GRANDVIEW/SOUTHVIEW HOSPITALS DEPARTMENT OF EMERGENCY MEDICINE DELINEATION OF CLINICAL PRIVILEGES DATE PRIVILEGES REQUESTED PHYSICIAN NAME
|
|
|
- Donna Moore
- 5 years ago
- Views:
Transcription
1 DATE S PHYSICIAN NAME ****************************************************************************** I request the following clinical privileges, and I am aware that a denial of privileges relating to a practitioner's professional competence or professional conduct will result in the hospital submitting a report to the National Practitioner Data Bank. APPLICANT: Check the requested column for the procedures you are requesting. Include evidence of your ability to perform the procedures as listed in the delineated privilege requirements. DEPARTMENT CHAIRMAN: For each requested privilege, check if the physician has provided sufficient evidence of competence to perform the requested privilege in accordance with the delineated privilege requirements. CREDENTIALS COMMITTEE: For each requested privilege, check if granted or denied. Explain the reason(s) for each denied privilege. ********************************************************************************************************* The following privileges are considered to be CORE S for the Department of Emergency Medicine: AIRWAY TECHNIQUES: Endotracheal intubation, nasal; Neuromuscular blockade; Percutaneous transtracheal ventilation; Oropharyngeal airways and Oxygen therapy ANESTHESIA: Local anesthesia and Rapid sequence induction CARDIAC PROCEDURES: Cardiac pacing, transthoracic; Cardiac pacing, transvenous; Cardioversion defibrillation; Emergency Drug Therapy and Pediatric resuscitation DIAGNOSTIC PROCEDURES: IVP, contrast; Proctoscopy; Tonometry and Slit lamp exam GENITOURINARY TECHNIQUES: Bladder catheterization (foley) and Culdocentesis HEAD & NECK: Epistaxis control HEMODYNAMIC TECHNIQUES: Central venous access, subclavian; Arterial blood gases/interpretation; Peripheral venous access and Blood administration ORTHOPEDIC PROCEURES: Fracture/dislocation; Immobilization/traction; Cervical traction technique and Trephination nail THORACIC PROCEDURES: Tube thoracostomy and Pericardiocentesis OTHER TECHNIQUES: Foreign body removal; Gastric lavage; Incision & drainage; Electrocautery; Interpretation of laboratory tests and Emergency C-Section after death of mother. *********************************************************************************************************** CREDENTIALS COMMITTEE AIRWAY TECHNIQUES Cricothyrotomy Endotracheal intubation Manual/mechanical ventilation
2 PAGE 2 ANESTHESIA Regional nerve blocks Conscious sedation CARDIAC PROCEDURES Cardiac massage, closed/open Cardiac pacing Cardiopulmonary resuscitation/acls Adult/Peds Cardiography - EKG/Rhythm strip DIAGNOSTIC PROCEDURES Arthrocentesis Cystourethrogram Lumbar puncture Nasogastric/oral gastric tube Pericardiocentesis Peritoneal lavage Thoracentesis GENITOURINARY TECHNIQUES Suprapubic catheterization Precipitous delivery of newborn HEAD/NECK Laryngoscopy direct/indirect Naso/pharyngeal endoscopy
3 PAGE 3 Emergency craniotomy (subdural tap) HEMODYNAMIC TECHNIQUES Central venous access Peripheral venous access (venous cutdown) Intraosseus infusion Arterial cannulation Auto transfusion ORTHOPEDIC PROCEDURES Closed reduction - Emergent Cervical immobilization Bursa or joint injection THORACIC PROCEDURES Thoracostomy Emergency thoracotomy Intracardiac injection OTHER TECHNIQUES Wound management/suture techniques Hernia reduction Use of water sealed drainage techniques Anoscopy Complete history & physical exam OMT
4 PAGE 4 Ultrasound OTHER PROCEDURES (LIST) COMMENTS: of Applicant Chairman, Department of Emergency Medicine of Review Chairman, Credentials Committee of Review
5 PAGE 5 ****************************************************************************** THIS SECTION IS USED FOR ONLY THOSE REAPPOINTMENT CYCLES LISTED BELOW I agree to the same privileges as listed above for the following reappointment cycle Cycle Cycle Cycle 6/24/10
Delineation Of Privileges Emergency Medicine Privileges
EMERGENCY MEDICINE PRIVILEGES Criteria: A. 1) Board Certification by the American Board of Emergency Medicine; 2) Documented evidence of having received Advanced Trauma Life Support (ATLS) certification
Emergency medicine procedural skills: What do they need to know? A survey of Canadian emergency medicine residents & program directors
medicine procedural skills: What do they need to know? A survey of Canadian emergency medicine residents & program directors Andrew Petrosoniak, Jodi Herold & Karen Woolfrey, Residency Program and Wilson
Sutter Medical Center, Sacramento Department of Emergency Medicine - Delineation of Privileges NAME: INITIAL: [ ] RENEWED: [ ] ADDITIONAL: [ ]
![Sutter Medical Center, Sacramento Department of Emergency Medicine - Delineation of Privileges NAME: INITIAL: [ ] RENEWED: [ ] ADDITIONAL: [ ]](/thumbs/85/91875103.jpg "Sutter Medical Center, Sacramento Department of Emergency Medicine - Delineation of Privileges NAME: INITIAL: [ ] RENEWED: [ ] ADDITIONAL: [ ]")
Privileges are granted for Sutter Medical Center, Sacramento and exercise of privileges is based on the type of care, treatment and services provided at each facility. Privileges are granted for Sutter
Sutter Medical Center, Sacramento Department of Emergency Medicine - Delineation of Privileges
INITIAL: [ ] RENEWED: [ ] ADDITIONAL: [ ] Privileges are granted for Sutter Medical Center, Sacramento and exercise of privileges is based on the type of care, treatment and services provided at each facility.
For Reference Only PEDIATRIC MEDICINE 2013
Summary of Services and Availability (by location) UPMC University of Pittsburgh Medical Center Each location has sufficient space, equipment, staffing and financial resources in place or available in
UPMC University of Pittsburgh Medical Center. For Reference Only MEDICINE 2013
Summary of Services and Availability (by location) Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each requested
Regions Hospital Delineation of Privileges Pediatrics
Regions Hospital Delineation of Pediatrics Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic formal training
MONROE CARRELL Jr. CHILDREN S HOSPITAL AT VANDERBILT APPLICATION FOR ADVANCED PROCEDURE PRIVILEGES
REQUEST FOR ADVANCED PROCEDURE PRIVILEGES Advanced Procedure Privileges: Are those approved procedural privileges requiring additional education and training and may be granted only upon evidence of initial
For Reference Only GENERAL SURGERY 2013
Summary of Services and Availability (by location) Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each requested
Table of Contents: Unit I: Respiratory System
Table of Contents: Unit I: Respiratory System SECTION ONE: Airway 1. Cricothyroidotomy: Assist 2. Endotracheal Tube: Care and Suctioning 3. Endotracheal Tube: Taping 4. Extubation: Assist 5. Intubation:
URBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION:
URBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION: Procedures This list is provided as a guide to most of the procedures you might be exposed to during your training. There is no expectation
Applicant s Name First Middle Last
Delineation of Privileges Internal Medicine Effective from (date) to (date) at (hospital name) Applicant s Name First Middle Last Instructions 1. Review Basic Minimum Requirements to make sure you qualify
Specific Basic Standards for Osteopathic Fellowship Training in Pulmonary / Critical Care Medicine
Specific Basic Standards for Osteopathic Fellowship Training in Pulmonary / Critical Care Medicine American Osteopathic Association and American College of Osteopathic Internists BOT Rev. 2/2011 These
AACN Procedure Manual for Critical Care
AACN Procedure Manual for Critical Care Wiegand, Debra Lynn-McHale PhD, RN ISBN-13: 9781416062189 Table of Contents UNIT I Pulmonary System Section One Airway Management: Michael W. Day 1. Combitube Insertion
CRITERIA FOR GRANTING MEDICAL PRIVILEGES
FOOTHILL PRESBYTERIAN HOSPITAL Glendora, California 91741 CRITERIA FOR GRANTING MEDICAL PRIVILEGES Please review these categories carefully to determine those privileges for which you are qualified. Indicate
Delineation Of Privileges Pediatric Privileges
PEDIATRIC CORE PRIVILEGES Criteria a) Active licensure to practice in the state of California b) Current board certification or active participation in the examination process leading to certification
VANDERBILT UNIVERSITY MEDICAL CENTER APPLICATION FOR ADVANCED PROCEDURE PRIVILEGES PROFESSIONAL STAFF WITH PRIVILEGES (PSP)
APPLICATION FOR ADVANCED PROCEDURE S PROFESSIONAL STAFF WITH S (PSP) Advanced Procedure Privileges: Are those approved procedural privileges requiring additional education and training and may be granted
For Reference Only GENERAL SURGERY 2013
Summary of Services and Availability (by location) Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each requested
UVA Center, UVA Transitional Care Hospital UVA Health South Rehabilitation Hospital Privilege List for: Acute Care Nurse Practitioner 29-Sep-10 Name: AnDe Lloy c:i!-il;ul/~y Date: PLEASE MARK AS REQUESTED
VANDERBILT UNIVERSITY MEDICAL CENTER APPLICATION FOR SPECIAL PRIVILEGES ADVANCED PRACTICE PROVIDER PROFESSIONAL STAFF WITH PRIVILEGES (PSP)
FOR ADVANCED PROCEDURE S Advanced Procedure Privileges: Are those approved procedural privileges requiring additional education and training and may be granted only upon evidence of initial and ongoing
NEMSIS Version 3 - Procedure Label by. SNOMED CT Code Taking orthostatic vital signs Continuous physical assessment
NEMSIS Version 3 - Procedure Label by Category Assessment: Orthostatic Vital Signs Assessment: Patient Assessment SNOMED CT Description SNOMED CT Code Taking orthostatic vital signs 425058005 Continuous
Idaho EMSPC Scope of Practice OLD (ISC) Curriculum License Levels NEW 2011 IEC Curriculum License Levels
AIRWAY / VENTILATION / OXYGENATION Idaho EMSPC Scope of Practice - OLD (ISC) Curriculum License Levels NEW IEC Curriculum License Levels Effective July 1, 2016 1 View of All Levels Across EMR- 1-1-2012)
ULTRASOUND COMPETENCY ASSESSMENT
ULTRASOUND COMPETENCY ASSESSMENT Saadia Akhtar, MD Program Director Ultrasound Director Beth Israel Medical Center Albert Einstein College of Medicine New York City March 2, 2008 ACGME CORE COMPETENCIES
Emergency Room Skills Checklist
_ XXX-XX- Print Name Last 4 of SS # Date Completed Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values
Loma Linda University Medical Center Loma Linda, CA PEDIATRIC PRIVILEGE FORM Name: Page 1 of 12
Name: Page 1 of 12 REQUEST CATEGORY MEMBERSHIP CATEGORY Provisional (Bylaws 4.3) Administrative (Bylaws 4.7) Affiliate (Bylaws(4.9) Active (Bylaws 4.2) Courtesy (Bylaws 4.4) Consulting (Bylaws 4.5) All
INITIAL CLINICAL PRIVILEGES DELINEATION FORM Department of Medicine Monmouth Medical Center
INITIAL CLINICAL PRIVILEGES DELINEATION FORM Monmouth Medical Center Physician Name: Application Date: DIRECTIONS TO APPLICANTS: 1) GENERAL AND SPECIFIC PRIVILEGES: General Privileges: If you are requesting
UPMC For Reference Only PHYSICIAN ASSISTANT 2014
Summary of Services and Availability (by location) UPMC Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each
Critical care medicine
Practice area 129 Clinical PRIVILEGE WHITE PAPER Critical care medicine Background Critical care specialists also called intensivists are qualified to diagnose and manage the care of critical care unit
Effective Dates: 4/23/2014-4/22/2016
Effective Dates: 4/23/2014-4/22/2016 AHP Clinical Privileges Update Form Charles Fisher . Department of MSICU Current Privileges not to be renewed: * *Privileges not renewed
Cardiothoracic Fellow Expectations Division of Cardiac Anesthesia, Beth Israel Deaconess Medical Center
The fellowship in Cardiothoracic Anesthesia at the Beth Israel Deaconess Medical Center is intended to provide the foundation for a career as either an academic cardiothoracic anesthesiologist or clinical
Emergency Level Services North Carolina. North Carolina South Atlantic US Medicare
TM 1998 reimbursement rates for commonly used CPT codes North Carolina EPSDT - Preventive Medicine Services 99381 - New Patient, under 1 year $76.68 $57.40 $45.87 $88.09 99382 - New Patient, 1 through
CONSUMER PRICE GUIDE
1 CONSUMER PRICE GUIDE Revised January 1 st 2017 General Information Memorial Hospital abides by all state and federal charging and billing regulations for hospital based healthcare services. The following
Delineation of Privileges Department of Internal Medicine Division of Cardiovascular Medicine
Delineation of Privileges Department of Internal Medicine Division of Cardiovascular Medicine Name: Please Print or Type LEVEL I CORE PRIVILEGES General Medicine: To qualify for the subspecialty of Cardiovascular
Milestone Guide. CBD Anesthesia
Table of Contents Department of Anesthesiology Foundations 1 Airway 1 Pharmacology 1 Physiology 1 Common Uncomplicated Anesthetics Practice 2 Obstetrics 2 Pain 2 Core 3 Perioperative Medicine 3 Complex
Privileges for Zuckerberg San Francisco General Hospital
Requested Approved Applicant: Please initial the privileges you are requesting in the Requested column. Service Chief: Please initial the privileges you are approving in the Approved column. MedCardio
Subspecialty Rotation: Anesthesia
Subspecialty Rotation: Anesthesia Faculty: John Heaton, M.D. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation. Recognize and manage upper
Adult Cardiology Clinical Privileges
Name: Effective from / / to / / Initial privileges (initial appointment) (reappointment) Renewal of privileges All new applicants should meet the following requirements as approved by the governing body,
HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR EMERGENCY CARE CAPABILITIES OF EMERGENCY CARE PROVIDERS: JUNE 2016
HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR EMERGENCY CARE CAPABILITIES OF EMERGENCY CARE PROVIDERS: JUNE 2016 CAPABILITIES Airway Management Finger sweep Head-tilt-chin lift Jaw-thrust
Diagnostic Electrophysiology Study with Programmed Electrical Stimulation
1 Ankle Block Anesthesiology 2 Arterial Line Placement Anesthesiology 3 Awake (Sedated) Fiberoptic Intubation Anesthesiology 4 Axillary Block Anesthesiology 5 Bier Block Anesthesiology 6 Bullard Laryngoscopy
CALS Mission: CALS improves patient care by providing advanced life support education to rural healthcare providers.
COURSE CONTENT CALS Mission: CALS improves patient care by providing advanced life support education to rural healthcare providers. Enclosed is a summary outline of the curriculum covered in the CALS Provider
Analgo sedation in Pediatric Emergency Medicine. Juliusz Jakubaszko
Analgo sedation in Pediatric Emergency Medicine Juliusz Jakubaszko COI Disclosure I have no relevant relationship or financial/ material support to disclose. PRESENTER: JULIUSZ JAKUBASZKO Wroclaw University
General Nursing. 1 Admission. 2 Transfer. 3 Discharge. 4 Communication with Anxious Patients. 5 Communication with Angry Patients Through Deescalation
General Nursing 1 Admission 2 Transfer 3 Discharge 4 Communication with Anxious Patients 5 Communication with Angry Patients Through Deescalation 6 Communication with Depressed Patients 7 Nursing Report
UNMH Pediatric Cardiology Clinical Privileges. Name: Effective Dates: From To
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees, effective August 18, 2017: Initial Privileges (initial appointment) Renewal of Privileges (reappointment)
SCOPE OF PRACTICE PGY-4 PGY-6 (or PGY-5 PGY-7 if Medicine/Pediatrics resident)
(or PGY-5 PGY-7 if Medicine/Pediatrics Resident) The Pediatric Cardiology Training Program at MUSC does not make distinctions in the Scope of Practice between PGY-4, -5, and -6 Resident Physicians. As
Date: DD/MM/YYYY. Re: Retrospective Accreditation of Experience towards Exemption for Part 1 and Part 2 FCCCM Examination.
Application for Retrospective Accreditation of Experience towards Exemption for Part 1 and Part 2 FCCCM Examination of the College of Critical Care Medicine under Critical Care Education Foundation To,
CAE Healthcare Human Patient Simulator (HPS)
CAE Healthcare Human Patient Simulator (HPS) The Human Patient Simulator, HPS, is a tethered simulator that is capable of patient assessment and treatment including mechanical ventilation and anesthesia.
INTERNAL MEDICINE SUBSPECIALTY CARDIOLOGY
KALEIDA HEALTH Name: Date: INTERNAL MEDICINE SUBSPECIALTY CARDIOLOGY PLEASE NOTE: Please check the box for each requested. Do not use an arrow or line to make selections. We will return applications that
Delineation Of Privileges Cardiovascular Disease Privileges
CARDIOVASCULAR DISEASE PRIVILEGES General/Core Privilege a) Board Certification with subspecialty in Cardiovascular Disease and/or Certificate of Added Qualifications in clinical Cardiac Electrophysiology
DEPARTMENT OF SURGERY CARDIOVASCULAR-THORACIC SECTION
DEPARTMENT OF SURGERY CARDIOVASCULAR-THORACIC SECTION DIRECTIONS: This must accompany all initial applications for appointment to the Cardiovascular-Thoracic Section, Department of Surgery. Please indicate
TTC Catalog - Respiratory Care (RES)
2018-2019 TTC Catalog - Respiratory Care (RES) RES 110 - Cardiopulmonary Science I This course focuses on assessment, treatment evaluation of patients with cardiopulmonary disease. RES 121 Restrictions:
Delineation Of Privileges Vascular Surgery Privileges
CATEGORY 1 - VASCULAR SURGERY PRIVILEGES Criteria: New Applicants must meet one of the following: a) Board Certification or qualified for certification by the American Board of Vascular Surgery; b) Completion
UNMH Internal Medicine Clinical Privileges. Name: Effective Dates: From To
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees, effective April 28, 2017: Initial Privileges (initial appointment) Renewal of Privileges (reappointment)
North Carolina College of Emergency Physicians Standards for EMS Medications and Skills Use
. The baseline medications and skills required in all systems and Specialty Care Transport Programs) with EMS personnel credentialed at the specified level. S. The equipment required in all Specialty Care
Combined CFRN and CTRN Detailed Content Outline
Clinical items (primarily category, Assessment (15-20%), 1. General principles of transport nursing practice 19 31 A. Transport physiology 1. Physiologic stressors of transport 2. Effects of altitude on
ER Skills Checklist. Frequency Scale: 1 = Never Observed 2 = Less than 6 times a year 3 = 1 or 2 Times a Month 4 = Daily or Weekly
ER Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for employment
Surgical Privileges Form: "Neurosurgery" Clinical Privileges Request. Requested (To be completed by the applicant) Not Recommended (For committee use)
Surgical Form: Clinical Request "Neurosurgery" Applicant s Name:. License No. (If Any):... Date:... Scope of Practice:. Facility:.. Place of Work:. the applicant) CATEGORY I: Core : 1. Interpretation of
- AHP Clinical Privileges Update Form Susan Wood, FNP Department of Cardiac Cath Lab have reviewed the privileges previously granted (copy attached) to me and request the following changes: New Prjvile~es
PEDIATRIC NEUROLOGY CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 04/02/2014. Applicant: Check off the Requested box for
DELINEATION OF CLINICAL PRIVILEGES SURGERY - THORACIC AND CARDIOVASCULAR SURGERY
Basic Education: MD or DO (Applicants must meet the following criteria) Be certified by or be currently qualified to take the board certification examination of a board recognized by the American Board
FlFALTH SYSTEivI UVA Center, UVA Transitional Care Hospital UVA Health South Rehabilitation Hospital Privilege List for: 12-Nov-l0 Family Nurse Practitioner Date:,tloll,o PLEASE MARK AS REQUESTED ONLY
Old Procedure Name* New Procedure Name* Core* Comment* Standardize*
_OTHER/unlisted (see comment) _OTHER/unlisted (see comment) X No change No ACL repair, arthroscopic ACL repair, arthroscopic X No change No ACLS protocol (CPR, Code Blue) ACLS A1 Renamed Yes Amniocentesis
175 E. Olive Avenue Suite 101, Burbank, CA TEL: FAX: Review Information. Guidelines. Neurological.
Emergency Room Clinical Competency Assessment 175 E. Olive Avenue Suite 101, Burbank, CA 91502 TEL: 800-554-2230 FAX: 800-554-7501 Your Name: Date: Review Information Guidelines Complete this review, using
AMERICAN OSTEOPATHIC ASSOCIATION AMERICAN COLLEGE OF OSTEOPATHIC INTERNISTS
AMERICAN OSTEOPATHIC ASSOCIATION AMERICAN COLLEGE OF OSTEOPATHIC INTERNISTS INTERNAL MEDICINE & MEDICAL SUBSPECIALTIES INSTITUTIONAL DEMOGRAPHICS AND STATISTICAL REPORT New program Program Increase Inspection
DELINEATION OF PRIVILEGES - NEUROSURGERY
KALEIDA HEALTH Name Date DELINEATION OF PRIVILEGES - NEUROSURGERY PLEASE NOTE: Please check the box for each privilege requested. Do not use an arrow or line to make selections. We will return applications
A neonate is any patient less than 45 weeks post conception regardless of chronological age.
Case Log Definitions: A Guide for Fellows and Program Directors Recommendations from the Pediatric Anesthesia Program Directors Association Case Log Task Force January 2013 These recommendations represent
Privileges for San Francisco General Hospital
Requested Approved Applicant: Please initial the privileges you are requesting in the Requested column. Service Chief: Please initial the privileges you are approving in the Approved column. MedGI GASTROENTEROLOGY
Jefferson Tower Task Trainer List
Jefferson Tower Task Trainer List Table of Contents Blue Phantom Ultrasound Central Line Training Model 2 Blue Phantom Femoral Vascular Access Training Model 3 Blue Phantom Thoracentesis Ultrasound Training
Pre-Hospital and Emergency Department Resuscitative Thoracotomy
Pre-Hospital and Emergency Department Programme Directors: Mr Jim Connolly Consultant A&E Surgeon Accident and Emergency Department, Royal Victoria Infirmary Dr Paul Wallman Consultant in Emergency Medicine
COMMISSION ON ACCREDITATION FOR RESPIRATORY CARE TMC DETAILED CONTENT OUTLINE COMPARISON
A. Evaluate Data in the Patient Record I. PATIENT DATA EVALUATION AND RECOMMENDATIONS 1. Patient history e.g., admission data orders medications progress notes DNR status / advance directives social history
Therapist Written RRT Examination Detailed Content Outline
I. PATIENT DATA EVALUATION AND RECOMMENDATIONS 4 7 17 28 A. Review Data in the Patient Record 1 4 0 5 1. Patient history e.g., present illness admission notes respiratory care orders medication history
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS. Delineation of Privileges Department of Anesthesiology. Name: Please Print or Type
University of Michigan Hospitals and Health Centers UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS Delineation of Privileges Department of Anesthesiology Name: Please Print or Type LEVEL I CORE Scope
Graduating Pediatric Resident Training and Comfort with ACGME Required Procedures
Graduating Pediatric Resident Training and Comfort with ACGME Required Procedures Daniel J. Schumacher, MD, MEd Mary Pat Frintner, MSPH Presented at: Association of Pediatric Program Directors Spring Meeting
ST. DOMINIC HOSPITAL CARDIOLOGY SERVICE
ST. DOMINIC HOSPITAL CARDIOLOGY SERVICE CREDENTIALS GUIDELINES Approved by Credentials Committee: September 2008 Revised by Credentials Committee: December 2008 Revised by Credentials Committee: August
ANAESTHESIA EDY SUWARSO
ANAESTHESIA EDY SUWARSO GENERAL REGIONAL LOCAL ANAESTHESIA WHAT DOES ANESTHESIA MEAN? The word anaesthesia is derived from the Greek: meaning insensible or without feeling. The adjective will be ANAESTHETIC.
University of Maryland Medical Center - Shock Trauma Center Delineation of Clinical Privileges Section of Trauma and Acute Emergency Surgery
University of Maryland Medical Center - Shock Trauma Center Delineation of Clinical Section of Trauma and Acute Emergency Surgery Type of Request: Initial Renewal Name: /Operative Procedures INTEGUMENTARY/BREAST
Course Curriculum. Welcome To Urgent Care Bootcamp. The Practice Of Urgent Care. Clinical Approach. Introduction to Urgent Care Bootcamp
Course Curriculum Welcome To Urgent Care Bootcamp Introduction to Urgent Care Bootcamp The Practice Of Urgent Care The Practice of Urgent Care Efficient and Effective Charting Safe ED Referrals Shared
Surgical Subspecialty Clerkship Objectives/Syllabus
Surgical Subspecialty Clerkship Objectives/Syllabus Airway Adjuncts & Intubation 1. State three early and three late signs of hypoxemia. 2. State the indications, concentration/liter flow rate, advantages,
Emergency Medicine Scope of Practice
Emergency Medicine Scope of Practice All Physician Assistants working in Emergency Medicine will encounter a wide variety of non acute, urgent and emergent patient complaints and conditions. Given the
INDIANA HEALTH COVERAGE PROGRAMS
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on the code tables
Anthem Central Region Clinical Claims Edit
Please compare the claim's date of adjudication to the range of the edit in question. Prior versions, if any, can be found below. Subject: Different Services with Anesthesia Services Edit #785 Effective
Emergency Care Progress Log
Emergency Care Progress Log For further details on the National Occupational Competencies for EMRs, please visit www.paramedic.ca. Check off each skill once successfully demonstrated the Instructor. All
MegaCode Kelly Advanced (VitalSim Capable) Part no
1 MegaCode Kelly Advanced (VitalSim Capable) Part no.200 05050 Product features: Insertion of standard airway devices with the addition of the LMA and Combitube Interpretation and intervention of cardiac
Emergency Trauma Competency Self Assessment
Emergency Trauma Competency Self Assessment Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values confirm
AHP Clinical Privileges Update Form Joanne Coleman, FNP Department of Medicine have reviewed the privileges previously granted (copy attached) to me and request the following changes: New Privileges to
INTERN LOGBOOK. 1. Personal Details of Intern. Name... Date commencement (DD/MM/YY).. RMDC Provisional License No. Internship Center. Department:..
INTERN LOGBOOK 1. Personal Details of Intern Name..... Date commencement (DD/MM/YY).. RMDC Provisional License No. Internship Center. Department:.. 2. Requirements for the rotation ( See Annex) 3. Portfolio
North Carolina Medical Board Approved Medications for Credentialed EMS Personnel
North Carolina Medical Board Approved Medications for Credentialed EMS Personnel EMS personnel at any level who administer medications must do so within an EMS system that provides medical oversight. Personnel
DELINEATION OF PRIVILEGES - REHABILITATION MEDICINE
KALEIDA HEALTH Name ABMS Board DELINEATION OF PRIVILEGES - REHABILITATION MEDICINE Certification: Please circle all that apply: Board Qualified: Inpatient Rehab Care: Admitting Privileges** (**e: Admitting
PRIVILEGE APPLICATION FORM - [Mercy Medical Center]
![PRIVILEGE APPLICATION FORM - [Mercy Medical Center]](/thumbs/89/98821167.jpg "PRIVILEGE APPLICATION FORM - [Mercy Medical Center]")
Current Privilege Status Key Practitioner's Current Privilege status is signified in ( ) preceding each privilege. G = W = Withdrawn T = Temporary P = With Proctor A = Assist with C = With Consult E =
Radiology Inpatient Procedure Contact List
Radiology Inpatient Procedure Contact List Section Reading Room Contact Information Abdominal (CT) 8:00am-4:30pm: Call 265-7217. (Fluoroscopy) 8:00am-4:30pm: Call 263-8350. (MRI) 8:00am-4:30pm: Call 263-1229.
Regions Hospital Delineation of Privileges Internal Medicine Hematology / Oncology
Regions Hospital Delineation of Privileges Internal Medicine Hematology / Oncology Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting.
Curricular Components for Cardiology EPA
Curricular Components for Cardiology EPA 1. EPA Title 2. Description of the Activity Diagnosis and management of patients with acute congenital or acquired cardiac problems requiring intensive care. Upon
AHP Clinical Privileges Update Form Mary Stack Department of Anticoagulation Clinic --~,have reviewed the privileges previously granted (copy attached) to me and request the following changes:.ew Privileges
SEMINOLE COUNTY EMS PROVISIONAL EMT SKILLS VERIFICATION
The following individual has completed the Seminole County EMS Provisional EMT Skills Verification check in the following areas: Oxygen, Airway and Ventilation Skills ALS Assistance Trauma Management Medical
UVA Medical Center, UVA Transitional Care Hospital & UVA Health South Rehabilitation Hospital REQUEST FOR CLINICAL PRIVILEGES Department of Medicine 2,!inn I-/;Z (s..'.'................... Medical School
AHP Clinical Privileges Update Form Lisa Laurie Department of Medicine/Cardiology ------- I have reviewed the privileges previously granted (copy attached) to me and request the following changes: New
Application for Clinical Privileges Physician Specialty: Family Medicine
Application for Clinical Privileges Physician Specialty: Family Medicine Qualifications To be eligible to apply for clinical core privileges in family medicine, the initial applicant must meet the following
Traumatic A-V A V Fistula
Traumatic A-V A V Fistula PRESENT HISTORY PAST HISTORY 30 year-old, male ( XX); Denied other systemic disease before. PRESENT HISTORY A deep stabbing wound (3*1 cm) noted on 07/01/2002 over Right anterior
Adult Intubation Skill Sheet
Adult Intubation 2. Opens the airway manually and inserts an oral airway *** 3. Ventilates the patient with BVM attached to oxygen at 15 lpm *** 4. Directs assistant to oxygenate the patient 5. Selects