Locum Physician Hospitalist OR Hospitalist + PEDS

Dates of Coverage

Required:

October 16th-23rd

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.

• Intubation
• Central Line Placement
• Paracentesis
• Thoracentesis
• Lumbar Puncture

• Intubation
• Lumbar Puncture
• Neonatal Circumcision
• Neonatal UVC/Peripheral Line Placement

Required

• Start Time: 12:00 PM

12:00 PM

• 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

• 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

• 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).

• 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.

• 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.

• 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.

• 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.

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.

• 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.