|
|
- Louise Johns
- 5 years ago
- Views:
Transcription
1
2
3
4
5
6
7
8
9
10
11 AHP Clinical Privileges Update Form Steven Rabinowitz, CRNA Department of Anesthesiology ve reviewed the privileges previously granted (copy attached) to me and request the following changes: l"t::w Privileges to be Added (please indicate category level and type of experience): Current Privileges not to be renewed: * *Privileges not renewed are not reported as being voluntarily relinquished unless thfs is done while you are under investigation; or, in return for not conducting an investigation or proceeding. If privileges are to be reported s oluntarily relinquished you will be notified and receive a copy of the report to be flied with the National Practitioner D bank. Date, As the Supervising Physician/QI Liaison/Department Chair/Medtcal Director/ Service Center Administrator, we have reviewed the above-named AHP's level of experience, past performance and quality indicators (if renewing privileges) as related to requested privileges and agree that the above named AHP's qualifications are appropriate. Since the date of the last llm\ointment, we have reviewed applicable information from the following sources of quality and utilization data: \t Medical Record Review ~ Continuing Education Conferences ~ Physical & Mental Health related to Job Performance,j{l Risk Management Events/Quality Management Reports for claims Annual Evaluation o Student Evaluation o Annual Review by Dept. Chair or SeA o Prescriptive Privileges (8 hours continuing education documentation required every 2 years) Other ~ We find as follows: if'acceptablereview with recommendation of reappointment with clinical privileges as requested. o Concerns noted on review with corrective action plan in place with recommendation of reappointment with privileges _ I. as requested, but ~a revi:w in ~ths.< z., 15J'l.tXQ Dc~O-,-,<_a"r:*s-<.~~.tIJ Barbara Castro; M.D. Date Primary Supe. I h sician Sign ure Printed Name -V(('~ Date George Rich, M.D. Printed Name Date Alternate Supervising PhYSicianSignature Printed Name <--, Date < d'1j-~110 Date ' Printed Name Donna Via, Administrator Printed Name Date Chair/RPC Medical Director Signature (for HSFemployees) Printed Name revised 3/1/2005
12 Privilege List for: Certified Registered Nurse Anesthetist l~ame: $TEl""G?v' Date: PLEASE MARK AS REQUESTED ONLY THOSE AREAS WHERE YOU ARE REGULARLY ASSIGNED TO PRACTICE; EMERGENCY PRIVILEGES SHOULD BE MARKED WHERE YOU ARE THE DESIGNATED PERSON TO COVER AN AREA IN WHICH YOU DO NOT REGULARLY PRACTICE. AREAS IN WHICH YOU DO NOT REGULARLY PRACTICE SHOULD BE LEFT BLANK. ACCORDING TO THE CATEGORY BELOW, ENTER A, B, OR C IN THE COLUMN NEXT TO THE LISTED PRIVILEGE A The applicant will not undertake patient management except in emergency. B The applicant will manage patients with physician present. C The applicant will manage patients in collaboration and/or consultation with the physician. ~--'<\cedure.cedure Medical Medical Medical Medical Medical Airway Mgt - Bronchoscopy & Intubation, Fiber Opt Airway Mgt - Combi-tubes Airway Mgt - Laryngeal Mask Airways Airway Mgt - Mask Ventilation Airway Mgt - Percutaneous Tracheostomy Anesthesia - Caudal Blocks Anesthesia - Digital Blocks Anesthesia - Epidural Blocks & Catheter Place. Anesthesia - General, Inhalation Anesthesia - IV Blocks Anesthesia - Peripheral Nerve Blocks Anesthesia - Subarachnoid Blocks & Catheter Place. Anesthesia - Subcutaneous Anesthesia - Topicalization of Airway Anesthesia - Transtracheal Blocks Anesthesia Local Anesthesia Regional Arterial line placement Blood Product Administration Cath Swan Ganz catheter placement Catheter - IV Peripheral - Placement & Mgt Catheters - Central Venous Pressure Endotracheal Intubation Injections - Intravenous, Gen'l Anesthesia Med Administration - Epidural Med Administration - Intrathecal Med Administration - Oral Med Administration - Topical Anesthesia Care Plan Post Anesthesia Evaluation Post Anesthesia Mgt Preanesthetic Consent Preanesthetic Evaluation Neonatal Ped Adol Adult Geriatric -e. c::... C < <, <. c <. e; A,).c' A A- c, <: < <:::.. c. c; c, ic <.-=----1, "'C'" <---..:...4 <... "". -J, c <.. e; - I <::::..- C- c:::::..c... i L- ~.-===~ ~. ~ ~
13 OTHER PRIVILEGES Neonatal Ped Adol,Adult Geriatric DATE ~~~ Signature Name Printed As the Collaborating Physician and Department Chair/Service Center Administrator, we have reviewed the abovenamed practitioner's level of experience, past performance and quality indicators (if renewing privileges) as related to requested privileges and agree that the above named practitioners qualifications are appropriate. ~---'--I~ f 13 ) O~ DATE _----'1 L/~ J DATE os ~.. ~-=--~--+--,\-cj..~ &.6.<... c: Primary Super sing Physician Signature Name Printed DATE Alternate Supervising Physician Signature Name Printed DATE ~TE ---/--~ =_r_ '~~~~ulcb t1)d Name rinted 1
X X AHP Clinical Privileges Update Form Joseph Fallon, PA Department of Radiology -------I have reviewed the privileges previously granted (COP)' attached) to me and request the following
More informationUNM SRMC NURSE ANESTHETIST (CRNA) CLINICAL PRIVILEGES
o Initial privileges (initial appointment) o Renewal of privileges (reappointment) o Expansion of privileges (modification) INSTRUCTIONS All new applicants must meet the following requirements as approved
More informationUNMH Anesthesiology Clinical Privileges
For eligibility to request privileges in Anesthesiology, applicants must have appointment as a Faculty member of the UNM Department of Anesthesiology & Critical Care Medicine. All new applicants must meet
More informationNASI Per Diem Malpractice
Dear Nurse Anesthetist, We appreciate your interest in NASI s Per Diem Malpractice Insurance. This service is for those providers who need a supplemental policy for working an assignment outside of their
More informationCertified Registered Nurse Anesthetist (CRNA) Application. Full Name Nickname. Address. City State Zip County. Home Phone Cell Phone
Certified Registered Nurse Anesthetist (CRNA) Application Date of Application: I. Personal Information: Full Name Nickname Address City State Zip County Home Phone Cell Phone Email Pager/Alt. Email Sex:
More informationCRITICAL CARE CLINICAL PRIVILEGES St. Dominic Jackson Memorial Hospital
PRINTED NAME: DATE: All new applicants must meet the following requirements as approved by the governing body, effective: 02/25/2016 INSTRUCTIONS Applicant: Check the requested box for each privilege requested.
More informationAPPLIES TO: x SummaCare, Inc. x Apex Health Solutions PRODUCT LINE(S): (Check all that apply)
POLICY NAME: ANESTHESIA PAYMENT POLICY POLICY NUMBER: ISSUING DEPT.: Claims EFFECTIVE DATE: 9/25/2017 APPROVED BY: APPLIES TO: x SummaCare, Inc. x Apex Health Solutions PRODUCT LINE(S): (Check all that
More informationUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES CA-2/CA-3 REQUIRED ROTATIONS IN PEDIATRIC ANESTHESIOLOGY The Department of Anesthesiology has established
More informationPenrose-St Francis Hospital
Advanced Practice Nurse Please check applicable credential [ ] Nurse Practitioner [ ] Clinical Nurse Specialist [ ] Certified Nurse Midwife [ ] Certified Registered Nurse Anesthesist Area of focus _ ***************************************************************
More informationNAME: DATE: MARGARETVILLE HOSPITAL PHYSICIAN ASSITANT/NURSE PRACTITIONER ED CLINICAL PRIVILEGES
SUPERVISING PHYSICIAN(s): MARGARETVILLE HOSPITAL PHYSICIAN ASSITANT/NURSE PRACTITIONER ED CLINICAL PRIVILEGES The following privileges are required to practice in the Emergency Room of Margaretville Hospital:
More informationRegions Hospital Delineation of Privileges Certified Registered Nurse Anesthetist
Regions Hospital Delineation of Privileges Certified Registered Nurse Anesthetist Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting.
More informationCHAP2-CPTcodes _final doc Revision Date: 1/1/2017
CHAP2-CPTcodes00000-01999_final103116.doc Revision Date: 1/1/2017 CHAPTER II ANESTHESIA SERVICES CPT CODES 00000-09999 FOR NATIONAL CORRECT CODING INITIATIVE POLICY MANUAL FOR MEDICARE SERVICES Current
More informationJOHNS HOPKINS HEALTHCARE Physician Guidelines
Page 1 of 7 ACTION New Procedure Amending Procedure Number: Superseding Procedure Number: Repealing Procedure Number: REFERENCES: AMPT Committee ASA Guidelines CMS Guidelines I. GENERAL ANESTHESIA PROCEDURE:
More informationq' Clinical Privileges Update Form U~lVERSTY '!VRGNA Bhiken Naik Department of Anesthesiology HEALTH SYsTEM have reviewed the privileges previously granted to me and request the following changes to include
More informationThe ASA defines anesthesiology as the practice of medicine dealing with but not limited to:
1570 Midway Pl. Menasha, WI 54952 920-720-1300 Procedure 1205- Anesthesia Lines of Business: All Purpose: This guideline describes Network Health s reimbursement of anesthesia services. Procedure: Anesthesia
More informationAHPClinical Privileges Update Form _Carol Ballew Department of Cardiology Clinic have reviewed the privileges previously granted (copy attached) to me and request the following changes: New Privileges
More informationINSTRUCTIONS All new applicants must meet the following requirements as approved by the UNM SRMC Board of Directors effective: June 2017:
o Initial privileges (initial appointment) o Renewal of privileges (reappointment) o Expansion of privileges (modification) INSTRUCTIONS All new applicants must meet the following requirements as approved
More informationDEPARTMENT OF NEUROSURGERY PHYSICIAN ASSISTANT ADVANCED PRIVILEGES
To be eligible to apply for privileges as a Physician Assistant in Neurosurgery, the applicant must currently possess Physician Assistant Core Privileges as a member of the Kaleida Health Medical/Dental
More informationAnesthesia Rotation Medical Student Orientation
Anesthesia Rotation Medical Student Orientation Students interested in a career in anesthesia may choose to follow the anesthesia-track which includes more reading and additional exposure to procedures.
More informationAHPClinical Privileges Update Form Carolyn Brady Department of Heart Center/Cardiology Clinic I have reviewed the privileges previously granted (copy attached) to me and request the following changes:
More informationPrivileges for San Francisco General Hospital # 10
PEDIATRICS 2014 FOR ALL PRIVILEGES: All complication rates, including transfusions, deaths, unusual occurrence reports, patient complaints, and sentinel events, as well as Department quality indicators,
More informationClinical Privileges Profile Pain Management. Kettering Medical Center System
Printed Name Clinical Privileges Profile Pain Management Kettering Medical Center Sycamore Medical Center Kettering Medical Center System Applicant: Check off the Requested box for each privilege requested.
More informationSTANDARDS FOR ACCREDITATION OF NURSE ANESTHESIA EDUCATIONAL PROGRAMS
STANDARDS FOR ACCREDITATION OF NURSE ANESTHESIA EDUCATIONAL PROGRAMS COUNCIL ON ACCREDITATION OF NURSE ANESTHESIA EDUCATIONAL PROGRAMS Revised June 2016 Copyright 2004 by the Council on Accreditation of
More informationRegions Hospital Delineation of Privileges Critical Care
Regions Hospital Delineation of Privileges Critical Care Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic
More informationUNM SRMC CRITICAL CARE PRIVILEGES
UNM SRMC INSTRUCTIONS All new applicants must meet the following requirements as approved by the UNM SRMC Board of Directors effective May 24, 2017 Applicant: Check off the "Requested" box for each privilege
More informationUPMC For Reference Only PHYSICIAN ASSISTANT 2014
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
More informationCritical Care Medicine Clinical Privileges
Name: Effective from / / to / / Initial privileges (initial appointment) Renewal of privileges (reappointment) All new applicants should meet the following requirements as approved by the governing body,
More informationUniCare Professional Reimbursement Policy
UniCare Professional Reimbursement Policy Subject: Anesthesia Services Policy #: UniCare 0020 Adopted: 02/03/2009 Effective: 02/07/2017 Coverage is subject to the terms, conditions, and limitations of
More informationPULMONARY MEDICINE CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 8/5/2015. Applicant: Check off the Requested box for
More informationAnthem Blue Cross and Blue Shield Professional Reimbursement Policy
Subject: Anesthesia CT Policy: 0020 Effective: 08/01/2014 01/31/2015 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria listed
More informationAnesthesia Payment & Billing Information
Anesthesia Payment & Billing Information Time and Points Eligible Anesthesia Procedures Defined Blue Cross and Blue Shield of Texas has determined that certain anesthesia procedures will be reimbursed
More informationAHP Clinical Privileges Update Form Patrice Neese Department of Surgery I have reviewed the privileges previously granted (copy attached) to me and request the following changes: New Privileges to be Added
More informationRegions Hospital Delineation of Privileges Pulmonary Medicine
Regions Hospital Delineation of Privileges Pulmonary Medicine Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and
More informationGoals and Objectives. Assessment Methods/Tools
CA-2 PEDIATRIC ANESTHESIA ROTATION Minneapolis Children s Hospital and Clinics (MCHC) Rotation Site Director: Dr. Chris Altman Rotation Duration: 6 weeks Introduction: In the CA-2 year residents have the
More informationCare of Patients Receiving Analgesia by Catheter Techniques Position Statement and Policy Considerations
Care of Patients Receiving Analgesia by Catheter Techniques Position Statement and Policy Considerations Position Statement Registered nurses (RNs) are valuable members of the patient care team who are
More informationAnesthesia Services Clinical Coverage Policy No.: 1L-1 Amended Date: October 1, Table of Contents
Table of Contents 1.0 Description of the Procedure, Product, or Service... 1 1.1 Definitions... 1 2.0 Eligibility Requirements... 2 2.1 Provisions... 2 2.1.1 General... 2 2.1.2 Specific... 2 2.2 Special
More informationSCOPE OF PRACTICE. Internal Medicine Residency USF Health Morsani College of Medicine University of South Florida
SCOPE OF PRACTICE Internal Medicine Residency USF Health Morsani College of Medicine University of South Florida Background Internal Medicine Residency is clinical training in a supervised environment
More informationClinical Privileges Update Form
Clinical Privileges Update Form Mark Mendelsohn epartment of Pediatrics I have reviewed the privileges previously granted to me and request the following changes to include any new therapies, procedures,
More informationUniversity of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES
University of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES Goals: The overall goal of the rotation is to provide an introduction and understanding of the
More informationPosition Paper on Anesthesia Assistants: An Official Position Paper of the Canadian Anesthesiologists Society
Can J Anesth/J Can Anesth (2018) Appendix 5 Position Paper on Anesthesia Assistants: An Official Position Paper of the Canadian Anesthesiologists Society Background Medical and surgical care has become
More informationDELINEATION OF PRIVILEGES - ANESTHESIOLOGY
KALEIDA HEALTH Name Date DELINEATION OF PRIVILEGES - ANESTHESIOLOGY PLEASE NOTE: Please check the box for each privilege requested. Do not use an arrow or line to make selections. We will return applications
More informationThe Ohio State University Department of Orthopaedics. Residency Curriculum. PGY1 Rotations
The Ohio State University Department of Orthopaedics Residency Curriculum PGY1 Rotations Goals and Objectives Anesthesiology Rotation PGY1 Level I. Core Competency Areas By the end of the PGY1 rotation
More informationCARDIOVASCULAR SURGERY PHYSICIAN ASSISTANT CLINICAL PRIVILEGES
Notice to Applicant: Applicants have the burden of producing information deemed adequate by University of Mississippi Medical Center (UMMC) for a proper evaluation of current competence, current clinical
More informationClinical Privileges Update Form Kenneth Liu Department of. Radiology I have reviewed the privileges previously granted to me and request the following changes to include any new therapies, procedures,
More informationEmpire BlueCross BlueShield Professional Reimbursement Policy
Subject: Anesthesia Services NY Policy: 0020 Effective: 01/01/2015 11/30/2015 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria
More informationCONSENT FOR SURGERY OR SPECIAL PROCEDURES
Admission Date THE VALLEY HOSPITAL CONSENT FOR SURGERY OR SPECIAL PROCEDURES - Colonoscopy 1. Authorization. I hereby authorize Dr. (" my Doctor") and any such assistants or designees as may be selected
More informationClinical Privileges Profile Family Medicine. Kettering Medical Center System
Clinical Privileges Profile Kettering Medical Center Sycamore Medical Center Kettering Medical Center System Applicant: Check off the Requested box for each privilege requested. Applicants have the burden
More informationThe Milestones provide a framework for the assessment
The Anesthesiology Milestone Project The Milestones provide a framework for the assessment of the development of the resident physician in key dimensions of the elements of physician competency in a specialty
More informationAnesthesia Elective Curriculum Outline
Department of Internal Medicine Texas Tech University Health Sciences Center Odessa, Texas Anesthesia Elective Curriculum Outline Revision Date: July 10, 2006 Approved by Curriculum Meeting September 19,
More informationROTATION SUMMARY PEDIATRIC ANESTHESIA / PEDIATRIC CARDIAC ANESTHESIA ELECTIVE. Pager 14191; preferred.
ROTATION SUMMARY PEDIATRIC ANESTHESIA / PEDIATRIC CARDIAC ANESTHESIA ELECTIVE Rotation Contacts and Scheduling Details Rotation Director: Calvin Kuan, M.D. ckuan@stanford.edu Pager 14191; email preferred.
More informationIowa Department of Public Health BUREAU OF EMERGENCY MEDICAL SERVICES. Promoting and Protecting the Health of Iowans through EMS
Iowa Department of Public Health BUREAU OF EMERGENCY MEDICAL SERVICES Iowa Emergency Medical Care Provider Scope of Practice April 2012 Promoting and Protecting the Health of Iowans through EMS LUCAS STATE
More informationSPECIALTY OF PULMONARY MEDICINE Delineation of Clinical Privileges
SPECIALTY OF PULMONARY MEDICINE Delineation of Clinical Privileges Criteria for granting privileges: Current board certification in Internal Medicine by the American Board of Internal Medicine or the American
More informationSan Antonio Uniformed Services Health Education Consortium San Antonio, Texas
San Antonio Uniformed Services Health Education Consortium San Antonio, Texas Department of Medicine General Medicine Wards, Medical Intensive Care Unit (MICU) and Coronary Care Unit (CCU) Supervision
More informationDelineation of Privileges and Credentialing for Critical Care Procedures
Delineation of Privileges and Credentialing for Critical Care Procedures Marialice Gulledge, DNP, ANP-BC Chief, Nurse Practitioner Trauma and Acute Care Surgery Disclosure Faculty/presenters/authors/content
More informationHuntington Memorial Hospital Delineation Of Privileges Neonatology Privileges
NEONATOLOGY PRIVILEGES NEONATOLOGY CORE PRIVILEGES 1. Successful completion of an ACGME or AOA accredited residency in General Pediatrics. 2. Board certification or in the process of certification by the
More informationSimulation Lab Calendar of Events
Fall Junior Week 1 Simulation Immersion Experience o Students work in groups at specific stations Introduced to the basic principles of preparing the anesthetizing site (OR) for patient care Introduced
More informationNEONATAL-PERINATAL MEDICINE CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 8/5/2015. Applicant: Check off the Requested box for
More informationUNMH Critical Care Clinical Privileges. Name: Effective Dates: From To
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees, effective November 17, 2016: INSTRUCTIONS: Applicant: Check off the requested box for each privilege requested.
More informationGENETICS CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 8/5/2015. Applicant: Check off the Requested box for
More informationCLINICAL PRIVILEGES- PEDIATRIC SEDATION SERVICE APP
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: 8/7/2013 Applicant: Check off
More informationSubmit your bills as soon as possible. Please check to see that the correct date is on the top with the month in writing rather than numbers.
OHIP BILLING for ANESTHESIOLOGY (Updated November 2007) Getting started. Keeping on track Review the SOB (Schedule of Benefits) on line at either the OMA website or the MOHLTC website at www.health.gov.on.ca/english/providers/providers_mn.html#ohip.
More information1. Introduction. 1 CMS section
1. Introduction Anesthesiology is the practice of medicine including, but not limited to, preoperative patient evaluation, anesthetic planning, intraoperative and postoperative care and the management
More informationWithin the Scope of Practice/Role of X APRN X RN LPN CNA ADVISORY OPINION MANAGEMENT OF ANALGESIA BY CATHETER IN THE PREGNANT CLIENT
Wyoming State Board of Nursing 130 Hobbs Avenue, Suite B Cheyenne, WY 82002 Phone (307) 777-7601 Fax (307) 777-3519 E-Mail: wsbn-info-licensing@wyo.gov Home Page: https://nursing-online.state.wy.us/ OPINION:
More informationAnesthesia Services INDIANA HEALTH COVERAGE PROGRAMS. Copyright 2017 DXC Technology Company. All rights reserved.
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Anesthesia Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 1 9 P U B L I S H E D : D E C E M B E R 1 2, 2 0 1 7 P O
More informationNBCRNA Annual Summary of NCE & SEE Performance and Transcript Data Fiscal Year 2013
NBCRNA Annual Summary of NCE & SEE Performance and Transcript Data Fiscal Year 2013 November, 2013 NBCRNA FY 2013 Summary of NCE/SEE Performance and Transcript Data TABLE OF CONTENTS 1. INTRODUCTION...
More informationPEDIATRIC EMERGENCY MEDICINE CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 1/6/2016 Applicant: Check off the Requested box for each
More informationSUPERVISION POLICY. Roles, Responsibilities and Patient Care Activities of Subspecialty Residents (Fellows)
Roles, Responsibilities and Patient Care Activities of Subspecialty Residents (Fellows) Definitions Pediatric Critical Care Medicine Fellowship Program Seattle Children s Hospital and Harborview Medical
More informationCLERKSHIP CURRICULUM IN ANESTHESIOLOGY L.J. Patterson
CLERKSHIP CURRICULUM IN ANESTHESIOLOGY L.J. Patterson AIM To introduce clerks to clinical anaesthesia covering: peri-operative assessment and optimization, monitoring techniques, management of acute medical
More informationUNM SRMC NURSE PRACTITIONER (NP) & LICENSED INDEPENDENT PRACTITIONER (LIP) CLINICAL PRIVILEGES. Name: Effective Dates:
o o o Initial privileges (initial appointment) Renewal of privileges (reappointment) Expansion of privileges (modification) INSTRUCTIONS All new applicants must meet the following requirements as approved
More informationSTANDARDS FOR ACCREDITATION OF NURSE ANESTHESIA EDUCATIONAL PROGRAMS
STANDARDS FOR ACCREDITATION OF NURSE ANESTHESIA EDUCATIONAL PROGRAMS COUNCIL ON ACCREDITATION OF NURSE ANESTHESIA EDUCATIONAL PROGRAMS Revised January 2004 Effective March 1, 2004 Copyright 2004 by the
More informationThe University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Anesthesia
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Anesthesia 1. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation.
More informationReimbursement Policy. Subject: Professional Anesthesia Services. Effective Date: 04/01/16. Committee Approval Obtained: 08/04/15. Section: Anesthesia
providers.amerigroup.com Subject: Professional Anesthesia Services Effective Date: 04/01/16 Committee Approval Obtained: 08/04/15 Reimbursement Policy Section: Anesthesia ***** The most current version
More informationSTANDARDS FOR ACCREDITATION
STANDARDS FOR ACCREDITATION OF NURSE ANESTHESIA PROGRAMS Practice Doctorate February 2012 Draft 1 COA Standards Revision Task Force Copyright 2012 by the Council on Accreditation of Nurse Anesthesia Educational
More informationUNMH Nurse Practitioner (CNP) and Physician Assistant (PA) Ambulatory Special Non-Core Procedures (Appendix A) Name: Effective Dates: From To
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees, effective March 31, 2017: Initial Privileges (initial appointment) Renewal of Privileges (reappointment)
More informationSTANDARDS FOR ACCREDITATION
STANDARDS FOR ACCREDITATION OF NURSE ANESTHESIA PROGRAMS Practice Doctorate Approved by the Council on Accreditation of Nurse Anesthesia Educational Programs January 23, 2015 Copyright 2014 by the Council
More informationAPP PRIVILEGES IN SURGERY
APP PRIVILEGES IN SURGERY Education/Training Licensure (Initial and Reappointment) Required Qualifications Successful completion of a PA or NP program Current licensure as a PA or RN in the state of California
More informationSummary of NCE and SEE Performance and Clinical Experience
Summary of CE and SEE Performance and Clinical Experience September 1, 2016, through August 31, 2017 Table of Contents Introduction... 1 Candidate Performance on the CE... 2 Demographic Characteristics
More informationReimbursement Policy. Subject: Professional Anesthesia Services
Reimbursement Policy Subject: Professional Anesthesia Services Effective Date: 01/03/17 Committee Approval Obtained: 01/03/17 Section: Anesthesia ***** The most current version of our reimbursement policies
More informationReimbursement Policy. BadgerCare Plus. Subject: Professional Anesthesia Services. Committee Approval Obtained: Effective Date: 05/01/17
Subject: Professional Anesthesia Services Reimbursement Policy Committee Approval Obtained: Effective Date: 05/01/17 Section: Anesthesia 01/03/17 *****The most current version of our reimbursement policies
More informationMEDICAL DIRECTIVE Management of Intravenous Fluid Therapy by Anesthesia Assistants. Approved by/date: Medical Advisory Comm.
MEDICAL DIRECTIVE Management of Intravenous Fluid Therapy by Anesthesia Assistants Approved by/: Medical Advisory Comm. May 24, 2011 Authorizing physician(s) Anesthetists, Lakeridge Health Oshawa, Department
More informationThe Anesthesiology Milestone Project
The Anesthesiology Milestone Project A Joint Initiative of The Accreditation Council for Graduate Medical Education and The American Board of Anesthesiology December 2013 The Anesthesiology Milestone Project
More informationBeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3)
Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3) Goals GOALS AND OBJECTIVES To analyze and interpret
More informationTeaching Methods. Responsibilities
Avera McKennan Critical Care Medicine Rotation Goals and Objectives Pulmonary/Critical Care Medicine Fellowship Program University of Nebraska Medical Center Written: May 2011 I) Rotation Goals A) To manage
More informationNEPHROLOGY CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 02/15/2017 Applicant: Check off the Requested box for
More informationAPP PRIVILEGES IN MEDICINE
APP PRIVILEGES IN MEDICINE Education/Training Licensure (Initial and Reappointment) Required Qualifications Successful completion of a PA, NP or CNS program Current Licensure as a PA, RN or CNS in the
More informationSANTA MONICA-UCLA MEDICAL CENTER & ORTHOPAEDIC HOSPITAL DIVISION OF ANESTHESIA RULES AND REGULATIONS
SANTA MONICA-UCLA MEDICAL CENTER & ORTHOPAEDIC HOSPITAL DIVISION OF ANESTHESIA RULES AND REGULATIONS Page 2 of 14 I. INTRODUCTION The following Division of Anesthesia Rules and Regulations are adopted
More informationPOSITION DESCRIPTION COLUMBUS REGIONAL HEALTHCARE SYSTEM CERTIFIED REGISTERED NURSE ANESTHETIST
POSITION DESCRIPTION COLUMBUS REGIONAL HEALTHCARE SYSTEM JOB TITLE CERTIFIED REGISTERED NURSE ANESTHETIST JOB CODE 0265 DEPARTMENT FLSA (Exempt/Non-Exempt) ANESTHESIA Non-Exempt DEPARTMENT DIRECTOR SIGNATURE
More informationROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE
ROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE Rotation Contacts and Scheduling Details Rotation Director: Kelly Yeh, MD Director of Pediatric Anesthesia Santa Clara Valley Medical Center kelly.yeh@hhs.sccgov.org.,
More informationHLT Advanced Diploma of Nursing
HLT64115 - Advanced Diploma of Nursing Course Description This nationally accredited qualification reflects the role of enrolled nurses with advanced skills who work in a specialised area of nursing practice.
More informationCOBAFOLIO: DOCUMENTING THE EVIDENCE OF COMPETENCE
COBAFOLIO: DOCUMENTING THE EVIDENCE OF COMPETENCE (2006) The CoBaTrICE Collaboration: 1 st September 2006. European Society of Intensive Care Medicine (ESICM) Avenue Joseph Wybran 40, B-1070,Brussels.
More informationProvincial Nursing Competencies List of e-learning Modules. Updated: September 25, 2015
Provincial Nursing Competencies List of e-learning Modules Updated: September 25, 2015 Once you sign in on the home page, you will see the following search screen on the right hand side of the page: Search:
More informationYour Anesthesiologist, Anesthesia and Pain Control
You should avoid having pain after surgery by planning ahead. For example, if you know that you are going to be getting up to do your exercises with the therapist, ask for pain control medication in advance.
More information3 SCIP-Inf-2, SCIP-Inf-3, SCIP-Inf-4, SCIP-Inf-9, SCIP-Inf-10, SCIP-VTE-1, SCIP-VTE-2 Anesthesia End Time
Release Notes: Alphabetical Data Dictionary Version 3.0b Surgical Care Improvement Project (SCIP) - Data Dictionary The General Abstraction Guidelines explain the different sections of the data element
More informationAnesthesiology 302 Introduction to Anesthesia Goals and Objectives
Anesthesiology 302 Introduction to Anesthesia Goals and Objectives I. The student will be able to perform an appropriate preoperative evaluation, including history, physical exam, and appropriate use of
More informationPolicy for use of the Royal Marsden Manual of Clinical Nursing Procedures (9th Edition)
Policy for use of the Royal Marsden Manual of Clinical Nursing Procedures (9th Edition) Document Summary This Policy defines the clinical procedures for all Clinical staff (including temporary staff, contracted
More informationRULES AND REGULATIONS DEPARTMENT OF ANESTHESIOLOGY Revised March 2012
RULES AND REGULATIONS DEPARTMENT OF ANESTHESIOLOGY Revised March 2012 Section I-Administration Scope of service. 3 Major Diseases/conditions managed 3 Department philosophy and objectives 3 Guidelines
More informationYour Anesthesiologist, Anesthesia and Pain Control
You can reduce your pain level after surgery by planning ahead. For example, if you know that you are going to be getting up to do your exercises with the therapist, ask for pain control medication in
More informationINTERNAL MEDICINE CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 11/20/2015 Applicant: Check off the Requested box for
More informationDepartment of Critical Care Restricted Registration Proposal for Call Coverage by Residents in TOH Intensive Care Units
Department of Critical Care Restricted Registration Proposal for Call Coverage by Residents in TOH Intensive Care Units Background: In 2004, the CPSO adopted a model for a pilot project to institute limited
More information~ ~..._..._...~..._ CLINICIAN SIGNATURE
Clinical Privileges Update Form UNlVEHSrry qrvirginiau Barbara Wilson Department of Dermatology L--. HEALTH SYsTEM ~ ~ I have reviewed the privileges previously granted to me and request the following
More information