From the Research
Labor and Delivery (L&D) nurses generally cannot use ultrasound independently without additional specialized training and certification. In most healthcare settings, diagnostic ultrasound is performed by sonographers, radiologists, or physicians with specific training in ultrasonography. L&D nurses may assist with ultrasound procedures or use limited ultrasound applications like fetal heart rate monitoring, but comprehensive obstetric ultrasounds require specialized expertise.
Key Points to Consider
- Some facilities offer additional certification programs such as Limited Obstetric Ultrasound or Point-of-Care Ultrasound (POCUS) training that would allow nurses to perform basic ultrasound assessments, as seen in a study where a theoretical and practical course improved obstetricians' perspective on the use of ultrasound in labor 1.
- These certifications typically require completing specific coursework, supervised clinical practice, and passing a certification exam.
- The restriction on independent ultrasound use by nurses exists because proper ultrasound technique requires understanding of complex anatomy, physics principles, and the ability to recognize normal versus pathological findings, as highlighted in a guideline and recommendation by the WAPM-World Association of Perinatal Medicine and the PMF-Perinatal Medicine Foundation 2.
- Misinterpretation could lead to missed diagnoses or inappropriate clinical decisions.
Recommendations for Nurses
- Nurses interested in expanding their ultrasound skills should check their state's nursing practice regulations, hospital policies, and pursue appropriate certification programs.
- A study on emergency department ultrasound by nurse practitioners showed that with proper training, nurses can perform focused ultrasound with a high degree of accuracy 3.
- However, it is essential to note that the context of Labor and Delivery is different, and nurses should prioritize pursuing certifications specific to obstetric ultrasound, such as those mentioned in the guideline by the WAPM-World Association of Perinatal Medicine and the PMF-Perinatal Medicine Foundation 2.