Locum Physician - Emergency Inpatient

77 consultants•Hawarden, IA

14d•$2,000 - $2,500•Onsite

About The Position

This role requires a physician to provide sole provider coverage for both Emergency Medicine (EM) and Inpatient Medicine at a Critical Access Hospital. The position involves 24-hour shifts with 24/7 call coverage. Responsibilities are focused exclusively on the Emergency Department (ED) and the Inpatient floor, with no outpatient clinic duties. The average daily census on the medical floor is 4-6 patients, with an average length of stay of 1-3 days for acute/swing beds and 8-10 days for transitional care. The ED sees an average of 6-8 encounters daily, with an annual volume of approximately 2,500 - 2,700 visits. Morning rounds begin at 8 AM with an interdisciplinary team, and weekly rounds are conducted for swing bed patients. Patient diagnoses commonly include CHF, Cellulitis, COPD, and Gastrointestinal complaints. Subspecialty support is available via telemedicine in Cardiology, Pulmonology, and Infectious Diseases. The Electronic Medical Record (EMR) system used is Thrive, facilitated by Trubridge. Ancillary services include Laboratory and Imaging.

Requirements

A minimum of 2 years practicing autonomously in Emergency Medicine is required.
Must demonstrate proficiency in all procedures relevant to the Emergency Department and inpatient setting.

Responsibilities

Provide sole provider coverage for both Emergency Medicine (EM) and Inpatient Medicine.
Conduct 24-hour shifts with 24/7 call coverage.
Focus exclusively on the Emergency Department (ED) and the Inpatient floor.
Participate in morning rounds at 8 AM with an interdisciplinary team (social worker/case manager, pharmacist, nursing staff).
Conduct weekly rounds for swing bed patients to address transition of care.
Manage patient diagnoses including Congestive Heart Failure (CHF), Cellulitis, Chronic Obstructive Pulmonary Disease (COPD), and Gastrointestinal complaints.
Utilize telemedicine for subspecialty support in Cardiology, Pulmonology, and Infectious Diseases.
Perform all procedures relevant to the Emergency Department and inpatient setting.
Conduct morning rounds between 7:00 AM and 8:00 AM.
Engage in informal evening rounds with ED and nursing staff between 9:00 PM and 10:00 PM.
Minimize unnecessary admissions that would lead to immediate transfers.
Employ transition orders during peak times to enhance ED throughput.
Facilitate admissions from 11:00 PM to 6:00 AM using transition orders initiated by ED physicians.
Perform immediate bedside evaluations for all high-acuity ICU admissions.
Ensure awareness of patients scheduled for discharge at the start of rounds.
Establish discharge planning during interdisciplinary team meetings the prior day.
Inform patients in advance about their pending discharge.
Prioritize discharges to allow nursing staff to complete documentation, patients to leave promptly, and Environmental Services to prepare rooms.