Core Privileges: Assess, evaluate, diagnose, and initially treat patients of all ages who present in the ED with any symptom, illness, injury, or condition. Provide immediate recognition, evaluation, care, stabilization, and disposition in response to acute illness and injury. Privileges include the performance of history and physical examinations, the ordering and interpretation of diagnostic studies, including laboratory, diagnostic imaging, and electrocardiographic examinations, and the administration of medications normally considered part of the practice of emergency medicine. Privileges do not include admitting privileges, long-term care of patient on an inpatient basis, or the performance of scheduled elective procedures. The core privileges in this specialty include the procedures on the attached procedures list and such other procedures that are extensions of the same techniques and skills. Unless otherwise indicated, Emergency Medicine privileges are applicable to all Riverview Health emergency center locations.
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.) Airway techniques - Airway adjuncts - Capnometry - Cricothyrotomy - Foreign body removal - Intubation - Mechanical ventilation - Noninvasive ventilator management - Percutaneous transtracheal ventilation Anesthesia - Local - Regional nerve block Diagnostic Procedures - Anoscopy - Arthrocentesis - Blood, fluid and component therapy administration - Compartment pressure measurement - Lumbar puncture - Nasogastric tube - Ultrasound Guided Paracentesis - Pericardiocentesis - Slit lamp examination - Thoracentesis - Tonometry Genital/urinary - Bladder catheterization (Foley catheter, suprapubic) - Testicular detorsion Head and neck - Control of epistaxis - Drainage of peritonsillar abscess - Laryngoscopy - Lateral canthotomy - Removal of rust ring - Tooth stabilization Hemodynamic techniques - Arterial catheter insertion - Central venous access - Intraosseous infusion - Peripheral venous cutdown Obstetrics - Delivery of newborn Other techniques - Bedside ultrasound - Escharotomy/burn management - Excision of thrombosed hemorrhoids - Foreign body removal - Gastric lavage - Gastrostomy tube replacement - Incision and drainage - Sexual assault examination - Trephination nails - Violent patient/restraint - Wound closure technique - Wound management Resuscitation - Cardiopulmonary resuscitation (CPR) - Neonatal resuscitation Skeletal procedures - Fracture/dislocation immobilization techniques - Fracture/dislocation reduction techniques - Spine immobilization techniques Thoracic - Cardiac pacing (cutaneous, transvenous) - Defibrillation/cardioversion - Thoracostomy - Thoracotomy
The following privileges were not requested: - Anoscopy
Moderate Sedation (must maintain ACLS certification and complete moderate sedation test)
Use of Propofol (must maintain ACLS certification and complete propofol test)