PGY 4, 5, 6, or 7 Medicine-Pulmonary/Critical Care trainees can perform the procedures listed below with indirect supervision:

 

PGY4

PGY5

PGY6

PGY7

Differential Diagnosis:

Clinical History

X

X

X

X

Physical Examination

X

X

X

X

Interpretation of lab studies

X

X

X

X

Interpretation of Basic x-ray Studies (Skull, Spine, Chest, Abdomen, Extremities)

X

X

X

X

Cardiopulmonary Resuscitation:

Airway Maintenance

X

X

X

X

Emergency Drug Therapy

X

X

X

X

Rhythm Strip Interpretation

X

X

X

X

Intravenous Catheterization

X

X

X

X

Closed Chest Massage

X

X

X

X

Electrocardioversion & Defibrillation

X

X

X

X

Venous Cut-down

X

X

X

X

Airway Maintenance:

Insertion of Oral Pharyngeal Airway

X

X

X

X

Endotracheal Intubation

X

X

X

X

Cricothyroidoctomy

X

X

X

X

Use of Mechanical Respirators

X

X

X

X

Additional Specific Skills:

Intra-arterial Puncture or Catheterization

X

X

X

X

Bladder Catheterization

X

X

X

X

Foreign Body Removal Techniques

X

X

X

X

Use of Water Seal Drainage Devices

X

X

X

X

I&D of Superficial Abscesses & Hematomas

X

X

X

X

Interpreting Arterial Blood Gases

X

X

X

X

Emergency Use of External Temporary Pacemakers

X

X

X

X

Introduction of NG Tubes

X

X

X

X

Central Venus Catheter Insertion

X

X

X

X

Emergency Suction of Mucus Plug Using Bronchoscope

X

X

X

X

Endotracheal Intubation

X

X

X

X

Chest Tube Placement

X

X

X

X

Thoracentesis

X

X

X

X

Abdominal Paracentesis

X

X

X

X

All other procedures are performed under direct supervision of a faculty member.

 

May 26, 2022