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Working

A Day on the Job

Jessie Burke, Registered nurse, sonographer, OB/GYN Associates, St. Petersburg

By ELLEN MOSES
Published October 26, 2003

What kind of hours do you work?

8 to 5 (p.m.), Monday through Friday.

How long have you been doing this?

I've been licensed since 1984. I'm an RN (registered nurse) and a registered diagnostic medical sonographer.

What are your primary job responsibilities?

Mostly I'm a phone nurse. I triage calls in the back, and then part of the week I'm a sonographer.

What does a triage nurse do?

We take the calls from patients who call in with problems. I take Dr. (Beth) Benson's calls and calls for one of the nurse practitioners. We try to decide how urgent the call is, and try to get them in as soon as possible, if that's what's necessary, or give them advice over the phone.

How much time do you spend doing sonograms?

A half day. It used to be two half days, but right now we're in the middle of new scheduling.

Is there specialized training needed to work as a sonographer?

Oh, yeah. I took the national registry exam for that. I took a week of specialized training at the University of Miami but most of it I learned on the job. I had to do so many scans a year, but I still had to pass the national exam, which was very hard. I was training on the job for about two years before I took my exam.

How does a sonogram, or ultrasound, work?

It's the computer interpreting sound waves. The computer renders the picture using a gray scale based on the rate of the sound waves as they hit a hard or soft surface.

What is the sonogram machine used for?

At this office we do GYN (gynecological) scans and OB (obstetrical) scans. A GYN scan may be for a woman who has abnormal bleeding, to try and locate ovarian cancers, anything that is abnormal with the ovaries. And then with the OB scans we do vaginal scans before 10 weeks, because then you can really see the uterus and ovaries and the baby really up close. And then we try to do a 20-week scan on all our (pregnant) patients, because that's when the baby is most developed to be able to see any abnormalities.

What kind of information do you collect during a sonogram for a pregnant patient?

We measure the baby's head; usually we do side-to-side, front to back. And we get abdominal circumference, femur length. And usually from that, we're able to get a weight (calculation). From that you can get an average, so you can say that the baby is growing in the 50th percentile. You also look for the fluids and placenta and check for any cysts on the ovaries.

What kind of things can you see?

One of the most common things would be a problem with the baby's kidneys. We evaluate the kidneys. We're looking at the spine and getting a heartbeat. That's just kind of your basic scan.

What is your favorite thing about this job?

To see the bonding with the parents and their child. Because I think, especially for the guys, it makes them know that there's something there, that it's a reality. And a lot of moms feel that way too. You know, to be able to see their own baby's heartbeat is awesome, I think.

What is your least favorite, or hardest, thing about the job?

Well, obviously there are sad outcomes, and it's pretty hard to tell someone. A lot of times you have to tell them, like I'm not seeing a heartbeat, but I should. Sometimes if they're not getting the gist of what you're telling them, you just have to say, "I'm sorry, the baby's dead." That's hard.

Are there any perks of the job?

I just think it's rather neat because babies, to me, have this inner world, it's like a biosphere, you know. Some (babies) are moving a lot, some are not, some you can see their face or their hands. It's like seeing inside this other world.

Any hazards of the job?

People get angry when you can't tell them what sex their baby is. They really do. And I try not to call it, unless I can really see it, and some days babies are just not in the right position, or they're too small to tell.

How much money do you make?

I'm not comfortable discussing that. I'm an employee of OB/GYN, but other contract sonographers, the people who are not hired by a hospital or doctor's office, I would say they make in the range of $25 to $35 per scan.

What would your dream job be?

Probably what I'm doing right now. Because, mostly in OB (obstetrics) you get to meet young people, happy to be having a family. It's generally a happy tone.


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