Patient
Screen
Protocol
Note
Patient & Complaint
Enter visit details โ drives frequency, intensity, and mode recommendations.
Patient Info
Treatment Region & Parameters
Contraindication Screen
Check ALL that apply before proceeding. Absolutes = stop immediately.
๐ STOP โ Absolute Contraindication Present
Therapeutic ultrasound is contraindicated. Do not proceed. Notify the treating provider.
โ ๏ธ Caution โ Relative Contraindication(s) Present
Proceed only with provider awareness. Use conservative parameters and document.
Absolute Contraindications โ Do Not Treat
Relative Contraindications โ Use Caution / Provider Clearance
Treatment Protocol
Evidence-based settings for the SoundCare Plus โ adjusted for tissue depth, phase, and goal.
Frequency
โ
MHz
Intensity
โ
W/cmยฒ
Duty Cycle
โ
%
Mode
โ
Sound Head
โ
cmยฒ
Time
โ
minutes
Session โ
Recommended Frequency
1 MHz
Deep Penetration
3โ5 cm depth
3 MHz
Superficial / Fast
1โ3 cm depth
โ ๏ธ Region-Specific Caution
Recommended Parameters
Clinical Rationale
Application Technique
Patient Position & Setup
SoundCare Plus Setup Reminders
๐งด Coupling gel: Apply liberally โ bead of gel, spread with sound head. Re-apply every 2โ3 min.
๐ Movement speed: 3โ4 cm/sec. Slow, overlapping strokes. Never stationary (hot spots).
๐ Sound head angle: Perpendicular (90ยฐ) to skin for maximum energy transfer. No rocking.
๐ฌ Patient feedback: Ask every 60โ90 sec. Thermal US should feel "warm, not hot." Stop if pain.
๐ Sound head check: If patient cannot feel warmth at 1.0+ W/cmยฒ โ verify gel contact.
โฑ Area rule: ~1 min per sound head ERA. 5cmยฒ head = 5 min per treatment zone.
Patient Response During Treatment
Select the best match โ feeds into the clinical note.
Well Tolerated
Completed full protocol, no issues
Warmth Reported
Patient confirmed therapeutic sensation
Intensity Reduced
Parameters decreased during session
No Sensation
Patient reported no feeling โ check coupling
Immediate Relief
Pain/spasm reduction post-treatment
Stopped Early
Discomfort โ treatment discontinued
Clinical Note
Ready to copy into the EHR.
Colleyville Chiropractic
Therapeutic Ultrasound โ Richmar SoundCare Plus
Progress Note
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