ED Physician -Fayetteville, NC - Veteran Affairs (Physician #)

Company: Ghost Inc
Location: Fayetteville
Posted on: October 17, 2020

Job Description:

Needs: Emergency Department Physician Services

Location - Contractor shall furnish services at the Fayetteville Veteran Affairs Medical Center, 2300 Ramsey Street, Fayetteville, NC 28301.

Shift Expectations: 7:00 AM to 7:00PM and 7:00PM to 7:00AM

Length: 1 year with (4) 1 year options to extend

Requirements:

• American Board of Emergency Board Certified or Board Eligible preferred
• Must have BLS & ACLS, and DEA Scope of Care: Contractor's physician (s) (as appropriate and within scope of practice/privileging) shall be responsible for providing Emergency Department care, including, but not limited to:
  
  Evaluation, Emergent Treatment and Management: Employment of the principles of emergency care for life/limb threats, resuscitation and stabilization, triage, diagnosis and disposition.
  
  • Initial evaluation, emergent treatment and management of minor wound care, respiratory illness, gastrointestinal illness, burns, musculoskeletal trauma, dermatological illness, ENT, eye and urological problems.
  • Initial evaluation, emergent treatment and management of minor procedures such as local infiltration anesthesia, incision and drainage, simple laceration repair, nail trephination, electro-coagulation, nasal cautery, gastric lavage, bladder catheterization, peripheral venous line insertion, and spinal immobilization. Initial evaluation, emergent treatment and management of abdominal and gastrointestinal disorders (including trauma) of the esophagus, stomach, small bowel and colon rectum and anus, liver and biliary tree and pancreas.
  • Initial evaluation, emergent treatment and management of cardiovascular disorders (including trauma) involving cardiac failure, differential diagnosis of chest pain, cardiac structural disorders, cardiac rhythm and conduction defects, pericardial disorders, disease of peripheral arteries and veins, shock, and cutaneous disorders. Initial evaluation, emergent treatment and management of emergent disorders caused by antigens, organisms and other foreign substances such as reactions of hypersensitivity; reactions from venoms, bites and stings; reactions caused by infectious agents; disorders due to chemical, drug and physical agents; and disorders associated with the environment to include barotraumas, near drowning, electrical injury, hypothermia and radiation injury.
  • Initial evaluation, emergent treatment and management of emergent disorders of the hematopoietic system such as anemia, coagulopathy and management of acute neoplastic disease complication.
  • Initial evaluation, emergent treatment and management of emergent disorders of endocrine, metabolic and nutritional natures relating to acid-base disturbances, adrenal, parathyroid and thyroid disturbances.
  • Initial evaluation, emergent treatment and management of emergent disorders of the head and neck (including trauma) involving the ears, nose, oral cavity, larynx/trachea, face and vestibular system.
  • Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the eye involving the lids and lachrymal apparatus conjunctiva, cornea, sclera, internal aspects of the globe and orbit.
  • Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the musculoskeletal system involving shoulder girdle, upper extremity and hand, lower extremity and foot, thorax and vertebrae and arthropathies. Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the nervous system including cerebral edema, coma, cranial nerve disease, cerebra-vascular disease and infection. Initial evaluation, emergent treatment and management of emergent disorders of psychiatric origin including depression, anxiety reactions, suicide and psychosis.
  • Initial evaluation, emergent treatment and management of emergent respiratory disorders including pulmonary, infection, trauma, neoplasia, metabolic and complications of cardiovascular disease.
  • Initial evaluation, emergent treatment and management of emergent renal and urologic disorders including acute/chronic renal failure, infections, obstructive uropathy and hematuria and trauma.
  • Initial evaluation, emergent treatment and management of emergent OB/GYN disorders such as trauma, infection and pregnancy (ectopic and intra-uterine). Suture minor lacerations. Major Procedures: shall be performed in the Fayetteville VAMC Emergency Department when safe and appropriate to do so for procedures such as central venous line placement, arterial catheter placement, emergency chest tube or needle thoracostomy to relieve tension pneumothorax, peritoneal lavage, defibrillation and synchronized cardioversion, endotracheal intubation, lumbar puncture, proctoscopy / anoscope, pericardiocentesis, simple closed fracture and dislocation reduction, arthrocentesis, local and up to moderate systemic anesthesia (intravenous/regional), pericardiocentesis, temporary pacemaker placement, chest tube thoracostomy and cricothyroidotomy.
    
    • Stabilization and transfer: Patients suffering traumatic injuries where immediate treatment and release is not medically indicated and when clinical level of care is not available at the Fayetteville VAMC, the contractor's physician (s) shall provide initial stabilization and readying of such patients for transport to a Level One Trauma Center.
    • Clinic: Contractor's physician (s) shall be present on time for any scheduled clinics as documented by physical presence in the clinic at the scheduled start time.
      Inpatient Admissions: Contractor's physician (s) shall review all admissions to inpatient hospital care recommended by Mid-level (Physician Assistant or Nurse Practitioner) provider. Every admission to inpatient care shall have a person-to-person handoff/hand-over from the admitting Provider to a responsible member of the admitting team.
      Consultation and Referral Responsibilities:
      
      • Contractor's physician (s) shall provide consultation with and instruction to referring physicians regarding appropriate indications for procedures so that the most expeditious and clinically appropriate workup can be done.
      • Contractor's physician (s) shall determine the appropriate course of treatment and communicate in person or by phone with the referring clinicians.
      • Contractor's physician (s) shall initiate appropriate social work referrals for all identified homeless veterans and for patients who do not have primary care providers, but who appear regularly in the ED. Orthopedic devices:
      • Contractor's physician (s) shall apply orthopedic devices such as splints and braces to stabilize orthopedic injuries.
      • Medications: Contractor's physician (s) shall follow all established medication policies and procedures. No sample medications shall be provided to patients.
      • Discharge education: Contractor's physician (s) shall provide discharge education and follow up instructions that are coordinated with the next care setting for all emergency department patients. Estimated 10% of time not involved in direct patient care shall be spent documenting the disposition of the patient is EHR and Emergency Department Integrated Software (EDIS) system. Quality Improvement Meetings: The contractor's physician (s) shall participate in continuous quality improvement activities and meetings with committee participation as required by the Fayetteville VAMC Chief of Service, Chief of Staff, or designee. Keyphrases: hospitalist jobs

Keywords: Ghost Inc, Fayetteville , ED Physician -Fayetteville, NC - Veteran Affairs (Physician #), Healthcare , Fayetteville, North Carolina