Summary: The provider is responsible for daily rounds on all inpatients. This includes swing beds and observation patients. Usually occurs at 0800 every day. Provider is also responsible for all ER patients that present to the ER during the assignment period. Local nursing homes may call with questions or concerns regarding their patients, and locum provider is responsible for follow-up on that as well.
DATES OF COVERAGE:
- Shifts include 10 hours onsite & 14 hours onsite call.
- Oct 9 (8a) - 16 (8a)
- Oct 30 (8a) - Nov 6 (8a)
- Nov 20 (8a) - 27 (8a)
- Dec 11 (8a) - 18 (8a)
- Jan 1 (8a) - 8 (8a)'
DETAILS:
- Setting: ER/Hospital - Carrington is a trauma level 5 emergency room.
- Required procedures: laceration repair, cardiac care
- Duties: ER coverage, Hospital Rounds, Nursing home concerns
- EMR: Meditech
- Support Staff: Avel eCare, Nursing, Pharmacy, Clinic providers
- Reason for Coverage: Medical Leave
- Inpatient census is 3-4 per day
- ER volume is about 5 per day. We have a large Medicare population so see CHF, Diabetes, COPD. ER patients usually are urgent care patients, but we do see our share of trauma and critical patients.
- 20 bed critical access hospital. We are nonprofit, and are part of CommonSpirit Health
- Carrington is a very small Critical Access Hospital. We do not care for any critical care patients. We have a high rate of Medicare patients between 85-100% in the hospital and very low peds rate.
- Carrington is located between two nursing homes. Providers must be willing to conduct consults for nursing home patients.
- APP’s permitted to admit
- Must be comfortable and knowledgeable working independently
- ER has a Avera-e care- (in the case a second opinion is needed- TeleHealth resource for consults, extra set of eyes)
- Round and be available for the nurses
- Credentialing: Can Emergency Credential in one week if all necessary paperwork is turned in right away!
ADDITIONAL QUESTIONS ANSWERED BY THE FACILITY:
- We do have patients in Swingbed (step down). Our average daily census is typically no greater than 3-6.
- Lower acuity patients are admitted and provider would be expected to round and care for those patients. No intubations required
- Our volumes are very low typically only 1200/year. Candidates must be able to care for trauma patients and have the ability to assess patients and communicate with Tertiary Centers when transfers are needed.
- Carrington owns the ambulance system which does most of the transfers.
- What is included in the hybrid portion of this need? Are the 24 hours onsite or will any portion of it be call? The site prefers 10 hours on site, and 14 hours on call. However, if the ER is quiet, and the patients on the floor have been rounded on etc., the provider may to their sleep room and just be on call. We like hospital rounds to be done around 9am. The provider usually comes to med-surg around 8am and stays until rounds, and patient needs are met.
#IND3