Procedures

Per ACGME requirements, pediatric residents must be able to competently perform procedures used by a pediatrician in general practice, including being able to describe the steps in the procedure, indications, contraindications, complications, pain management, post-procedure care, and interpretation of applicable results. Residents must demonstrate procedural competence by performing the procedures listed below.  The best settings to obtain experiences are listed in parentheses:

  • bag-mask ventilation (PICU, ED and Anesthesiology)
  • bladder catheterization (ED, Inpatient and Continuity Clinic)
  • giving immunizations (Continuity Clinic, Wake Clinic and Cone Clinic)
  • incision and drainage of abscess (ED)
  • lumbar puncture (ED, Inpatient - especially PMB, NICU, PICU and Neurology)
  • neonatal endotracheal intubation (NICU)
  • peripheral intravenous catheter placement (ED, Inpatient and PICU)
  • reduction of simple dislocation (ED)
  • simple laceration repair (ED)
  • simple removal of foreign body (ED)
  • temporary splinting of fracture
  • umbilical catheter placement
  • venipuncture

In addition, residents must be competent in the understanding of the indications, contraindications, and complications for the following and should receive real and/or simulated training when these procedures are important for a resident’s post-residency position:

  • arterial line placement (PICU)
  • arterial puncture (PICU and ED)
  • chest tube placement (PICU, NICU and ED)
  • circumcision (training kits available from Dr. Steiner)
  • endotracheal intubation of non-neonates (PICU and Anesthesiology)
  • thoracentesis
All completed procedures should be logged in E*Value.