease Control and Prevention (CDC)
• Steps Healthcare Facilities Can Take to Prepare for Coronavirus Disease 2019 (COVID-19)
• Resources for Clinics and Healthcare Facilities
• Interim Guidance for Healthcare Facilities: Preparing for Community Transmission of COVID-19 in the United
States
• What Healthcare Personnel Should Know about Caring for Patients with Confirmed or Possible COVID-19
Infection
• Frequently Asked Questions on Personal Protective Equipment
World Health Organization
• Coronavirus disease (COVID-19) Pandemic Information
• Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19)
Victor Lee, CRGS, CRCS
Chair, Sonography Canada Board of Directors

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