Locum Hospitalist needed in New Hampshire for December ! Willing to License
Job Summary
Occupation
Physician
Specialty
Hospitalist
Degree Required
MD/DO
Position Type
Locums/Travel
Work Environment
Hospital
Location
Berlin, New Hampshire, United States
Visa Sponsorship
No
Job Description
Last Update:
8/13/24
7a-7p - Day Hospitalist needed at AVH in Berlin NH
December 23 - December 29, 2024 (holiday rates on 12/25)
- 5-bed adult ICU and stepdown unit type patients. Provide care independently or with consultation. Intubate patients, and manage mechanical ventilators.
- Requires American Heart Association BLS and ACLS with PALS and NRP (if peds) certification, and run codes together with ED physician on duty.
- Ideally, if appropriately trained and credentialed, provides care for pediatrics, including newborns and attending selected deliveries to care for newborn (e.g., high risk vaginal delivery due to fetal distress or meconium; Cesarean section).
- After normal business hours, provides phone coverage for community’s primary care practice (Coos County Family Health Services), including calls from patients/families, 2 local nursing homes (CCFHS serves as attending for all such residents), home health agencies, and pharmacies.
*EMR is Meditech Expanse.
Staffing, schedule, and clinical workload:
- 1 day hospitalist 7 am – 7 pm
- 1 night hospitalist 7 pm – 7 am
- 1 additional rounder, typically for 2-4 hours per morning, depending on census: may be Hospitalist Program Medical Director or hospitalist departing from night shift (especially weekends and holidays)
Typical workload for day hospitalist:
- 2 to 4 admissions or consults
- Rounds on, discharge, or transfer 6 to 10 patients
- Total patient encounters 8 to 14
Typical workload for night hospitalist:
- 2-4 admissions or consults
- Assess 1-2 patients at bedside due to instability or change in clinical condition
If hospitalist clinical work is done or slow and solo ED physician is very busy, hospitalist is expected to help in ED with care of clinically appropriate patients.
No Call outside of shifts.
Admissions: 2-5 new admits/consults per shift.
ICU: 2 (daily census)
Inpatient: 8-12 (daily visits or discharge): Observation, inpatient, and SNF/swing status.
Patient mix: 90% adults, 10% peds. 85% Medicine, 14% Surgery, 1% Trauma
EMR- Meditech Expanse 6.16, Dragon
Total # of Beds: 25
Total # of ICU Beds: 5
Job Responsibilities
Physician will provide high quality medical treatment and advice to patients as clinically indicated to achieve clinical and service excellence. Obtains thorough patient histories (medical/surgical, family, psychosocial, etc.), and obtains and reviews related, pertinent information.
Performs focused or comprehensive physical examinations as appropriate. Ensures patients are assigned the proper status within the hospital (e.g., treatment, observation, inpatient, ICF, SNF).
Properly utilizes laboratory, imaging, and other diagnostic tests, and integrates data into assessment and treatment plan.
Prescribes required medications to patients within one=s legal authority.
Facilitates appropriate care of patients during and shortly after hospitalization, such as through telephone or e-mail contact with primary care practitioner (PCP) after hospital discharge; collaboration with office or Patient Centered Medical Home staff, collaboration with home health and hospice agency staff, communication with nursing facilities (ICF or SNF status), collaboration with Rehabilitation Services staff, follow up and reporting of diagnostic tests that were pending at time of hospital discharge or were scheduled to be performed shortly after hospital discharge, referral to other health care practitioners (e.g., tertiary care specialist), referral to cardiac rehabilitation or heart failure program, etc.
Educates patients and families about medical conditions, diagnostic testing planned or contemplated, treatment options, expected outcomes, potential adverse outcomes/complications, exercise/rehabilitation programs, test results and their implications, prognosis, etc. within one=s scope of practice.
Stabilizes patients in life-threatening or unusual situations and, when appropriate, arranges for emergency transport to a physician and/or tertiary care center with appropriate clinical skills/resources. Together with on-duty Emergency Department physician, leads and participates in Acode team@ for adults. Responds to and provides professional services for emergencies for any hospital patient as requested (similar to a rapid response team function). Provides neonatal resuscitation services as indicated.
Performs common medical/pediatric procedures, such as, but not limited to, thoracentesis, paracentesis, lumbar puncture, arterial line placement, central line placement, arthrocentesis and joint injections, incision and drainage of superficial abscess, endotracheal intubation and management of mechanical ventilator, and neonatal circumcision.
Performs rounds on hospitalized inpatients on the medical/pediatric service (observation, acute, SNF, ICF,) and records thorough, useful, and timely progress notes as assigned. Co-manages inpatients with surgical colleagues when appropriate. Serves as attending physician for surgical patients with complex medical needs who do not require emergent operative care (with surgeon serving as consultant).
During periods of high census or patient acuity in the Emergency Department, temporarily assists with such workload as time permits (hospitalist primary responsibilities come first) in an effort to improve timeliness of care and patient satisfaction, within the scope of one’s clinical privileges.
Pronounces death in deceased patients, and completes death certificate in thorough, legible, and timely manner.
Documents all patient evaluations and care in clear, accurate, timely, and comprehensive manner as indicated with EMR (Meditech 6.16). Completes insurance company, disability, home health, nursing home, durable medical equipment, and other electronic or paper forms as required.
On-call coverage for Coos County Family Health Services (CCFHS) outpatients, including those at local nursing homes, provided outside of CCFHS normal business hours by the hospitalist on duty. Responds to patients= phone calls is timely manner. Properly documents all telephone calls with patients, their families, or consulting practitioners according to Hospital, specialty group practice, or CCFHS guidelines (e.g., use of CCFHS= electronic medical record). Properly documents all prescriptions issued.
Qualifications
Will consider internal medicine or family medicine (adult only).
Must be comfortable with rural nature of practice and limited number of specialists on call.
Tertiary care is provided primarily by Dartmouth Hitchcock Medical Center (Lebanon, NH) and Catholic Medical Center (Manchester, NH), both 2.0-2.5 hours away by ground or 25 minutes by helicopter.
Minimum of 2 or 3 years of post-residency practice preferred.