Family Medicine Job Description/Duties — Inpatient - Revision history

JenniferH at 21:17, 10 November 2020

2020-11-10T21:17:35Z

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	[[:category:Inpatient\|Hospitalist Main Page]]		[[:category:Inpatient\|Hospitalist Main Page]]
			<br/>[[Job Duties\|Job Duties Main Page]]

JenniferH: /* Yukon and Kusko Service Division */

2020-11-10T20:13:48Z

Yukon and Kusko Service Division

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	==Yukon and Kusko Service Division==		==Yukon and Kusko Service Division==
			see [[media:RMT Village Clinics.pdf\|Kusko and Yukon Village Clinics List]]

	Patient responsibilities for North Wing/Obstetric and RMT patients are generally divided up by village of origin (see Kusko and Yukon Village Clinics List) with equal populations in each.		Patient responsibilities for North Wing/Obstetric and RMT patients are generally divided up by village of origin (see Kusko and Yukon Village Clinics List) with equal populations in each.

JenniferH: /* Yukon and Kusko Service Division */

2020-11-10T20:10:50Z

Yukon and Kusko Service Division

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	Bethel patients are generally proportioned out to the less busy service. When one service is extremely busy, it may be appropriate to pick up an occasional non-service patient in order to help out.		Bethel patients are generally proportioned out to the less busy service. When one service is extremely busy, it may be appropriate to pick up an occasional non-service patient in order to help out.


	[[:category:Inpatient\|Hospitalist Main Page]]		[[:category:Inpatient\|Hospitalist Main Page]]

JenniferH: /* Night Float (NF) */

2020-11-10T20:10:23Z

Night Float (NF)

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	NF ONLY works at night and is off during the day; ''NF should sign out any unfinished work to Wards providers''		NF ONLY works at night and is off during the day; ''NF should sign out any unfinished work to Wards providers''

			==Yukon and Kusko Service Division==

			Patient responsibilities for North Wing/Obstetric and RMT patients are generally divided up by village of origin (see Kusko and Yukon Village Clinics List) with equal populations in each.

			Bethel patients are generally proportioned out to the less busy service. When one service is extremely busy, it may be appropriate to pick up an occasional non-service patient in order to help out.

	[[:category:Inpatient\|Hospitalist Main Page]]		[[:category:Inpatient\|Hospitalist Main Page]]

JenniferH: /* Yukon and Kusko Service Division */

2020-11-10T20:09:57Z

Yukon and Kusko Service Division

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	Off service providers are also expected to help out in the afternoon with [[Regular (Outpatient) RMT\|regular clinic RMT]], the ER, clinic or wherever needed as able and as directed by the chief-of-staff or their designee (CD on-call). If the provider has chosen to round at 7 a.m. during the preceding week, they may compensate for their time on this day if their assistance is not required.		Off service providers are also expected to help out in the afternoon with [[Regular (Outpatient) RMT\|regular clinic RMT]], the ER, clinic or wherever needed as able and as directed by the chief-of-staff or their designee (CD on-call). If the provider has chosen to round at 7 a.m. during the preceding week, they may compensate for their time on this day if their assistance is not required.

	~~===Yukon and Kusko Service Division===~~

	~~Patient responsibilities for North Wing/Obstetric and RMT patients are generally divided up by village of origin (see Kusko and Yukon Village Clinics List) with equal populations in each.~~

	~~Bethel patients are generally proportioned out to the less busy service. When one service is extremely busy, it may be appropriate to pick up an occasional non-service patient in order to help out.~~

	==Night Float (NF)==		==Night Float (NF)==

JenniferH: /* Admin Day: Usually Monday after a Wards Week 8 a.m. – 6 p.m. */

2020-11-10T20:09:23Z

Admin Day: Usually Monday after a Wards Week 8 a.m. – 6 p.m.

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	This day is used to provide comprehensive transition of care for all patients remaining on service and is focused on completing discharges of appropriate patients, updating problem lists, finishing up all documentation, making referrals and ensuring all patients on service receive excellent transition of care to the oncoming providers.		This day is used to provide comprehensive transition of care for all patients remaining on service and is focused on completing discharges of appropriate patients, updating problem lists, finishing up all documentation, making referrals and ensuring all patients on service receive excellent transition of care to the oncoming providers.

	Off service providers are also expected to help out in the afternoon with regular clinic RMT, the ER, clinic or wherever needed as able and as directed by the chief-of-staff or their designee (CD on-call). If the provider has chosen to round at 7 a.m. during the preceding week, they may compensate for their time on this day if their assistance is not required.		Off service providers are also expected to help out in the afternoon with [[Regular (Outpatient) RMT\|regular clinic RMT]], the ER, clinic or wherever needed as able and as directed by the chief-of-staff or their designee (CD on-call). If the provider has chosen to round at 7 a.m. during the preceding week, they may compensate for their time on this day if their assistance is not required.

	===Yukon and Kusko Service Division===		===Yukon and Kusko Service Division===

JenniferH: /* Emergency back-up / medevac call */

2020-11-10T20:07:19Z

Emergency back-up / medevac call

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	'''Mon.–Sun. 6 p.m. – 8 a.m.'''		'''Mon.–Sun. 6 p.m. – 8 a.m.'''

	This is assigned to the Wards provider every other night and is intended only for EXTREME situations. Only the NF, CD-on call, or Chief-of-Staff may request that the Wards provider come in to cover. The most typical situation for being called in would be when there is a laboring preterm patient in a village who requires a physician’s sterile vaginal exam (accompanied by the pediatrician on-call) to determine safety of air transport back to Bethel vs delivery in the village. Although it is customary for the star-doc to go on the medevac, sometimes NF may go, but ''the medevac on call provider gets the final say''. Other appropriate reasons for being called in would be the inability of the ER attending to fulfill his/her duties, mass casualties, or other multiple traumas /resuscitations.		This is assigned to the Wards provider every other night and is intended only for EXTREME situations. Only the NF, CD-on call, or Chief-of-Staff may request that the Wards provider come in to cover. The most typical situation for being called in would be when there is a [[OB RMT#Labor in the Village\|laboring preterm patient in a village]] who requires a physician’s sterile vaginal exam (accompanied by the pediatrician on-call) to determine safety of air transport back to Bethel vs delivery in the village. Although it is customary for the star-doc to go on the medevac, sometimes NF may go, but '''''the medevac on call provider gets the final say'''''. Other appropriate reasons for being called in would be the inability of the ER attending to fulfill his/her duties, mass casualties, or other multiple traumas /resuscitations.

	'''''Under no circumstances should the star-doc be used as a “convenience” for a backed-up ER waiting room or to otherwise help move patients more quickly through the ER.'''''		'''''Under no circumstances should the star-doc be used as a “convenience” for a backed-up ER waiting room or to otherwise help move patients more quickly through the ER.'''''

JenniferH: /* Other responsibilities */

2020-11-10T20:05:40Z

Other responsibilities

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	===Other responsibilities===		===Other responsibilities===
	*Day Wards providers are required to attend a multidisciplinary discharge planning meeting ~every day when scheduled by the Inpatient Case Manager.		*Day Wards providers are required to attend a multidisciplinary discharge planning meeting ~every day when scheduled by the Inpatient Case Manager.
	There are hospital meetings throughout the week/month that Day Wards providers are encouraged to attend as clinical duties allow. link to meeting schedule*.		*There are [[Meetings\|hospital meetings]] throughout the week/month that Day Wards providers are encouraged to attend as clinical duties allow.
	*These meetings can be easier to attend even with a busy service if you plan and use them as a time to complete notes/orders on your RAVEN laptop.		*These meetings can be easier to attend even with a busy service if you plan and use them as a time to complete notes/orders on your RAVEN laptop.
	*Attendance at mock codes		*Attendance at mock codes

JenniferH: /* Going on a medevac */

2020-11-10T20:03:13Z

Going on a medevac

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	===Going on a medevac===		===Going on a medevac===
	Usually for evaluation of either preterm labor or complicated term labor ~~link to Preterm Labor in the Village: FM Orientation and Delivery in the Village: Peds Orientation~~ or other emergencies with which the medevac crew may need assistance.		Usually for evaluation of either preterm labor or complicated term labor or other emergencies with which the medevac crew may need assistance.

			see [[Pediatric Village Delivery Orientation]] or [[OB RMT#Labor in the Village\|OB Labor in the Village]]

	===Backing up the ER and clinic as appropriate===		===Backing up the ER and clinic as appropriate===

JenniferH: /* Urgent and Emergency Radio Medical Traffic (RMT) */

2020-11-10T19:58:01Z

Urgent and Emergency Radio Medical Traffic (RMT)

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	*H&P (this must be completed in 24 hours)		*H&P (this must be completed in 24 hours)

	===Urgent and Emergency Radio Medical Traffic (RMT)===		===[[Urgent RMT\|Urgent]] and [[Emergency Provider RMT\|Emergency]] Radio Medical Traffic (RMT)===
	Consultation is accomplished via EMR and telephone with village community health aides (CHAs) and SRC PA/NP providers for patients requiring urgent or emergent care and/or transport. Telemedicine patient pictures and EKGs are available on Multimedia Manager. After review, review of these should be charged for by going to orders-> Visit (E&M charges) ->Telemed Consult Level I or 2. There are also video conferencing telephones located in the FM, Peds and ER offices for evaluating patients real time with the health aides and SRC providers.		Consultation is accomplished via EMR and telephone with village community health aides (CHAs) and SRC PA/NP providers for patients requiring urgent or emergent care and/or transport. Telemedicine patient pictures and EKGs are available on Multimedia Manager. After review, review of these should be charged for by going to orders-> Visit (E&M charges) ->Telemed Consult Level I or 2. There are also video conferencing telephones located in the FM, Peds and ER offices for evaluating patients real time with the health aides and SRC providers.