7a-7p - Day Hospitalist needed at AVH in Berlin NH

December 23 - December 29, 2024 (holiday rates on 12/25)

• 5-bed adult ICU and stepdown unit type patients. Provide care independently or with consultation. Intubate patients, and manage mechanical ventilators.
• Requires American Heart Association BLS and ACLS with PALS and NRP (if peds) certification, and run codes together with ED physician on duty.
• Ideally, if appropriately trained and credentialed, provides care for pediatrics, including newborns and attending selected deliveries to care for newborn (e.g., high risk vaginal delivery due to fetal distress or meconium; Cesarean section).
• After normal business hours, provides phone coverage for community s primary care practice (Coos County Family Health Services), including calls from patients/families, 2 local nursing homes (CCFHS serves as attending for all such residents), home health agencies, and pharmacies.

EMR is Meditech Expanse.

Staffing, schedule, and clinical workload:

• 1 day hospitalist 7 am 7 pm
• 1 night hospitalist 7 pm 7 am
• 1 additional rounder, typically for 2-4 hours per morning, depending on census: may be Hospitalist Program Medical Director or hospitalist departing from night shift (especially weekends and holidays)

Typical workload for day hospitalist:

• 2 to 4 admissions or consults
• Rounds on, discharge, or transfer 6 to 10 patients
• Total patient encounters 8 to 14

Typical workload for night hospitalist:

• 2-4 admissions or consults
• Assess 1-2 patients at bedside due to instability or change in clinical condition

If hospitalist clinical work is done or slow and solo ED physician is very busy, hospitalist is expected to help in ED with care of clinically appropriate patients.

No Call outside of shifts.

Admissions: 2-5 new admits/consults per shift.

ICU: 2 (daily census)

Inpatient: 8-12 (daily visits or discharge): Observation, inpatient, and SNF/swing status.

Patient mix: 90% adults, 10% peds. 85% Medicine, 14% Surgery, 1% Trauma

EMR- Meditech Expanse 6.16, Dragon

Total # of Beds: 25

Total # of ICU Beds: 5