New Privilege List - DI / Radiation Oncology - Sutter Medical Center
New Privilege List - DI / Radiation Oncology - Sutter Medical Center
New Privilege List - DI / Radiation Oncology - Sutter Medical Center
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<strong>Sutter</strong> <strong>Medical</strong> <strong>Center</strong>, Sacramento<br />
Department Of Diagnostic Imaging & <strong>Radiation</strong> <strong>Oncology</strong> - Delineation Of <strong>Privilege</strong>s<br />
NAME:<br />
Request <strong>Privilege</strong> Appointment Requirements Proctoring Required<br />
Coronary CT Angiography – Continued<br />
3. Completed at least 40 hours of category I continuing<br />
medical education (CME) in cardiac imaging,<br />
including cardiac CT/coronary CTA anatomy,<br />
physiology, and/or pathology or documented<br />
equivalent supervised experience in a center actively<br />
performing coronary CTA. Documentation of<br />
CME can be by copies of certificates or listing of<br />
CME programs with date, title of program and<br />
number Category 1 CME credits granted.<br />
Reappointment<br />
Requirements<br />
Number<br />
Performed<br />
[ ] II. INTERVENTIONAL RA<strong>DI</strong>OLOGY Radiography Certificate Required. First five (5) cases<br />
AND<br />
Evaluations at 3, 6 &<br />
12 Months<br />
[ ] Central venous catheter placement with<br />
subcutaneous tunnel<br />
[ ] Central venous catheter placement without<br />
subcutaneous tunnel<br />
[ ] Transvenous repositioning a central venous catheter<br />
[ ] Transvenous extraction of central venous catheter<br />
fragment<br />
[ ] Central venous catheter placement with<br />
subcutaneous port<br />
[ ] Removal of central venous catheter either tunneled<br />
or with subcutaneous port<br />
[ ] Exchange of central venous catheter either tunneled<br />
or non-tunneled<br />
[ ] Transvenous stripping of central venous catheter<br />
[ ] Thrombolytic infusion for non-functioning central<br />
venous catheter<br />
[ ] Thrombolytic infusion for deep venous thrombosis<br />
[ ] Venous angioplasty<br />
[ ] Parathyroid and thyroid venous sampling<br />
[ ] Renal venous sampling<br />
[ ] Adrenal venous sampling<br />
[ ] Visceral venous sampling<br />
[ ] Wedge hepatic venogram<br />
[ ] Wedge hepatic venous pressure measurement<br />
[ ] Trans splenic portal venogram<br />
Page 4 of 17<br />
Note: Approval is subject to the terms of the hospital's exclusive contract for Radiology services, i.e., approval is for second opinion consultations only, it being understood that the<br />
hospital's contracting Radiologists are primarily responsible for these services.