Credentialed Procedures

This fulfills requirements of New York State law — and ensures that you get consistent supervision and feedback while you learn.

Before performing any of these procedures, you will review its steps with your supervisor. This individual will be credentialed in the procedure you’re learning, and may be another resident, a fellow or the attending.

For a supervised procedure to count toward your credentialing, it must meet these criteria:

• You must have an eligible supervisor present for the duration of the procedure.
• You must demonstrate to the supervisor necessary knowledge of indications, contraindications and management options for possible complications.
• You must correctly identify the patient by two unique identifiers before attempting the procedure.
• If informed consent is required, it must be obtained.
• The patient must be educated about the procedure’s risks and benefits and about what to expect during and after the procedure.
• You must complete all steps successfully with your supervisor in attendance, for example, checking X-rays after IJ/subclavian line attempts.
• You must place a clear note in the patient’s chart designating the procedure, indication(s), supervisor, consent obtained, steps performed, outcome and any other relevant information.