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
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