• **Specialty: Critical Care Advanced Practice Provider (APP)**
• **Scope of Practice:** - **Setting:** Inpatient rounds only.
• **Procedural Competencies:**
• Proficient in moderate sedation.
• Skilled in performing lumbar punctures.
• Competent in endotracheal intubation and extubation.
• Experienced in paracentesis and thoracentesis.

- Ventilator management expertise includes

• Assessing patient readiness for respiratory weaning and oxygen therapy.
• Assessing the necessity for intubation.
• Chest tube insertion capabilities.
• Insertion of various access lines including PICC lines, arterial lines, and central venous catheters, either percutaneously or via cutdown technique.
• Arterial line insertion and removal (both radial and femoral), recognizing that these privileges may overlap.
• Proficient in tracheostomy care, including tube replacement.
• Management of tension pneumothorax in emergent scenarios.
• External pacing, including adjustments to temporary epicardial, transvenous, or transcutaneous pacemakers as needed.
• **Proctoring Requirements:** - Must complete 5 supervised cases for each procedure listed.
• **Clinical Support:** - Available.
• **Electronic Medical Record (EMR) and Dictation Tools:**
• Utilizes EPIC and Dragon for documentation.
• **Mandatory Qualifications:** - Current ACLS certification.
• Demonstrated experience: Minimum of 50 case logs within the past 12 months.
• Board Certification (or valid Board Eligibility).
• Clean OIG search.
• Holds an active Michigan medical license or is part of the Interstate Medical Licensure Compact (IMLC).