Emergency Medicine Physician - Sequoyah Staffing (Physician )

Company: Sequoyah Staffing Agency, LLC
Location: Johnson City
Posted on: March 16, 2023

Job Description:

Emergency Medicine opening in Johnson City, Tennessee. Sequoyah Staffing Place of Performance: James H. Quillen VAMC (JHQ VAMC) Corner of Lamont and Dogwood Mountain Home, TN Emergency Department operates 24 hours a day, 365 days a year Physician Providers: License All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor s physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action, or denied upon application will not be considered for the purposes of this contract. Board Certification - Physician(s) shall be Board Certified/Board Eligible in Emergency Medicine (strongly preferred), Internal Medicine, or Family Medicine. If the physician is board-certified/board-eligible in internal medicine or family medicine, at least 3-5 years of recent experience providing emergency medical care is required. All contractor s physician(s) are strongly encouraged, but not required to be certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) if Board Certified/Board Eligible in Emergency Medicine unless required by facility policy. Physicians Board Certified/Board Eligible in Internal Medicine or Family Practice must be certified in BLS and ACLS. Job Description:

• Evaluation, Emergent Treatment and Management: Employment of the principles of emergency care for life/limb threats, resuscitation and stabilization, triage, diagnosis, and disposition.
• Initial evaluation, emergent treatment and management of minor wound care, respiratory illness, gastrointestinal illness, burns, musculoskeletal trauma, dermatological illness, ENT, eye and urological problems.
• Initial evaluation, emergent treatment and management of minor procedures such as local infiltration anesthesia, incision and drainage, simple laceration repair, nail trephination, electro-coagulation, nasal cautery, gastric lavage, bladder catheterization, peripheral venous line insertion, and spinal immobilization.
• Initial evaluation, emergent treatment and management of abdominal and gastrointestinal disorders (including trauma) of the esophagus, stomach, small bowel and colon rectum and anus, liver and biliary tree and pancreas.
• Initial evaluation, emergent treatment and management of cardiovascular disorders (including trauma) involving cardiac failure, differential diagnosis of chest pain, cardiac structural disorders, cardiac rhythm and conduction defects, pericardial disorders, disease of peripheral arteries and veins, shock, and cutaneous disorders. Initial evaluation, emergent treatment and management of emergent disorders caused by antigens, organisms and other foreign substances such as reactions of hypersensitivity; reactions from venoms, bites and stings; reactions caused by infectious agents; disorders due to chemical, drug and physical agents; and disorders associated with the environment to include barotraumas, near drowning, electrical injury, hypothermia and radiation injury.
• Initial evaluation, emergent treatment and management of emergent disorders of the hematopoietic system such as anemia, coagulopathy and management of acute neoplastic disease complication.
• Initial evaluation, emergent treatment and management of emergent disorders of endocrine, metabolic and nutritional natures relating to acid-base disturbances, adrenal, parathyroid and thyroid disturbances.
• Initial evaluation, emergent treatment and management of emergent disorders of the head and neck (including trauma) involving the ears, nose, oral cavity, larynx/trachea, face and vestibular system.
• Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the eye involving the lids and lachrymal apparatus conjunctiva, cornea, sclera, internal aspects of the globe and orbit.
• Initial evaluation, emergent treatment, and management of emergent disorders (including trauma) of the musculoskeletal system involving shoulder girdle, upper extremity and hand, lower extremity and foot, thorax, and vertebrae and arthropathies.
• Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the nervous system including cerebral edema, coma, cranial nerve disease, cerebro-vascular disease and infection.
• Initial evaluation, emergent treatment and management of emergent disorders of psychiatric origin including depression, anxiety reactions, suicide and psychosis.
• Initial evaluation, emergent treatment and management of emergent respiratory disorders including pulmonary, infection, trauma, neoplasia, metabolic and complications of cardiovascular disease.
• Initial evaluation, emergent treatment and management of emergent renal and urologic disorders including acute/chronic renal failure, infections, obstructive uropathy and hematuria and trauma.
• Initial evaluation, emergent treatment and management of emergent OB/GYN disorders such as trauma, infection and pregnancy (ectopic and intra-uterine).
• Suture minor lacerations.
• Major procedures shall be performed in the VAMC Emergency Medicine when safe and appropriate to do so for procedures such as central venous line placement, arterial catheter placement, emergency chest tube or needle thoracostomy to relieve tension pneumothorax, peritoneal lavage, defibrillation and synchronized cardioversion, endotracheal intubation, lumbar puncture, proctoscopy/anoscopy, pericardiocentesis, simple closed fracture and dislocation reduction, arthrocentesis, local/regional anesthesia, moderate and/or deep procedural sedation, pericardiocentesis, temporary pacemaker placement, chest tube thoracostomy and cricothyroidotomy.
  • Stabilization and transfer: As per 38 USC 1784A, when ED patients require a level of care higher than can be reasonably provided within the capabilities of the VAMC, the contractor s physicians shall provide appropriate stabilization prior to, or in concert with, transfer to a medical facility able to provide the level of care required.
  • Shifts: Contractor s physician(s) shall be present on time for any scheduled shifts as documented by physical presence in the EM at the scheduled start time.
  • Inpatient Admissions: Contractor s physician(s) shall review all admissions to inpatient hospital care recommended by Advanced Practice Provider (Physician Assistant or Nurse Practitioner). Every admission to inpatient care shall have a person-to-person hand-off/hand-over from the admitting Provider to a responsible member of the admitting team.
  • Consultation and Referral Responsibilities: Contractor s physician(s) shall provide consultation with and instruction to referring physicians regarding appropriate indications for procedures so that the most expeditious and clinically appropriate work-up can be done. Contractor s physician(s) shall determine the appropriate course of treatment and communicate in person or by phone with the referring clinicians.
  • Contractor s physician(s) shall initiate appropriate social work referrals for all identified homeless veterans and for patients who do not have primary care providers, but who appear regularly in the EM.
  • Orthopedic devices: Contractor s physician(s) shall apply, or directly supervise the application of, orthopedic devices such as splints and braces to stabilize orthopedic injuries.
  • Medications: Contractor s physician(s) shall follow all established medication policies and procedures. No sample medications shall be provided to patients.
  • Discharge education: Contractor s physician(s) shall provide discharge education and follow up instructions that are coordinated with the next care setting for Emergency Medicine patients.
  • Communication of Test Results: Mechanisms must be in-place to provide notification of test results for patients receiving care in accordance with VHA Directive 1088, Communicating Test Results to Providers and Patients.

Keywords: Sequoyah Staffing Agency, LLC, Johnson City , Emergency Medicine Physician - Sequoyah Staffing (Physician ), Healthcare , Johnson City, Tennessee