|Position:||PHYSICIANS (EMERGENCY MED./INTERNAL MEDICINE/FAMILY PRACTICE)|
Health Care Professionals (HCPs) shall perform essentially the same services as those required by any government service HCP of similar experience and in similar duty assignments. Therefore, while specific tasks are outlined as listed below, responsibilities include but are not necessarily inclusive of tasks in which the HCP shall provide.
All services shall be performed in accordance with established principles, practices, and ethics of the medical, and specialty professions/organizations. The standards of performance for all HCP provided by contractor shall reflect the degree of care, skill, and learning expected of a reasonably prudent Emergency Medicine/Internal Medicine/Family Practice Physician.
- The providers shall be citizens of the United States.
- The emergency department care physician shall have a permanent, current, full and unrestricted license to practice medicine in a state, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
- The Physician shall be board certified in one of the three disciplines of Family Practice, Internal Medicine or Emergency Medicine.
- Current Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advance Life Support (PALS) certification is required.
Job Responsibilities. The duties include but are not limited to the following:
- Physician shall provide urgent and general medical care to all patients in the UCC, acute care, and long-term care residents in the CLC during weeknights, weekends, and Federal holidays.
- The Physician shall remain on the hospital grounds during his/her shift and shall not depart the VAMC until the VA UCC Physician or oncoming The Physician is on duty.
- The Physician coming on duty shall receive repo and Hand Off communication from the UCC Physician or The Physician, VA hospitalist, and CLC practitioner. The Physician will not go off duty before giving report and Hand Off communication to the UCC Physician or The Physician, VA hospitalist, and CLC practitioner.
- The Physician shall evaluate all patients presenting to the UCC and provide appropriate outpatient treatment, admit the patient according to the hospital guidelines and criteria for admission, or transfer the patient to another VA or non-VA facility.
- Upon admission of a patient, The Physician shall enter orders in CPRS and document a complete history and physical (H&P) in CPRS by the end of his/her shift or within 24 hours of admission, whichever occurs first. The Physician shall manage the patient during his/her shift.
- The Physician shall document and sign all progress notes in CPRS on the date of service prior to the patients move to the next level of care.
- The Physician shall complete all required Emergency Department Integration Software (EDIS) documentation within required timeframes. The Physician shall complete all encounters prior to the patients move to the next level of care.
- The Physician shall sign all orders before the orders may be carried out, except in the case of approved standing order protocols which allow for orders to be entered after care has been provided.
- Obtain a medical history, performing a physical exam as appropriate to the presenting problem, and formulate a diagnosis of the patient’s problem, and secondary diagnosis, as required, to treat the patient.
- The Physician shall respond to all calls from the AOD and NOD regarding patients who require attention after hours when the UCC is not in operation and direct patients to the appropriate facility.
- Render immediate medical services to those patients determined as emergent.
- Request and interpret laboratory and radiologic tests, as necessary, for diagnosis.
- Provide and order medically indicated treatment as well as prescribe medication.
- Interpret abnormal lab results, x-rays and electrocardiograms occurring or reported within 6 hours and take appropriate action with documentation in CPRS.
- Suture minor lacerations and treat uncomplicated fractures.
- Refer patients to routinely scheduled clinics of the Outpatient Department.
- Render initial assessments of which Emergency Department patients will require transfer to a tertiary care center and consult the appropriate Indian Health Service physician on-call who in turn will render the final decision concerning transfer and arrange transfer, if indicated.
- Render the initial assessment of which emergency department patients may require admission to the on-site Hospital and consulting the Indian Health Service physician on-call who in turn will render the final decision concerning admissions.
- Provide medical advice to patients by telephone when the nurse requests a physician to do so.
- Will respond to all code blue emergencies throughout the hospital.
- Provide basic life support in a first responder status for patients requiring resuscitation outside of the hospital on hospital grounds.
- Provider agrees to participate in quality assurance activities that ensure quality patient care as well as efficient use of hospital resources. These activities may include, but not limited to, chart review and discussion with the Clinical Director or his designee.
- The Physician shall complete the Death Certificate on all patients and residents who expire during his/her shift.
Staffing and Scheduling:
The Physician(s) will be on duty Weeknights 4:15pm to 8:15am and 24 hours on weekends and Federal holidays.
The Physician shall carry the MOD pager and will respond STAT, as defined in the Medical Staff Bylaws, and Rules and Regulations, and Policies, to all Medical Center emergencies such as code blue, code red, code green, and rapid response alerts.