Procedures and credentialing / privileges

[SERENITY NOW]

Hello everyone,

I am going through the onboarding process for the first time after finishing residency and I had a question about how procedure credentialing / privileges works.  I will be working in EM. They gave me several pages of procedures / privileges I could apply for and next to it I had to put how many times I had performed that procedure.  They then came back to me and said they couldn't give me privileges for the procedures that I hadn't performed before, like "paracentesis on a child" (yes they got as specific as dividing most procedures into adults vs child vs neonate).  

 

So my question is, if we do not have privileges for a certain procedure, does this mean that we cannot ever perform them in that hospital?  What if our supervising physician is supervising in the room?  What if our SP just says "go ahead and do it and I'll sign off on the procedure note" without being in the room?  

 

 

[EMEDPA]

My feeling is that if your sp walks you through a procedure and signs you off on it then you are good to go for that procedure. They should send a letter to medical staff services saying " I have observed serenity now performing pediatric paracentesis and am confident in their ability to do so".

[ventana]

This brings up an important point

 

Procedure Logs are a must FOREVER

 

Keep them, save them to a google drive or some other long term storage

Keep them updated (PAI I know)

Docs are having to do them, and we do to....

 

 

Yes I would assume someone credentialed in the specific procedure that you are not credentialed in should be in the room and be the official operator, while training you, and signing off - I would say after 3 then ask for the credential

[JMann]

Glad you brought this up. As I was updating my residency procedure log yesterday I was contemplating the same things. When I get done with residency I'll be looking to be credentialed in the major procedures that I'm likely to need to perform regularly (intubation, central and art lines, para/throacentesis, etc). Interesting that they differentiate procedures down to adult vs child, especially paracentesis. Don't think many residency EM physicians graduate with more than a couple of those under their belt if any.

 

Are you attempting to get any US credentialing? I know this can be state and hospital dependent, but was just wondering what your experience with that has been thus far.