Hospitalist Nurse Practitioner

Locum APP Hospitalist needed in Cambridge, NE - Critical Access Hospital

Please only send licensed Hospitalist APP's who can do Emergency Medicine procedures.

• Required Procedures : Central Lines, Intubations, Chest Tubes, Vent Management (Emergency Medicine procedures)
• They will be staying in a call room in the hospital. It's really nice and renovated. They need to be okay with this as well.

Will accept NP or PA

Credentialing : 2-3 weeks

Start : 9 / 20

End : 10 / 1

LOA : 12 days however they will have future dates as well.

Work Schedule : 24 / hr coverage - Will be rounding during the day and then they will be on call after that.

Patient Volume : Census is 3.2 per day

Procedures : Clinical :

Total Beds : 16 (includes swing beds)

Avg Daily Census : 3.2

ICU Beds : None dedicated - but they have two monitored rooms

Procedures Required : Emergency Medicine

Additional Responsibilities :

Specialty support (Besides ER, is Interventional cardiology / neurology, IR, GI, etc available?) : Anesthesia

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.

Note : all high acuity level ICU patients require immediate bedside evaluation at the time of admission, regardless of time of day.

Rounding on overnight admissions enables you to :

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.

EMR : Meditech Expense

License : NE active license

Certifications : ACLS, BLS, DEA; ATLS would be plus but not needed.