| Name (last, first ): | Donelson, Kimberly G. |
| Degree: | NP |
| Title: | Nurse Practitioner |
| Department: | Pediatrics |
| Section: | PUL |
| Status: | Provisional Adjunctive |
| Proctor: | |
| Sex (M,F): | F |
| Pager Number: | 3147 |
| Physician ID number: | 513077 |
| NPI Number: | 1750537767 |
LSU Health Sciences Center
Privilege Listing
Donelson, Kimberly G.
Privilege Code Legend
A=Approved
N=Not Approved
| 001 | A | Assessing Patients/Physical Examination/History Taking (Initial & Follow Up) |
| 002 | A | Analyzing & Synthesizing Data |
| 003 | A | Guidance & Teaching |
| 004 | A | Managing Physical & Psychosocial Health Issues |
| 005 | A | Requesting Referrals/Obtaining Consultations |
| 006 | A | Ordering Diagnostic Studies (Including, but not limited to Radiology & Laborary Tests) |
| 007 | A | Interpreting Diagnostic Studies |
| 008 | A | Hospital/Clinic Rounds |
| 009 | A | On Call Privileges |
| 010 | A | Demonstrates Age Specific Growth & Development Knowledge and Skills Appropriate to the Age of Patient/Family served |
| 011 | A | Develop Patient Care Management Plan |
| 012 | A | Coordinates Transfer/Admission/Discharge Plans, including Referrals as needed |
| 013 | N | Other _________________________ |
| 014 | N | Other _________________________ |
| 015 | N | Other _________________________ |
| 017 | A | Implement Treatment Plans |
| 018 | A | Therapeutic Regimens |
| 019 | A | Completently & Safely Performs Diagnostic & Therapeutic Procedures according to Clinical Guidelines |
| 020 | N | Surgical Emergencies, such as, Gastrostomy Tube Dislodgement |
| 021 | N | Peripheral Inserted Central Catheters (PICC) |
| 022 | N | Penrose and vessel loop drain removal |
| 023 | A | Central line removal |
| 024 | N | Assisting in complex procedures |
| 025 | A | Emergency treatment and stablilization |
| 025.1 | N | Intubation and Ventilator Management |
| 027 | N | Other _________________________ |
| 028 | N | Other _________________________ |
| 030 | N | ** Prescriptive Authority |
| 031 | A | Medical Devices and Appliances Explain/List _________________________________, _________________________________, _________________________________, _________________________________ |
| 032 | A | Other _________________________ **(Nebulizer/Compressor) |
| 033 | A | Other _________________________ **(Inhalation Chambers) |
| 034 | A | Other _________________________ **(Hand Percusor) |
| 034.1 | A | Other _______________________ **(CPT Vest) |
| 034.2 | A | Other _____________________ **(Acapella/flutter) |
| 036 | A | Document Subjective & Objective Data, Clinical Assessment, Plans and Recommendations |
| 037 | A | Maintains appropriate, timely entries in the Medical Record |
| 038 | A | Other _________________________ |
| 039 | A | Other _________________________ |
| 040 | A | Other _________________________ |