| Name (last, first ): | Spikes, Nicole |
| Degree: | PA |
| Title: | Physician Assistant |
| Department: | Neurosurgery |
| Section: | |
| Status: | Physician Assistant |
| Proctor: | Brian WIllis, M.D. |
| Sex (M,F): | F |
| Pager Number: | 934-5605 |
| Physician ID number: | 512871 |
| NPI Number: | 1073738936 |
LSU Health Sciences Center
Privilege Listing
Spikes, Nicole
Privilege Code Legend| 001 | A | Notifies Supervising MD If Condition Requires Immediate Attention |
| 002 | A | Patient History |
| 003 | A | Physical Examination |
| 004 | A | Order Diagnostic Test |
| 005 | A | Interpret Diagnostic Test |
| 006 | A | Other: ___________________ |
| 007 | A | Counseling |
| 008 | A | Requesting 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 | A | Anoscopy |
| 016 | A | Visual Screening |
| 017 | A | Interpretation of Spirometry |
| 018 | A | Perform Pre-Op Medical Clearance |
| 019 | A | Completes Forms as Needed for Continuity of Care (i.e., home health needs, handicap parking, insurance pre-certification, etc.) |
| 020 | A | 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 | Debridement, Irrigation, Suturing & Routine Care of Superficial Wounds |
| 030 | A | Suture/Staple Removal |
| 031 | A | Treatment of Minor (1st & 2nd degree) Burns |
| 032 | A | Removal of Superficial Foreign Bodies (skin, soft tissue, cornea) |
| 033 | A | I & D of Abcesses, Wound Irrigation, Packing, Evaluation of Hematomas |
| 034 | A | Nail Removal for Infections |
| 035 | A | Control of External Hemorrhage |
| 036 | A | Application of Dressing and Bandage |
| 037 | A | Subcutaneous and Regional Anesthesia |
| 038 | A | Anterior Nasal Packing for Epistaxis |
| 039 | A | Splinting Sprains and Fractures |
| 040 | A | Cast Removal |
| 041 | A | Remove Superficial Hardware |
| 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 | Institute Life Saving Measures such as: passing an indotracheal airway, external cardiac massage, injection of IV medications, defibrillation, cardioversion, & establishe 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 | A | Discontinue (pull) PICC lines |
| 054 | A | Performs Wound Care Procedures |
| 055 | A | Ultrasound Guided Prostate Needle Biopsy |
| 056 | A | Punch Biopsies/Shave Biopsies |
| 057 | A | Smoking Cessession Counseling |
| 058 | A | Provide Scrub Tech Assistance to Surgeons Performing Minor Open, Endoscopic or Percutaneous Diagnostic or Therapeutic Procedures. |
| 059 | A | Perform Routine Male and Female Uninary Catheterizations |
| 060 | A | Perform Bladder Scan Post-Void Residual Urine Volume Measurements |
| 061 | A | Perform and Interpret Routing Dip-Stick Urinalysis and Qualitative, Microscopic Urine Sediment Examinations |
| 062 | A | Interpret Post-Vasectomy Qualitative Semenanalysis |
| 063 | A | Initation of relief of cardiac tamponade, by cutting through the sternotomy stitches, or cutting the sternal wires |
| 064 | A | Removal of percutaneously inserted Intra Aortic Baloon Pump |
| 065 | A | Closure of sternotomy incision under supervision |
| 066 | A | Closure of Thoracotomy incision under supervision |
| 067 | A | Vein harvest for bypass surgery: Both open and Endoscopic |
| 068 | A | Closure of surgical wounds under supervision |
| 069 | A | Radial Artery Harvest for bypass: both open and endoscopic |
| 070 | A | Vascular anastamosis under supervision |
| 071 | A | PICC Line Insertion |
| 072 | A | Bone Marrow Aspirate and Biopsy |
| 073 | A | Blood Transfusion |
| 074 | A | Consent for Chemotherapy |
| 075 | A | Consent for Minor Surgical Procedure |
| 076 | N | Other ______________________________ |
| 077 | N | Other ______________________________ |
| 078 | N | Other ______________________________ |
| 079 | N | Other ______________________________ |
| 080 | N | Other ______________________________ |
| 082 | N | ** Prescriptive Authority |
| 083 | N | Medical Devices and Appliances Explain/List _________________________________ _________________________________ _________________________________ _________________________________ |
| 084 | N | Other ______________________________ |
| 085 | N | Other ______________________________ |
| 086 | N | Other ______________________________ |
| 087 | N | Other ______________________________ |
| 089 | A | Document subjective & objective data, clinical assessment, plan and recommendations |
| 090 | A | Maintains appropriate and timely entries in the medical record |
| 091 | N | Other ______________________________ |
| 092 | N | Other ______________________________ |
| 093 | N | Other ______________________________ |
| 094 | N | Other ______________________________ |