Privilege Viewer - Stephen R Pence, MD

Emergency Medicine

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DC cardioversion in V-fib and V-tachy
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Basic airway procedures
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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ACLS
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Initial evaluation and management of emergency department patients

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

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Peripheral intravenous access
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Basic cardiopulmonary resuscitation
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Clavicle strap
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Short leg (ankle) splint
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Short arm (wrist) splint
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Finger splinting
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Local anesthesia infiltration
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Repair of minor lacerations
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Nasogastric tube
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Bladder catheterization
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Arterial puncture
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Topical anesthesia of the eye
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Nasal packing - anterior
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Use of local infiltration anesthesia, topical anesthesia and minor nerve blocks.

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Moderate Sedation (Must meet criteria as defined within Moderate Sedation Guidelines, completion of 
Self-Test as provided by the Medical Affairs Office as well as proof of current ACLS Certification)

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

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Endotracheal intubation
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Central venous access
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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External pacemaker management
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Repair of facial lacerations
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Repair of hand lacerations
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Local anesthesia including digital nerve blocks, field blocks

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

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Repair of minor open fractures (distal phalynx)
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Incision and drainage of simple abscesses
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Long-arm splints
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Long leg splints
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Reduction of radial head subluxation
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Reduction of patellar dislocation
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Reduction of finger or toe dislocation 
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Reduction of ankle dislocation - limb threatening
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Reduction of shoulder dislocation
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Foreign body removal from superficial sites of readily accessible body cavities

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

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Screening EKG interpretation
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Screening radiography interpretation
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Emergency obstetrical delivery
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Corneal foreign body removal
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Tonometry measurement of intraocular pressure
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Nasotreacheal intubation
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Arterial line placement
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Administration of thrombolytic agent
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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CVP monitoring 
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Thoracentesis
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Incision and drainage of a felon
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Nailbed repair
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Repair of irregular lacerations
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Reduction of elbow dislocation - limb threatening
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Arthrocentesis of the hands, wrists, ankles, knees, elbows

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

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Removal of foreign bodies under fluoroscopy
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Cricothyrostomy
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Pericardiocentesis (in cardiac tamponade)
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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DC cardioversion for tachyarrythmias
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Temporary transvenous pacemaker insertion (in life-threatening situations only)

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

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Tube thoracostomy
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Pericentesis
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Reduction of the hip in limb-threatening conditions
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Cardiology

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Lumbar puncture
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2014
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Arthrocentesis
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2014
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Paracentesis
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2014

Uncomplicated ventilator management - Noblesville Hospital Only

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2014

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Cardioversion (Emergency) 
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2014
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Intubation
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2014

INVASIVE PROCEDURES: Central Venous Catheterization (10)

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

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INVASIVE PROCEDURES: Arterial Lines (10)
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

General Internal Medicine

Privileges include performance of specific medical procedures, as well as related admission, consultation, and work-up, to correct or treat various medical conditions, illnesses and injuries.  Unless otherwise indicated, General Internal Medicine privileges are applicable to both Westfield Hospital and Noblesville Hospital.

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

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Lumbar puncture
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Arthrocentesis
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Paracentesis
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Intubation
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Uncomplicated ventilator management - Noblesville Only

Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

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Cardioversion (Emergency)
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Hematology/Oncology

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Lumbar puncture
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 8/29/2022
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Bone marrow aspiration/biopsy - Noblesville Only
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Hyperbaric Medicine

HYPERBARIC MEDICINE (Hyperbaric Medicine privileges are only applicable to Noblesville Hospital)

CATEGORY I PRIVILEGES:
 Physicians with these privileges have met the entire minimum threshold criteria described above and can perform and direct routine hyperbaric medicine treatments and could provide emergency hyperbaric medicine treatments in consultation with a physician holding category 2 clinical privileges.  They would be expected to request consultation or supervision when: 
*   The diagnosis and/or management remain in doubt over an unduly long period of time, especially in the presence of life-threatening illness,
*   Unexpected complications arise which are outside the physician's level of competence and experience, or
*   Specialized treatment or procedures are contemplated with which the physician is not familiar.

Approved | 7/29/2024 - 6/30/2026 | Granted On: 8/22/2013

Nephrology

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Temporary vascular access (10) - Noblesville Only
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010

Pulmonology/Critical Care

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Chest tube placement (5)
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Thoracentesis (5)
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Central venous catheterization (10)
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010
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Arterial lines (10)
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Approved | 7/29/2024 - 6/30/2026 | Granted On: 10/31/2010