PGY 4, 5, or 6 Pediatric Neonatology trainees can perform the Neonatal-Perinatal Medicine procedures listed below with indirect supervision:

 

PGY4

PGY5

PGY6

Clinical Differential Diagnosis based on:

Clinical History

X

X

X

Physical Examination

X

X

X

Interpretation of lab studies

X

X

X

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

X

X

X

Cardiopulmonary Resuscitation:

Airway Maintenance

X

X

X

Emergency Drug Therapy

X

X

X

Intravenous Catheterization

X

X

X

Neonatal Resuscitation – includes bag-mask ventilation, chest compressions and intubation

X

X

X

Emergency umbilical catheter placement

X

X

X

Airway Maintenance:

Insertion of Oral Pharyngeal Airway

X

X

X

Endotracheal Intubation

X

X

X

Use of Mechanical Respirators

X

X

X

Additional Specific Skills:

·    Venipuncture

X

X

X

·    Arterial stick

X

X

X

·    Peripheral vein or arterial cannulation

X

X

X

·    Percutaneous line insertion

X

X

X

·    Umbilical vein catheterization

X

X

X

·    Umbilical arterial catheterization

X

X

X

·    Surfactant administration

X

X

X

·    Inhaled Nitric oxide therapy

X

X

X

·    Lumbar puncture

X

X

X

·    Suprapubic tap

X

X

X

·    Exchange transfusion

X

X

X

·    Partial plasma exchange transfusion

X

X

X

·    Thoracocentesis

X

X

X

·    Abdominal Paracentesis

X

X

X

·    Chest tube insertion

X

X

X

·    Pericardial tap

X

X

X

·    Ventricular reservoir tap

X

X

X

·    Use of phototherapy

X

X

X

·    Use of inhaled nitric oxide for hypoxic respiratory failure

X

X

X

·    Use of hypothermia therapy for moderate and severe Neonatal HIE

X

X

X

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

 

May 26, 2022