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Procedure Log
Please use the following to log procedures attempted, overseen, or completed
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* Indicates required question
Date
*
MM
/
DD
/
YYYY
Resident Name (First, Last)
*
Choose
Alyssah Aldinger
Jake Andrews
Max Baker
Chris Bryant
Noah Christian
Gabe Clinton
Alyssa DaVolio
Elizabeth Dennison
Karly Dubs
Mallory Marshall
Milap Patel
Sonal Patel
Katie Taylor
Rotation
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Choose
Wards
CHOC
PICU
NICU
Newborn/Lactation
Hematology Oncology
Adolescent
Development
Peds ER
Allergy-Immunology
Cardiology
Child Abuse
Endocrinology
Nephrology
Neurology
Pulmonology
ID
Gastroenterology
Radiology
Other
Faculty Preceptor (Last Name)
Your answer
Procedure
*
Choose
Arterial Puncture Cath (Art Line)
Circumcision
Developmental screening test
Endotracheal intubation
Gynecologic evaluation of pre- and post-pubertal females
Hearing screening interpretation
Incision and drainage of superficial abscesses
Intraosseous Line Placement (I/O)
Lumbar puncture
Procedural sedation
Reduction and splinting of simple dislocations and fractures
Subcutaneous, intradermal, and intramuscular injections
Simple removal of foreign bodies
Tympanometry and audiometry interpretation
Umbilical Artery and/or Vein Catheterization
Vision screening and interpretation
Wound care and/or Suturing/closure of Laceration
Other
If other was selected above please describe
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Please choose level of participation
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Observed / Precepted
Simulation
Attempted unsuccessful
Attempted successfully
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