PROCEDURAL COMPETENCY

University of Texas Medical Branch

Pediatric Residency Program


The following procedure are required for successful completion of the residency program. Some require direct observation and some require use of an evaluator checklist.  

Competency is to be logged by the Resident into New Innovations Procedure Logger; and for those requiring direct observation, the evaluator will be prompted to certify competency in New Innovations.

   

 Procedures

# Req'd for Program Completion

Required for Competency and Credentialing

Evaluators who may certify competency

Arterial Puncture

2

Record of #

 

Arterial Puncture, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA, Res*

Audiometry Interpretation

3

Record of #

 

Bladder Catheterization (female)

2

Record of #

 

Bladder Catheterization (female), OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA, RN, Res*

Bladder Catheterization (male)

2

Record of #

 

Bladder Catheterization (male), OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA, RN, Res*

Central Venous Line Placement, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA

Circumcision

5

Record of #

 

Circumcision, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA

Developmental Screening

3

Record of #

 

Endotracheal Intubation (child or adolescent)

1

Skills Lab & PALS Certification

 

Endotracheal Intubation (Neonate)

2

Record of #

 

Endotracheal Intubation (Neonate) OBSERVED w/ CHECKLIST

1

OBSERVED w/ CHECKLIST

Fac, Fellow, NP, PA

Foreign Body (ear), Simple Removal

3

Record of #

 

Foreign Body (eye), Simple Removal, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA

Foreign Body (nose), Simple Removal, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA

Gyn Evaluation of Prepubertal Female

1

Record of #

 

Gyn Evaluation of Pubertal Female

2

Record of #

 

Gyn Evaluation of Pubertal Female OBSERVED EVAL w/ CHECKLIST

1

OBSERVED w/ CHECKLIST

Fac, Fellow, NP, PA

Hearing Screening

3

Record of #

 

Immobilization Common Fractures

3

Record of #

 

Incision & Drainage, Superficial Abscess

2

Record of #

 

Incision & Drainage, Superficial Abscess, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA, Res*

Inhalation Meds Administration (neb, surfactant)

3

Record of #

 

Inhalation Meds Administration (MDI w/spacer)

3

Record of #

 

Intradermal/Subcutaneous Injection

3

Record of #

 

Intramuscular Injection

3

Record of #

 

Intraosseous Line Placement

1

Skills Lab & PALS Certification

 

Intravenous Line Placement

2

Record of #

 

Intravenous Line Placement, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA, RN, Res*

Lumbar Puncture

5

Record of #

 

Lumbar Puncture, OBSERVED EVAL w/ CHECKLIST

1

OBSERVED w/ CHECKLIST

Fac, Fellow, NP, PA

Nasogastric Tube Placement with/without lavage

3

Record of #

 

Pain Management (e.g. PCA)

2

Record of #

 

Pain Management (e.g. PCA,), OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA

Reduction/Splinting Simple Dislocation, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA, Res*

Sedation, Procedural, OBSERVED

1

OBSERVED

 

Suture Lacerations

2

Record of #

 

Suture Lacerations, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA, Res*

Thoracocentesis/ChestTube Placement, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA

Tracheostomy Tube Placement, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA

Tympanometry Interpretation

3

Record of #

 

Umbilical Artery Catheter Placement

2

Record of #

 

Umbilical Artery Catheter Placement, OBSERVED EVAL w/ CHECKLIST

1

OBSERVED w/ CHECKLIST

Fac, Fellow, NP, PA

Umbilical Vein Catheter Placement

2

Record of #

 

Umbilical Vein Catheter Placement, OBSERVED EVAL w/ CHECKLIST

1

OBSERVED w/ CHECKLIST

Fac, Fellow, NP, PA

Venipuncture

2

Record of #

 

Venipuncture, OBSERVED

1

OBSERVED

Fac, Fellow, NP, PA, RN, Res*

Vision Screening

3

Record of #

 

Wound Care

3

Record of #

 

 

 

 

Res*= upper level resident who has been determined competent by observation and has logged competency into New Innovations.

RECORD OF #:  Resident must log-in the required number of procedures.

OBSERVED:  Resident must demonstrate for the evaluator that s/he can perform procedure without assistance.  Once the observer attests to competency, the resident may supervise other residents;  and, for credentialing purposes at this and other institutions, the program director can attest to competency to perform this procedure.

OBSERVED w/ CHECKLIST: OBSERVED procedures (as above) , but with Faculty use of a CHECKLIST.

Note: the checklist is only for the purpose of observation, does not need to be submitted.


link to New Innovations Procedures Logger. 

If the name of your observer/evaluator is not in dro-down list in New Innovations Procedure Logger,
contact the Residency Coordinator or Systems Analyst.