Procedural Skills
Level Of Competence
Level 1:
Describe the indications, contraindications, risks, common complications and the process of the procedure
Level 2: Perform the procedure under supervision in a non-clinical setting (e.g. simulated set-up)
Level 3: Perform the procedure in a stable patient under supervision in a controlled clinical setting
Level 4: Perform the procedure in a stable patient without supervision in a controlled clinical setting
Level 2: Perform the procedure under supervision in a non-clinical setting (e.g. simulated set-up)
Level 3: Perform the procedure in a stable patient under supervision in a controlled clinical setting
Level 4: Perform the procedure in a stable patient without supervision in a controlled clinical setting
| Procedure | Pre-Clerkship | Clerkship |
|---|---|---|
| Aseptic Technique | 4 | 4 |
| Universal Precautions | 1 | 4 |
| Bag-mask ventilation with an oral and nasal airway | 2 | 3 |
| Use of an AED: may be included with BCLS | 4 | 4 |
| BCLS | 4 | 4 |
| External cardiac pacemaker as part of ACLS | 1 | 3 |
| Bone Marrow aspiration | 1 | 1 |
| Glucometer | 1 | 4 |
| Venipuncture | 2 | 4 |
| I.V. line insertion | 2 | 4 |
| Arterial blood gases | 1 | 3 |
| Throat/nasopharyngeal swab | 1 | 4 |
| Endotracheal intubation | 1 | 2 |
| Central line insertion | 0 | 1 |
| Thoracocentesis | 1 | 2 |
| Abdominal paracentesis | 1 | 2 |
| Lumbar puncture | 1 | 2 |
| Joint aspiration | 1 | 2 |
| Pap smear (pelvic exam needs to be mastered before Pap smear) | 2 | 3 |
| Wound closure including suturing superficial skin wound and/or incision; aseptic techniques | 2 | 4 |
| Performance of EKG | 1 | 2 |
| Urinary catheterization | 2 | 4 |
| Abscess incision and drainage | 1 | 3 |
| Skin biopsy | 1 | 3 |
| N/G tube | 1 | 3 |
| Primary casting for fracture | 1 | 2 |
| Ophthalmological examination: tonometry, fluorescein, use of slit lamp | 1 | ? |
| Ear syringing | 1 | 3 |
| Use oximeter to measure oxygen saturation | 2 | 4 |
| Spirometry: peak flow meter and portable spirometer | 2 | 4 |
| IM, subcutaneous and intradermal injection | 1 | 3 |
| Urinalysis: dipstick | 1 | 4 |
| Stool for occult blood | 2 | 4 |