MD / Internal Medicine / Nevada / Locum or Permanent / BC / VAMC
Posted on Nov 14, 2018 by Confidential
1.1. ED physicians are required in the VASNHS ED in support of Veteran beneficiaries of VASNHS. Patient load is estimated to be approximately sixty (60) ninety (90) patients per day, but may be higher or lower on certain days.
1.2. The VASNHS ED is currently considered a level three (3) acute care unit, however it is anticipated that the ED will be reclassified as a level two (2) at some time prior to the end of the contract period of performance.
1.3. Contract ED physicians shall not be required to provide care in areas other than the ED with the exception of Code Blues and Rapid Responses in designated areas unless there is an unusual emergency situation or a disaster.
1.4. Paramedics do not transport acute trauma patients to VASNHS at this time. If patients with major trauma are presented, they will be stabilized and transferred to a trauma center. The VASNHS facility manages only minor trauma.
1.5. The ED is operational twenty-four (24) hours per day, every day. Contract ED physicians will be required to fill all shifts with an emphasis on evenings, weekends and holidays. Contract physicians shall not work more than sixteen (16) continuous hours per day nor exceed eighty (80) hours of duty per calendar week (Sunday-Saturday).
1.6. Contract ED physicians will not be required to oversee any residents or medical students who rotate through the ED.
2. GENERAL REQUIREMENTS.
2.1. Contract ED physicians shall provide emergency/urgent/observational care to patients requiring care in the ED. The medical coverage shall consist of, but is not limited to:
Assessment of acute medical/surgical/psychiatric conditions after preliminary evaluation for triage by the nursing staff. This includes history and physical, diagnostic testing, treatment, requesting consults as needed, and admitting patients when clinically required.
Making outside calls on behalf of the patients and other parties regarding care in the VASNHS ED.
Receiving phone calls from other facilities requesting transfer of Veterans to the VASNHS ED and making timely decisions on acceptance of such patients according to VASNHS policy.
Timely completion of medical record documentation in accordance with VA and The Joint Commission (TJC) policy utilizing the VA Computerized Patient Record System (CPRS). Such documentation includes, but is not limited to, procedure notes, encounter forms, informed consents rapid response and Code Blue notes.
Seeing all presenting patients in a timely manner. Timeliness will be defined based on criticality of the patient and triage category, not time of their arrival. Each physician will support the VAs National performance standards and goals. Specifically, absent any extenuating circumstances outside of the physicians control, efforts must be made to see every patient within forty-five (45) minutes or less.
In support of timeliness goals, contract physician productivity will be measured against that of peers in the same or significantly simi