Physician, Emergency Department with EDRP

Emergency Department Physician

The Emergency Department (ED) physicians will provide emergent and urgent medical care for all patients (any age) who present to the ALMD ED requesting care. The medical care includes stabilization, evaluation, diagnosis, and treatment of the full spectrum of conditions that fall within the breath of Emergency Medicine as well as Occupational Health as it relates to acute work-related injuries and illnesses. The medical care will be provided in the outpatient setting of the ALMD ED. Physicians are expected to document in the Computerized Patient Record System (CPRS) when available. All ED physicians are responsible for adhering to the policies and regulations of the Office of Personnel Management (OPM), VHA, STVHCS Medical Staff By-laws, STVHCS Policies, and ED Standard Operating Procedures (SOPs). All physicians will safeguard Protected Health Information (PHI) in accordance with provisions of the Privacy Act of 1974 and other applicable laws, Federal Regulations, VA statutes, and policy, VHA policy, and STVHCS cyber security. Physicians will order necessary diagnostic studies to include radiographs, laboratory studies, and EKGs. Physicians will make preliminary interpretations of radiographs and EKGs. Physicians will act on physical exam and diagnostic study findings in a timely manner. Physicians are expected to complete an ED Provider Note on each patient prior to the end of that physician's shift. The ED Provider Note will include: a chief complaint; a history of the present illness; a review of systems, if applicable; past medical history; social history and/or family history; pertinent physical exam findings; diagnostic study results; assessment; plan; and disposition. Prohibited abbreviations will not be used. Physicians will complete the patient encounter associated with that ED visit at the time of note completion. Physicians are responsible for obtaining and documenting written consent (preferably via iMedConsent) as per the Informed Consent for Clinical Treatments and Procedures Policy. Physicians are responsible for adhering to Universal Protocol policies and procedures to ensure that invasive procedures are performed on the correct patient and at the correct site. Physicians are responsible for documenting procedures in either a separate procedure note or within the body of the ED Provider Note. Except during a code blue, physicians will write prescriptions and enter orders for medications either administered in the ED or dispensed by the pharmacy. Physicians are responsible for completing a medication reconciliation on each patient. Physicians will coordinate care with consulting (if emergent necessity exists) and admitting providers as necessary (involving the bed flow coordinators/utilization management as per local policy). The ED physician will document when an admitting or consulting provider is called. The ED physician will assist during medical emergencies of admitted patients who remain in the ED. Physicians will transfer patients as medically and administratively necessary. Physicians will complete all documentation required for transfer. Physicians will provide appropriate education to the patient and/or family members regarding the patient's care, illness and its management (discharge instructions); this requirement includes providing the patient with written discharge instructions.

US Department of Veterans Affairs