New Hospitalist Opening 11/14-11/18. This is a busy program, but they split the patient load with another doc and take turns with night call (every other night). Procedures are a MUST.

MUST DO: emergent intubations, vent management, and central lines. COVID vaccine required.

Schedule:

• Start Time: hand off is at noon
• Typical End Time: noon, but must be available until 3pm in case of a late handoff ( this is rare)
• Avg Nightly Callbacks: this is a busy program, but is a two doc model. So they will only be on call every other night.

Clinical:

• Total Beds: 25
• Avg Daily Encounters: 15-18 per doc
• Avg Daily Census: 22+
• ICU Beds: 4
• ICU Model: Open
• Procedures Required: ALL
  
• Specialty support: 24 hour Anesthesia, Podiatry, Pain Clinic, Pediatrics, Ortho, Oncology, General Surgery, OB, Cardiology, Sleep Lab

• EMR: Meditech
• Dictation System: Dragon

Accommodations:

• Sleeping amenities: Private Housing provided across the street from the hospital

Hospitalist Schedule:

• 24 Hr Shift/On Site (typically 12-15 hr. shift + night call)
• Admits and Rounding
• Shifts are 12pm - 12pm (last day handoff can be between 12-3pm)
• Orientation is always on a weekday and is typically 4 hrs
• If the shift falls on a weekend, we will need to schedule orientation sometime Mon thru Fri between 8a-5p.
• If the first shift falls on a weekday, we will need them to arrive on the first day at 8am and complete orientation from 8a-noon.
• Client will cover hotel for the first night the provider arrives

Morning Rounds

• Hospitalists typically begin morning rounds between 7:00am and 8:00am (facility dependent)

Informal Evening Rounds

• Informal evening rounds are a great way to make yourself available and preempt issues before turning in. By interacting with ED staff and nursing staff between 9:00 pm and 10:00 pm, you might save yourself some work - and a 2:00 am wake up call - which will help ensure you get the rest you need!

Admissions

• ED skillsets vary, and considering the limitations posed by rural settings, we want to ensure that we avoid admitting patients only to have them immediately transferred once you've had the opportunity to evaluate them.
• While we encourage the use of transition orders overnight and during busy clinical times during the day in order to augment ED throughput, we want to ensure you're in the ED evaluating patients as much as possible.

Overnight Admissions

• Between 11:00 pm and 6:00 am, transition orders will be used to admit patients. Transition orders are written by the ED physicians to facilitate admission and prevent you from having to enter the order yourself. Overnight admissions should be rounded on the following morning after ICU patients.

Discharges

• You should know which patients are awaiting discharges when rounds begin. These patients should be identified in the interdisciplinary team meetings from the preceding day, and case management should have all needs addressed in preparation for discharge.
• The patients are told the preceding day that they'll be discharged as well, so they will be anticipating seeing the provider early and being out of the hospital by noon if possible.
• Prioritizing discharges is intentional so the nursing staff can get all their paperwork completed for the patient, the patient can physically leave, and EVS can do a terminal clean on the room preparing for another patient to be admitted from the ED in the afternoon when admissions begin to come in.