Coverage Needed

• ASAP - ongoing

Schedule

• Call coverage needed only
• 7-8 call shifts/month, can be combined with clinic days
• 24 hr call 7a-7a with 20 min response time
  • Apr 14 (7a) - 15 (7a)
  • May 15 (7a) - 16 (7a)

Clinical Details

• 25 bed critical access hospital with 3 L&D beds and 4 post partum beds
• The office setting is shared with multiple specialties
• Duties: OB/GYN clinic care, OB and GYN call coverage through L&D Unit and ED
• Level I Nursery, Level I Trauma only 36 weeks and above
• Typical Cases: OB: low risk/high risk, ultrasounds, amniocentesis. L&D: routine/complicated, VBACs, C-Sections. GYN: GYN Surgery
• # patients/day in clinic: 18
• Rounding required: only in post-op
• MFMs: Can refer out, not on site
• Locum will do admits
• LI Nursery: late term and term deliveries
• 90% low risk pregnancy, 10% high risk, 20% surgical gyn
• High risk patients get transferred
• Peds currently done by CNMs/FPOBS
• C-Sections recovered in L+D
• In house anesthesia, Anesthesia CRNA's and OR staff have 30 min response time
• Currently doing VBACs
• Will occasionally receive transfers from local midwives
• 20-30 deliveries/month, high risk 10 or less

Requirements

• Board Certified or Board Eligible
• Active WA License or IMLC LOQ in hand
• BLS, DEA, ACLS
• Clean malpractice - Highly Preferred
• Required Procedures/Duties: C-Section, Ectopic, Low risk, high risk, and FHR interpretation, Routine delivery and complicated delivery, Repair of 3rd-4th degree lacerations, C-sections- must be willing to help and supervise if needed, Must be comfortable handling OB inductions from group, mostly emergent GYN surgeries
• Local candidates - Preferred

Call

• Contact by cell phone
• Less than 50% callback weekday, weekends, and ER

Support Staff

• MA or LPN in clinic. L&D RNs at hospital
• L+D staffed with 2-3 RNs
• Providers include CNMs, FPOBs who do C-Sections
• The OB practice area is made up of 2 OB/GYN, 2 FPBO, and 2 CNM

EMR

• Epic