**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.
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