AFMC National Clinical Skills Working Group Evidence-Based Clinical Skills Document

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

Aseptic Technique44
Universal Precautions14
Bag-mask ventilation with an oral and nasal airway23
Use of an AED: may be included with BCLS44
External cardiac pacemaker as part of ACLS13
Bone Marrow aspiration11
I.V. line insertion24
Arterial blood gases13
Throat/nasopharyngeal swab14
Endotracheal intubation12
Central line insertion01
Abdominal paracentesis12
Lumbar puncture12
Joint aspiration12
Pap smear (pelvic exam needs to be mastered before Pap smear)23
Wound closure including suturing superficial skin wound and/or incision; aseptic techniques24
Performance of EKG12
Urinary catheterization24
Abscess incision and drainage13
Skin biopsy13
N/G tube13
Primary casting for fracture12
Ophthalmological examination: tonometry, fluorescein, use of slit lamp1?
Ear syringing13
Use oximeter to measure oxygen saturation24
Spirometry: peak flow meter and portable spirometer24
IM, subcutaneous and intradermal injection13
Urinalysis: dipstick14
Stool for occult blood24