Core Privileges: Admit, evaluate, diagnose, consult, treat, and provide consultation to patients of all ages, presenting with diseases, injuries, and disorders of the intestinal tract, colon, rectum, anal canal, and perianal areas by medical, surgical, and endoscopic means. May provide care to patients in the intensive care setting in conformance with unit policies. Assess, stabilize, and determine disposition of patients with emergent conditions consistent with medical staff policy regarding emergency and consultative call services. The core privileges in this specialty include the procedures on the attached procedure list and such other procedures that are extensions of the same techniques and skills. Core Procedures List: This is not intended to be an all-encompassing procedures list. It defines the types of activities/procedures/privileges that the majority of practitioners in this specialty perform at this organization and inherent activities/procedures/privileges requiring similar skill sets and techniques. - Performance of history and physical - Anoplasty - Anorectal manometry - Anoscopy - Anoscopy with biopsy - Anoscopy with control of hemorrhage - Anoscopy with polypectomy - Botulinum toxin injection into sphincter - Chemical destruction of anal lesions - Colonoscopy (Noblesville only) - Colonoscopy via colostomy (Noblesville only) - Colonoscopy with balloon dilation (Noblesville only) - Colonoscopy with biopsy (Noblesville only) - Colonoscopy with endoscopic mucosal resection (Noblesville only) - Colonoscopy with heater probe-bleeding (Noblesville only) - Colonoscopy with polypectomy (Noblesville only) - Cryptectomy - Division of stricture rectum - Excision of pilonidal cyst - Excision of skin lesion - Excision of rectal tumor transanal approach - Fissurectomy with or without sphincterotomy - Fistulectomy - Fistulotomy - Flexible sigmoidoscopy (Noblesville only) - Flexible sigmoidoscopy with biopsy (Noblesville only) - Flexible sigmoidoscopy with polypectomy (Noblesville only) - Hemorrhoidectomy (internal and external) - Incision, drainage, and debridement of abscess - Infrared coagulation of internal hemorrhoids - Infrared photocoagulation - Internal sphincterotomy - Proctosigmoid exam - Proctosigmoid with biopsy - Proctosigmoid with control hemorrhage - Proctosigmoid with polypectomy - Removal of fecal impaction or foreign body - Rigid sigmoidoscopy (Noblesville only) - Rubber band ligation - Sclerotherapy - Sphincteroplasty - Strictureplasty - Suture ligation
Moderate Sedation (must maintain ACLS certification and complete the moderate sedation test)
ARGON Endoscopy
CO2 Contact/Skin