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Integrative Practicum Program
Situations Requiring Clinical Teaching Associate (CTA) Supervision

DIRECT PRECEPTOR SUPERVISION IS REQUIRED FOR:

1. Any situation/procedure for which the CTA feels supervision is necessary.
2. Any procedure the student has done infrequently.
3. Any procedure for which the student requests supervision.
4. Venipuncture.
5. Insulin and heparin dose verification.
6. Drug calculation verification.
7. Blood or blood product administration.
8. Transfer of patient to or acceptance of patient from any special care area (e.g., OR, ER, ICU, TCU, SSU).
9. NG tube insertion.
10. Transcription of physician’s orders (must be countersigned by the preceptor).
11. Validation of verbal or phone orders from physician and pharmacist (orders must be countersigned by the preceptor).
12. Central line removal.
13. Initiation and alteration of dosage of patient controlled analgesia (PCA).
14. Initiation and alteration of dosage of continuous IV medication infusion (e.g., insulin, heparin,dopamine).
15. Dosage alteration and bag/tubing change for epidural analgesia infusion.

DIRECT CTA SUPERVISION IS REQUIRED FOR THE FOLLOWING UNTIL SUCH TIME AS THE STUDENT HAS DEMONSTRATED COMPETENCE:

1. Intravenous medication administration.
2. Insertion of a Foley catheter/performance of straight cath.
3. Central line flush, dressing change and tubing change.
4. PCA syringe change.
5. Invasive or complex dressing change.
6. Removal of drain (e.g., Blake, JP, hemovac, penrose)
7. Suture removal