The Canandaigua Medical Group
Pediatric Services

Office Procedures Performed by the Physician, Nurse Practitioner of the Pediatric Department Include:

Well child examinations: involves a thorough history and physical examination of the patient to determine the presence or absence of emotional, physical, and developmental problems, including wellness counseling. Well child exams are are commended until college age.

Monitoring laboratory tests which include:

• Screening blood test for anemia.
• Screening urine for a variety of substances ie; blood, bacteria, sugar, protein, etc.
• Screening blood test for lead poisoning.
• Screening blood test for cholesterol.

• X-rays - imaging used to diagnose illness or injury which involves using small amounts of electromagnetic waves.
• CAT Scan (Computerized axial tomography) - use of a computerized x-ray to produce a cross-sectional view of the anatomical part being investigated.
• MRI Scan (Magnetic resonance imaging) - a diagnostic radiography using electromagnetic energy. This technique is valuable in providing soft tissue images of the central nervous and musculoskeletal systems.
• Ultrasound procedure - uses sound waves to produce an image or photograph of an organ or tissue for diagnostic and therapeutic purposes.

Audiometric Screening: Involves the use of an audiometer to test the ability of a human ear to detect sounds over a range of frequencies.

Bladder Catheterization: A small flexible tube is inserted through the urethra (tube leading to the bladder) to collect urine from the bladder. This procedure is used to assist patients who cannot urinate on their own and to obtain a urine specimen without urethral contamination.

Diagnosis and management of acute and chronic diseases.

ECG (Electrocardiogram): A tracing of the heart’s electrical action.

Gynecological Examination: Involves a thorough examination of the breast and female genitourinary system, Papanikolaou (pap smear) test and pelvic exam.

Inhalation Treatment: The patient receives medication by breathing in the medication. A machine called a nebulizer breaks up liquid medication into a fine cloud-like mist that the patient inhales.

Removal of foreign objects: The provider removes objects from a patient’s nose, eyes, external ear canal, feet, etc. These procedures typically occur in the office and without anesthesia.

Removal of impacted cerumen (ear wax): Cerumen can become pressed together so tightly that it cannot be removed easily. A provider can remove impacted cerumen using special instruments and/or an ear flushing procedure.

Spirometry: A measurement of lung and thoracic mechanics.

Suturing and suture removal: A physician may choose to repair a simple wound by sewing the wound edges with sterile thread in the office. Most patients come to the office to have sutures removed after the wound has healed.

Treatment of dislocated elbow: Involves manipulating the bones back into the proper alignment.

Tympanometry: An assessment of middle ear and eustation tube function

Wart removal: Depending on the type and location of the wart, a provider may use a variety of methods to remove it. Applying chemicals to the wart and freezing the wart with liquid nitrogen represent the most common wart removal techniques.

Services Performed by the Pediatric Nursing Staff:

• Interviews and collecting data.
• Pediatric advice and teaching.
• Weight, height, and blood pressure check.
• Administration of immunizations.
• Administration of medications
• Triage telephone calls.
• Assist physicians & Nurse Practitioners in many aspects of patient care.
• Dressing changes, ear washes, throat cultures, bladder catheterizations, etc.
• Comfort patients.