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Job description
24-Hour Solo Coverage for Rural Hospital
Overview: This position involves 24-hour solo coverage at a Critical Access Hospital, typically entailing 12-15 hours of on‑site work with the remainder on call. The physician is provided with nearby or on‑site sleeping arrangements.
Key Requirements
Hospitalists must be proficient in performing emergency intubations, ventilator management, and central line placements.
Required Procedures
Ventilator Management, Central Lines, Intubations.
Coverage Details
Orientation: 7/30
Shift Coverage: 8/1 - 8/11
Schedule
Start Time: Daily shifts commence at 12:00 PM.
Orientation Arrival Time: To Be Determined.
Typical End Time: 12:00 PM daily.
Clinical Settings
Total Beds: 25 (Critical Access Hospital)
Average Daily Census: 12 patients (14.5 average daily encounters).
ICU Capacity: 6 designated ICU beds.
Procedures Required: Ventilator Management, Central Lines.
Nights: Anticipate 1-2 admissions per night; transition orders are to be utilized post-10 PM unless the patient requires ICU care—protected sleep hours are between 10 PM to 6 AM.
Specialty Support
Available specialties include General Surgery, Cardiology, Neurology, Dermatology, Obstetrics, and an outpatient pharmacy operating 24/7.
Interventional Radiology is accessible Monday through Friday with physician-to-physician call support from hospitalists.
Imaging services and Orthopedics typically manage their patient coverage, and surgical consults will engage with hospitalists as needed.
Night and weekend coverage requirements may differ.
Electronic Medical Records
EMR System: Cerner
Administrative Notes
Sleeping Amenities: On-site or adjacent accommodations for the physician.
Credentialing Timeline: Expedite credentialing as soon as possible.
Licensing Expedite Availability: Consideration for a “telemed” license that may serve as a temporary full license.
Hospitalist Schedule
Shift Structure: 24-Hour on-site coverage (typically 12-15 hours in-shift with overnight call responsibilities).
Admissions and Rounding: Shift handoffs occur daily between 12 PM and 3 PM.
Morning Rounds
Typically commence between 7:00 AM and 8:00 AM, depending on facility protocol,
Informal Evening Rounds
Conducting informal rounds between 9:00 PM and 10:00 PM can enhance collaboration with ED and nursing staff, potentially mitigating late-night admissions and allowing for adequate rest.
Admissions
Given the rural setting, it’s critical to evaluate patients in the ED prior to admission to avoid unnecessary transfers, especially considering variable ED skillsets. Transition orders are to be used during overnight and busy daytime hours to optimize ED throughput.
Overnight Admissions
Admissions between 11:00 PM and 6:00 AM will require transition orders from ED physicians to reduce documentation burden. Morning rounds should include evaluations of overnight admissions, particularly ICU patients requiring immediate bedside assessment.
Discharges
Awareness of patients scheduled for discharge is crucial prior to rounding; these patients should be identified during interdisciplinary meetings and prepared by case management to ensure readiness for timely discharge.
Patient Expectations
Patients should be informed of their discharge plans the previous day, aiming for an early release, typically by noon, to facilitate efficient care transitions and room turnovers for incoming admissions.
Certifications Required
Board Certification: Yes
ACLS: Yes
Additional Certification: Stroke Certification.
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Worksite address
ellensburg, WA, 98926, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.