Physician - Emergency Medicine

Job description

Details

nClient Name: Altoona VAMC - James E. Van Zandt

nJob Type: Travel

nPosition Urgency Normal

nOffering Locums

nProfession Physician

nSpecialty Emergency Medicine

nJob ID

nShift Details

nShifts Per Week 2

nscheduledHrs_1 24.0

nJob Order Details

nStart Date

nEnd Date

nDuration 152 Week(s)

nFloat Required No

nCall Required No

nRequired Certifications for Onboarding ACLS, AMA, DEA, NPI

nJob Description

nMedical Officer of the Day: The MOD Physician is responsible for evaluating, diagnosing, treating, stabilizing, admitting, or transferring patients as clinically appropriate while ensuring compliance with all VA policies, medical staff bylaws, and regulatory requirements.

nShift Hours:

nnnCurrent needs are for daytime weekend shifts

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nnMonday- Friday Daylight

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nnMonday- Friday Overnight (excluding Holidays)

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nnSaturday & Sunday (excluding Holidays) &

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n nEssential Functions

n• Provide urgent care, inpatient, and hospitalist medical services for veterans in the UCC, inpatient units, and CLC.

n• Evaluate, diagnose, treat, stabilize, admit, discharge, or transfer patients in accordance with VA clinical guidelines.

n• Conduct inpatient rounds during weekends and federal holidays.

n• Complete all required CPRS and EDIS documentation within required timeframes.

n• Respond to medical emergencies, rapid responses, and after-hours clinical calls.

n• Proof of 2 intubations in the past year - either signed off by supervising Physician or OORAM certification by VA employee (required for submittal and re-credentialing, used only for rare and extreme situations)

n• Participate in quality assurance, peer review, and patient safety activities.

n• Maintain compliance with all VA credentialing, privileging, HIPAA, and training requirements.

nQualifications

n• MD or DO degree from an accredited institution required.

n• Current unrestricted U.S. medical license required.

n• Board Certification in Emergency Medicine, Internal Medicine, or Family Medicine required.

n• Current BLS and ACLS certifications required.

n• Recent urgent care or emergency room experience within the last three years required.

n• DEA registration and NPI required.

n• Strong proficiency using electronic health record systems including CPRS preferred.

n• Excellent verbal and written communication skills required.

nNotes from Facility--

nTo clarify we have an Urgent care and not a true ED.

nnnWhat is the ED nursing coverage (i.e. number of nurses and their shift schedules) at the Altoona VA? RNs are scheduled a variation of 8 and 12 hour shifts and there is always at least 2 RNs on duty.

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nnIs there a respiratory therapist on site, and if so, what are their hours of coverage (and does RT cover both ED and the floor)? RTs are available during administrative hours and cover UCC and the floors. RNs give breathing treatments, RTs do not intubate but can assist with CPAP, BIPAP, vents (as we transfer them), ABGs. They are on call during nonadministrative hours for those services as well.

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nnWhat airway equipment is available in the ED and on the floor? CPAP/Bipaps, we have a vent but not used as we would transfer those patients, glidescope in UCC.

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nnIs there a bedside ultrasound in the ED, and if so, what model? We have one, not sure of model, but currently not using.

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nnWhat radiology services are offered (US, XR, CT, MRI) and what are the hours for the radiology techs and the radiologist's coverage for formal reads? We have all services, although during nights, weekends, holidays may need to call tech in. MRI is limited due to one machine and does not offer STAT imaging. Radiologist is here during administrative hours. Teleradiology during off hours. We expect MODs to read xrays and not wait for TeleRadiologist during nonadministrative hours.

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nnWhat are the hours of coverage for the nurse practitioner in the ED? 7am-3pm. 6am-6pm or 7am-7pm depending on day and NP assigned.

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nnWhat are the hours of coverage for the nurse practitioner on the medical floor? Same as above

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nnWhat are the hours during which the ED physician has to write admission orders and manage inpatients? The entire shift you are working. If an NP is still here, but has workload that prevents him/her from doing the admission, you are expected to do it. NPs typically manage the floor and community living center until they leave, but again, if something is preventing them from doing so, you are expected to assist. You will admit and manage from 7pm until 7am

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nnWhat is the total inpatient bed capacity and what is the average daily census on the medical floor? We are certified for 11 beds, only 8 are open during construction, our census has been about 6-8

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nnWhat is the general practice with patients that require a chest pain work-up (i.e. negative troponin but needs admission for serial troponins, cardiac monitoring and setup for stress test)? Are these patients advised to go to a higher acuity facility from the outset (like what many community urgent care centers do) or are they worked up in the ED and transferred (if so, what EMS service performs interfacility transfer and how does the transfer process generally work out)? I have experienced a lot of delays that negatively affected patient care when transferring to UPMC Altoona and so am curious about Altoona VA's experience with transfers. - We have high sensitivity troponins and repeat in 2 hours in the UCC, if negative, decision to send home vs admit, depending on heart score. However, this medical center can admit chest pain for serial troponins, cardiac monitoring, and cardiology consult. Stress testing is not typically done while inpatient, but can be planned. If it’s let the person cannot stay here but is not having a STEMI, we would transfer to VA Pittsburgh. The process is to call and speak to their bed management, then the specialist, sometimes the hospitalist as well. We only transfer to UPMC for emergencies such as STEMI, Stroke, trauma, ICU level admissions, etc., otherwise Pitt VA for higher level of care.

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n nClient Details

nClient Type Government - Federal

nSetting Emergency Room

nAddress 2907 Pleasant Valley Boulevard

nCity Altoona

nState PA

nUnit Details

nComputer Charting System VISTA (CPRS)

nEGA Associates, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Worksite address

altoona, PA, 16603, US

Who can apply

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