Can28 Posted August 14, 2013 Share Posted August 14, 2013 Hello Everyone, I am a new graduate PA who has recently been hired in Hospital Medicine. I am currently looking through my credentialing package and came across the "what types of procedures" a Hospitalist PA can perform, and whether it should be done under direct, or indirect supervision. I would like to know what types of procedures I should include and if I should put direct supervision for now or put indirect b/c I know once I feel comfortable with the procedures I would be able to do them on my own. I don’t want to leave anything out and not be allowed to do them. Thanks, Can28 Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 14, 2013 Moderator Share Posted August 14, 2013 get the list from a current hospitalist pa already on staff. if you will be he first, shoot for the stars: abg's, central lines, lp's, vent management, paracentesis, thoracenteis, a-lines, intubation, etc Link to comment Share on other sites More sharing options...
lov2xlr8 Posted August 14, 2013 Share Posted August 14, 2013 Off the top of my head... NGT's, ABG's, LP's, thora's, para's, venipuncture anywhere the nurses can't (got a large bore in a cephalic the other day in a GI bleeder, :-))... All these require a certain number under direct supervision (I think like 5 for abg's/ngt's and 10 for para/thora's/LPs) and then you're free to do on your own... We can't do central lines or a-lines because we can't supercede our hospitalist SP credentials (for some crazy reason, they actually can't place lines)... My ICU pals can of course but different SPs... Agreed with Emed though, if you can choose, go for the gold Link to comment Share on other sites More sharing options...
Can28 Posted August 14, 2013 Author Share Posted August 14, 2013 Thanks EMEDPA I don't want to sound to green, but I am really excited that you responded to my post. I have been on this forum for about 3 years (not as a member at first but of course becoming one) and I have learned so much from the information you have given. I will be the first PA they hire and I will of course, shoot for the stars. :=D: Thanks as well lov2xlr8 for all of the information you have given. I will make sure to include them. I do have another question. On my paperwork should I put direct supervision for now until I have the required number of procedures completed or should I put indirect supervision knowing that I will not be able to do any of the procedures until I have the correct number under direct supervision? I fear that if I put direct supervision for each procedure that I list, I will not be able to do them later under indirect supervision. I understand I am a new grad and will not attempt to do anything that I am not comfortable with or that will put patients in harms way. I am just thinking about the future and don't want to risk not being able to do the procedures under indirect supervision or having to fill out all this paperwork again. I will keep a log of everything that I do. The Hospitalist I work with can do everything mentioned above. Thanks Link to comment Share on other sites More sharing options...
lov2xlr8 Posted August 14, 2013 Share Posted August 14, 2013 Still a little confused, are you joining a Hospitalist service (so employed by the hospital) or will you be with a private outPt doc who has privileges there and sees his/her own Pts there? Link to comment Share on other sites More sharing options...
bananapeppers Posted August 14, 2013 Share Posted August 14, 2013 Still a little confused, are you joining a Hospitalist service (so employed by the hospital) or will you be with a private outPt doc who has privileges there and sees his/her own Pts there? I had a question about this - has anyone had any experience being hired by an outpatient doctor to see inpatient vs. being hired on by a hospital and seeing inpatients? I found a hospitalist job but it would be through a private doctor and seeing his patients in the hispital (rounding, admits, etc.) How do those normally work out? thanks! Link to comment Share on other sites More sharing options...
Can28 Posted August 14, 2013 Author Share Posted August 14, 2013 I am joining a Hospitalist service. Link to comment Share on other sites More sharing options...
maryfran123 Posted August 15, 2013 Share Posted August 15, 2013 At our hospital indirect supervision means a doc is onsite, independent means no doc on campus, and directed is at the bedside or at least the door. The expectation for credentialing where I work is that if you are requesting to do a procedure you do not have competency with that it is requested with direct supervision. Once you acquire competency and the necessary number your hospital requires you request a change be made to the credentialing. Being a new grad, much of what you will do early on will be under direct supervision. If you put indirect supervision you may be required to show proof of competency. Link to comment Share on other sites More sharing options...
Can28 Posted August 19, 2013 Author Share Posted August 19, 2013 Thanks for the info Maryfran123, I will put direct supervision instead of indirect supervision when I meet with my SP and the credentialing dept. Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.