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.