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Rhode Island Hospital seeks an Advanced Practice Provider to deliver emergency medicine in the ED under supervision of an Attending. You will obtain histories, perform exams, order and interpret tests, and develop treatment plans for ED patients.
Duties include performing emergency procedures and collaborating with multidisciplinary teams to ensure high-quality, patient-centered care. Full-time position with varied shifts; strong communication, HIPAA compliance, and EMR proficiency are
Under the general direction of the APP (Advanced Practice Provider) Medical Director or Associate Medical Director, this Advanced Practice Provider (APP) position is responsible for practicing emergency medicine in the Emergency Department. The Emergency Department Advanced Practice Provider will obtain medical histories, perform physical examinations, and order and interpret diagnostic tests to establish diagnoses and develop and implement treatment plans for emergency department patients. Additionally, the APP will perform diagnostic and therapeutic emergency medicine procedures.
All practice is performed under the supervision of the Attending Physician and in accordance with written policies and protocols developed and approved by the Emergency Department, the Medical Executive Committee, and the Board of Rhode Island Hospital/Miriam Hospital/Newport Hospital.
The Advanced Practice Provider is supervised by the APP Medical Director and Chief APP, with collaborative relationships across Brown EM, Hospital Administration, and Clinical Teams.
This position required moderate physical effort to perform clinical duties. Prolonged standing on your feet and a considerable amount of walking in the emergency department per shift is required.
Full-time Advanced Practice Providers typically work 36-40 clinical hours per week, with variable scheduling that includes days, evenings, weekends, and holidays.
Very good communication, writing, and analytical skills are required, as APP often interacts with physicians, other APP members, community resources, providers, other employees, and the public.
This position requires full access, review, preparation, and use of confidential information of medical, personal, social, and psychological nature, based on data and histories obtained from emergency room patients. HIPAA Compliance is essential both in and out of the work setting. Incumbent must maintain confidentiality of all patient information in accordance with HIPAA regulations.
Assess all patients presenting for care at the Andrew F. Anderson Emergency Center (AEC), The Miriam Emergency Department, Newport Hospital Emergency Department, or Hasbro Emergency Department for an emergency medical condition under the criteria embodied in EMTALA.
Use published triage guidelines to establish patient acuity and determine the appropriate care area patient should be triaged to.
Evaluate patients in accordance with Attending Physician supervision requirements, as follows:
Patients deemed to have a lower acuity complaint by nursing triage (i.e. ESI 4 or 5) can be evaluated, treated and dispositioned from the Emergency Department by an Advanced Practice Provider without requiring an evaluation by the Attending Physician.
Higher acuity patients designated ESI 3 or ESI 2 by triage nursing, require that an Attending Physician also evaluate the patient in the emergency department before discharge.
Critical Care patients require direct bedside supervision by the attending physician.
Conduct a history and physical examination on all patients in the emergency department seen by the APP and appropriately document in the patients' record.
Order and interpret laboratory testing and radiology studies.
Request respiratory therapy, psychiatric, medical, and surgical consultations as well as interventional radiology procedures, and so