| Name (last, first ): | Fatheree, Kelli E. |
| Degree: | PA |
| Title: | Physician Assistant |
| Department: | Emergency Medicine |
| Section: | |
| Status: | Physician Assistant |
| Proctor: | James Small, M.D. |
| Sex (M,F): | F |
| Pager Number: | 655-3323 (Cell) |
| Physician ID number: | 512657 |
| NPI Number: | 1225061435 |
LSU Health Sciences Center
Privilege Listing
Fatheree, Kelli E.
Privilege Code Legend
A=Approved
N=Not Approved
| 001 | A | Notifies Supervising MD if condition requires immediate attention |
| 002 | A | Patient History |
| 003 | A | Physical Examination |
| 004 | A | Order Diagnostic Test (s) |
| 005 | A | Interpret Diagnostic test (s) |
| 006 | A | Counseling |
| 007 | A | Requesting Referrals |
| 008 | A | Communicates with Agency Referrals |
| 009 | A | Executes Standing Orders |
| 010 | A | Collection and Preparation of Specimens, e.g. Gram Stains, C&S |
| 011 | A | Peak Expiratory Flow Measurements |
| 012 | A | EKG Tracings/Telemetry Interpretations |
| 013 | A | Slit Lamp Examinations |
| 014 | A | Tonometry |
| 015 | N | Anoscopy |
| 016 | A | Visual Screening |
| 017 | A | Interpretation os Spirometry |
| 018 | N | Perform Pre-Op Medical Clearance |
| 019 | N | Completes forms as needed for continuity of care (I'.e, home health needs, handicap parking, insurance pre-certification, etc.) |
| 020 | N | Completes pre-op and post-op evaluations |
| 022 | A | Suturing |
| 023 | A | Venipuncture |
| 024 | A | Arterial Puncture |
| 025 | A | Paracentesis |
| 026 | A | Bladder catheterization |
| 027 | A | Nasogastric Intubation & Gastric Lavage |
| 028 | A | Injections and Immunizations |
| 029 | A | Debribement, Irrigation, Suturing & routine Care of Superficial Wounds |
| 030 | A | Suture/Staple Removal |
| 031 | A | Treatment of Minor (1st and 2nd degree) Burns |
| 032 | A | Removal of Superficial Foreign Bodies (skin, soft tissue, cornea) |
| 033 | A | I & D Abcesses, Wound Irrigation, Packing, Evaluation of Hematomas |
| 034 | A | Nail Removal for Infections |
| 035 | A | Control of External Hemorrhage |
| 036 | A | Application of Dressing & Bandage |
| 037 | A | Subcutaneous and Regional Anesthesia |
| 038 | A | Anterior Nasal Packing for Epistaxis |
| 039 | A | Splinting Sprains and Fractures |
| 040 | N | Cast removal |
| 041 | N | Remove Superficial Hardward |
| 042 | A | Perform Aseptic & Isolation Techniques |
| 043 | A | Initiates Appropriate Evaluation and Emergency Management for Emergency Situations; i.e., cardiac arrest, respiratory distress, injuries, burns, hemorrhage |
| 044 | A | Institues Life Saving Measures such as: Passing an Indotracheal Airway, External Cardiac Massage, Injection of IV Medications, Defibrillation, Cardioversion and Establish Emergency Vascular Access (cutdown, intraosseous, central vein) on the direct order of the Supervising Physician |
| 045 | A | Manage Simple Conditions Produced by Injections or Trauma |
| 046 | A | Assist in the Management of more Complex Illness and Injury |
| 047 | A | Lumbar Puncture |
| 048 | A | Thoracentesis |
| 049 | A | Arthrocentesis |
| 050 | A | Central Venous Catheter Insertion |
| 051 | A | BLS/CPR |
| 052 | A | ACLS |
| 053 | N | Discontinue (pull) PICC lines |
| 054 | A | Performs Wound Care Procedures |
| 055 | N | Ultrasound Guided Prostate Needle Biopsy |
| 056 | N | Punch Biopsies/Shave Biopsies |
| 057 | N | Other: _________________________ Other: _________________________ Other: _________________________ |
| 059 | A | * Prescriptive Authority |
| 060 | A | Medication (approved individual formulary): Physician extenders may issue new and renewal prescriptions for medications which are included in the attached formulary only. Physician extenders may issue written prescriptions only for a period of time appropriate for the diagnosed condition. Presciprtions which are written as a renewal for maintenance medications to enable the patient to remain compliant until their next scheduled clinic visits are limited to a periof of 3 months. Accupril Aciphex Actos Acyclovir Adalat Advair Afrin Albuteron inhalation Albuterol MDI Aldara Allegra Allergra-D Allopurinol Altace Amaryl Amiodarone Amitripylline Amoxicillin Ampicillin Anaprox Anaprox DS Antivert Anusol Anusol HC Apthasol Aristocort Arthrotee Asacol Apirin Astelin Atacand Atarax Atenolol Atorvastatin Atrovent Augmentin Auralagan Avandamet Avandia Avapro Axid Azithromycin Azmacort Bacitracin Baclofen Bactrim DS Bactoban Beclomethasone Beclovent Benadryl Benazipril Benicar Bentyl BenzaClin Benzotropine Biaxin Bumex Bupropion BuSpar Calan Calcium and Vitamin D Capoten Captopril Carafate Carbamazapine Carbatrol Cardizem Cardura Cartia ER Cataflam Catapres Cefdinir Celebrex Celexa Cepacol Cephalexin Cerovite Cerumenex Chlorahexadene Chlorpheniramine Ciloxan eye drops Cipro Cipro eye drops Ciprodex otic Ciprofloxacin otic Clarithromycin Clarinex Claritin Cleocin Clindamycin Clindamycin solution Clinoril Clonidine Clopidogrel Clotrimazole Cogentin Colace Colchicine Combivent Compazine Condylox Coreg Corididin HBP Cortiisporin Cortisporin otic Covera HS Cozaar Corgard Covera HS Crestor Cutivate Cream Cyancobalamin Cyclobenzaprine Cymbalta Cyproheptadine Dapsone Debrox Decadron Demadex Depakote Dermatop Cream DesOwen Cream Deysrel Detrol LA Diabeta Diamox Diclofenac Dicloxacillin Differin gel Diflucan Dilantin Diltiazem Diovan Diphenhydramine Dipyridamole Ditropin Docusate Donnatal Doxazosin Doxepin Doxycycline Dulcolax Duratuss Dyazide Dynapen ECASA Econazole EES Effexor Elavil Elidel Cream Elimite Elocon Cream Emycin Ophthalmic Enalapril Entex PSE Epi Pen Autoinjector Erythromycin Estrace Estrastest Estrodiol Etodoacl Famotidine Felodipine Fer-n-sol Ferrous Gluconate Ferrous Sulfate Flagyl Fleets enema Flexeril Flomax Flonase Flovent Floxin Fluconazole Fluoxetine Folate Folic Acid Fosamax Fosinopril Furosemide Gemfribrozil Gentamycin Gyntamycin Ophthalmic Geodon Glimepiride Glipizide Glucerna Glucophage Glucotrol Glucovance Glyburide Go-Lytely Griseofulvin Guaifenesin Guaifenex PSE Haldol Haloperidol HCTZ Hibiclens Histinex Histussin Homatropine Humabid Humabid LA Humalog Humulin-N,R Hydralazine Hydrocortisone Hydroxyzine Hyoscyamine Hypotears Hytrin Hyzaar Ibuprofen Imdur Imitrex Imodium Indapamide Inderal Indinivir Indocin Indomethacin Insulin 70/30 Insulin N Insulin NPH Insulin R Intal Isordil Isosorbide Dintrate Isosorbide Mononitrate KCL K-Dur Keflex Kenalog Ketaconazole Ketorlac Klor-con Ktab Kwell Labetalol Lacri-Lube Lactulose Lamisil Lantus Lasix Lescol Levaquin Levatol Levofloxacin Levothroid Levothyroxine Levoxyl Levsin Lexapro Lidex Lidocaine-Viscous Lindane Lipitor Lisinopril Lisinopril/HCTZ Lithium Lodine Loestrin Lopressor Lotensin Lotrel Lotrimin Lotrisone Cream Lovastatin Luvox Macrobid Macrodantin Mag Citrate Magic Mouthwash Mavik Maxair Maxalt Maxide Maxitrol Meclizine Medrol Dose Pack Melatonin Metamucil Metformin Metoprolol Metronidizole Micardis Miconazole Micronase Midrin Milk of Magnesia Miralax Minoxidil Mobic Moexipril Monistat Monopril Motirn Mucinex Mucomyst Mulitvitamin Mupirocin Mycelex Troches Mycolog Mycostatin Cream Naphazoline eye drips Naphcon-A Naprosyn Naproxen Nasacort Nasarel Nasonex Neoporin Ophthalmic Neo-Synephrine Nephrocaps Neurontin Nexium Nifediac Nifedical Nifedipine Nitrofurantoin Nitroglycerin Nitrostat Nix Nizoral Nortriptyline Norvasc Novolin Nupercainal Nystatin Nystatin/Triamcinolone Ofloxacin Ophthalmic Ofloxacin Olanzipine Omeprazole Omnicef Optivar eye drops Orhto-Novum Oxacillin Oxybutynin Ovide Lotion Patanol Paxil Pedipred Penicillin PenLac nail solution Pentoxifylline Pepcid Periactin Peridex Oral rinse Permethrin Peridex mouthwash Peroxyl mouthwash Phenergan Phenytoin Pindolol Piroxicam Plavix Plendil Polytar Shampoo Potassium Pramosone Cream Pravachol Prednisone Premarin Prempro Prevacid Prilosec Prinivil Prinizide Procardia Procto Foam Propranolol Protonix Protopic Cream Preventil Prozac Pscorcon Cream Pseudophedrine Pyridium Quinapril Remeron Requip Retin A Rifampin Risperdal Robaxin Robitussin Rondec Syrup Rynatan Sarna Lotion Scolpolamine Selsun Lotion Selsun Shampoo Senokot Serevent Seroquel Silvadene Cream Simvastatin Singulair Skelaxin Sodium Bicarbonate Soriatane Cream Spiriva Spironolactone Sporanox Sular Sulindac Sulfasalazine Surfak Synthroid Tagamet Tamiflu Tavist Tazorac Cream Tegretol Tegrin Temovate Cream Tenoretic Tenormin Terazosin Tequin Tessalon Tetracycline Theophylline Thiamine Thioridazine Tiazac Tigan Tinactin Tobramycin Ophthalmic Tobrex Topamaz Toprol Toradol Trazodone Triamcinolone Triamcinolone with benzocaine in dental paste Triamterene/HCTZ Tricor Trileptal Tylenol Uniretic Unithroid Univasc Urised Ursodiol Valproic Acid Valtrex Vantin Vaseretic Vasotec Ventolin Verapamil Verelan Vistrail Vitamin B12 Voltaren VoSol Otic Vytorin Wellbutrin Xopenex Xylocaine Zantac Zaroxolyn Zestril Zestoretic Zetia Ziac Zithromax Zocor Zoloft Zomig Zonegran Zovirax Zyloprim Zyrtec |
| 061 | N | Medical Devices and Appliances - Explain and List: _____________________________________ _____________________________________ _____________________________________ |
| 062 | N | Other: _________________________ Other: _________________________ Other: _________________________ |
| 064 | A | Document subjective & Objective Data, Clinical Assessment and Plan and Recommendations |
| 065 | A | Maintains Appropriate and Timely Entries in the Medical Record |
| 066 | N | Other: _________________________ Other: _________________________ Other: _________________________ |