Locum Physician Hospitalist OR Hospitalist + PEDS

Dates of Coverage Required: October 16th-23rd

Position Overview:
This is a 24-hour solo coverage role at a rural hospital, typically encompassing a 12-15 hour active shift with the remainder on-call. The physician will have access to sleeping accommodations either nearby or on-site.

Clinical Competencies Required:

- Adult Procedures:
- Intubation
- Central Line Placement
- Paracentesis
- Thoracentesis
- Lumbar Puncture
-

Pediatric Procedures:
- Intubation
- Lumbar Puncture
- Neonatal Circumcision
- Neonatal UVC/Peripheral Line Placement

COVID-19 Vaccination Status:

Required

Detailed Job Description:

Schedule:
- Start Time: 12:00 PM
-

Standard End Time: 12:00 PM

Clinical Details:

- Total Beds: 25
- Average Daily Encounters: 18

- Average Daily Census: 14.25
- ICU Beds: 4

- Ancillary Services Available: X-Ray, Lab, CT, Anesthesia, STAT Lactate, Cardiac Enzymes, Procalcitonin, Physical and Speech Therapy

- Sub-Specialty Support: eICU Intensivist
- EMR System: Cerner

Administrative Aspects:
- Sleeping Arrangements: Dedicated call room within the facility

- Credentialing Timeline: To be determined (expedited options available: Yes/No)

- Licensing Expedition: Availability of "telemed" licenses as temporary full licenses

Hospitalist Workflow:
- Shift Structure: 24-hour shifts with a typical on-site presence of 12-15 hours, followed by night call.

- Admission and Rounding Responsibilities are included.

- Shift Hours are from 12:00 PM to 12:00 PM (handoff on the final day can occur between 12:00 PM - 3:00 PM).

Orientation Protocol:
- Orientations are conducted on weekdays, lasting approximately 4 hours at a rate of $200/hour.

- Weekend shifts necessitate scheduling orientation between Monday and Friday from 8:00 AM to 5:00 PM.

- For those starting on a weekday, arrival at 8:00 AM on the first day for orientation is required.

Logistics:
- The client will cover overnight accommodations for the provider’s initial night.

- Morning rounds typically commence between 7:00 AM and 8:00 AM, which may vary by facility.

Evening Engagement:
- Informal Evening Rounds: Encouraged between 9:00 PM and 10:00 PM to foster communication with ED and nursing staff, which may mitigate night disruptions.

Admissions Management:
- Given the variability of ED competencies, efforts should be made to evaluate patients in the ED to minimize unnecessary admissions that may require immediate transfer.

- Transition orders will be utilized for overnight admissions (11:00 PM - 6:00 AM), prepared by the ED physicians to streamline admissions without necessitating the provider's direct involvement in order entry.

Discharge Coordination:
- Familiarity with patients anticipated for discharge is critical before rounds commence, facilitating timely discharges and organizational efficiency within the nursing staff for follow-up admissions later in the day.

Required Certifications:

- Board Certification: Required (Board-eligible candidates may be considered)

- ACLS and BLS certification

- Additional Certifications: PALS, NRP may be required

This comprehensive framework aims to provide clarity on expectations, responsibilities, and necessary competencies for optimal functioning within the rural hospital setting.