Locum Physician - Emergency Inpatient

77 consultants; Hawarden (IA); On-site; USD 247,968 - 330,624; Full time

Benefits offered by this job

On-site lodging

Job summary

77 consultants seeks a clinician to provide sole coverage in the Emergency Department and inpatient floor at a Critical Access Hospital. The role requires a minimum of 2 years of autonomous Emergency Medicine experience and proficiency in all ED and inpatient procedures.

Shifts are 24 hours on-site with handoffs between 12 PM and 3 PM; on-site lodging is available to support this schedule. Telemedicine support in cardiology, pulmonology, and infectious diseases is available.

Qualifications

• Minimum 2 years practicing autonomously in Emergency Medicine.
• Proficiency in all procedures relevant to the ED and inpatient settings.

Responsibilities

• Cover the Emergency Department and inpatient floor with no outpatient duties.
• Perform 24‑hour on‑site shifts and participate in 12–15 hours of active work per shift plus night call.
• Coordinate handoffs during shift changes to ensure continuity of care.

Skills

Emergency Medicine

Autonomous practice

Procedural proficiency

Tools

Thrive EMR

Trubridge

Job description

Position Overview

The role involves sole provider coverage encompassing both Emergency Medicine (EM) and Inpatient Medicine. Candidates must possess a minimum of 2 years of EM experience and be proficient in performing all relevant procedures. The orientation is scheduled for July 24, with subsequent shifts from July 25-27, running from noon to noon for handoff.

Logistics

On-site lodging is available.

Provider Responsibilities

The provider’s responsibilities focus exclusively on the Emergency Department (ED) and the inpatient floor; there are no outpatient clinic duties.

Schedule and Coverage

• Shift structure: 24‑hour on‑site shifts.
• On‑call requirement: 24/7 call coverage.

Facility Type

Critical Access Hospital.

Operational Metrics

• Average daily census: 4‑6 patients on the medical floor.
• Average length of stay (LOS): 1‑3 days for acute/swing beds, 8‑10 days for transitional care.
• Daily ED encounters: 6‑8.

Rounding Protocols

• Morning rounds: Begin at 8 AM with an interdisciplinary team, including a social worker/case manager, pharmacist, and nursing staff.
• Swing bed weekly rounds: Conducted weekly to address transition of care for swing bed patients.

Clinical Acuity and Resources

• Patient diagnoses include CHF, cellulitis, COPD, and gastrointestinal complaints.
• Subspecialty support available via telemedicine in cardiology, pulmonology, and infectious diseases.
• EMR system in use: Thrive, facilitated by Trubridge.
• Annual ED volume: approximately 2,500‑2,700 visits.
• Available ancillary services: laboratory and imaging.

Qualifications

• Minimum 2 years practicing autonomously in Emergency Medicine.
• Proficiency in all procedures relevant to the ED and inpatient settings.

Hospitalist Scheduling

• Shift length: 24‑hour on‑site shifts (typically includes 12‑15 hours of active work plus night call).
• Shifts run from 12 PM to 12 PM, with handoffs between 12‑3 PM.

Rounding Protocols (continued)

• Morning rounds: 7:00 AM‑8:00 AM.
• Informal evening rounds: 9:00 PM‑10:00 PM.

Admission Strategy

Goal to minimize unnecessary admissions that would lead to immediate transfers post‑evaluation.

Overnight Admissions

From 11:00 PM to 6:00 AM, transition orders initiated by ED physicians facilitate admissions to streamline processes and reduce administrative burden on hospitalists.

Discharge Management

Awareness of patients scheduled for discharge is essential at the start of rounds. Discharge planning should be established during interdisciplinary team meetings the prior day. Patients are informed in advance of their pending discharge to facilitate a streamlined process, targeting mid‑day discharge whenever feasible.