Pediatric Hospitalist Job Description - Revision history

JenniferH: /* Hospitalist Resident Precepting Responsibilities */

2020-12-16T21:27:52Z

Hospitalist Resident Precepting Responsibilities

← Older revision		Revision as of 21:27, 16 December 2020
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	[[:Category:Pediatrics\|~~Pediatric~~ Main Page]]		[[:Category:Pediatrics\|Pediatrics Main Page]]
			<br/>[[Job Duties\|Job Duties Main Page]]

JenniferH: /* Hospitalist Resident Precepting Responsibilities */

2020-12-16T21:26:30Z

Hospitalist Resident Precepting Responsibilities

← Older revision		Revision as of 21:26, 16 December 2020
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	*For RMTs, residents must include documentation in their RMT response stating that the case and plan was discussed with the preceptor. Preceptors do not have to sign or addend the RMT if this is done		*For RMTs, residents must include documentation in their RMT response stating that the case and plan was discussed with the preceptor. Preceptors do not have to sign or addend the RMT if this is done
	*Review Pediatric residency precepting guide expectations in the peds residency folder \\vault1\Qemagvvik\Ykhosp\DEPTS\Pediatrics\Residency or in the [[:Category:Residents\|WIKI Residents section]]. Clarify any precepting or specific resident questions with residency site director		*Review Pediatric residency precepting guide expectations in the peds residency folder \\vault1\Qemagvvik\Ykhosp\DEPTS\Pediatrics\Residency or in the [[:Category:Residents\|WIKI Residents section]]. Clarify any precepting or specific resident questions with residency site director


			[[:Category:Pediatrics\|Pediatric Main Page]]

JenniferH: /* Hospitalist Resident Precepting Responsibilities */

2020-11-20T05:44:23Z

Hospitalist Resident Precepting Responsibilities

← Older revision		Revision as of 05:44, 20 November 2020
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	==Hospitalist Resident Precepting Responsibilities==		==Hospitalist Resident Precepting Responsibilities==
			*see [[Pediatric Resident Supervision Guide#INPATIENT PRECEPTOR LOGISTICS\|Inpatient Preceptor Pediatric Resident Supervision Responsibilities]] for more details
	*Support resident learning goals during their inpatient time and help them with supplemental educational opportunities (medevacs, procedures in the ER etc)		*Support resident learning goals during their inpatient time and help them with supplemental educational opportunities (medevacs, procedures in the ER etc)
	*For 2nd and 3rd year residents, allow them take over the TigerText Peds Wards On Duty role based on preceptor assessment of resident competency		*For [[Second Year Expectations\|2nd]] and [[Third Year Expectations\|3rd]] year residents, allow them take over the TigerText Peds Wards On Duty role based on preceptor assessment of resident competency
	*All inpatient notes must be addended and cosigned by the end of the day		*All inpatient notes must be addended and cosigned by the end of the day
	*For RMTs, residents must include documentation in their RMT response stating that the case and plan was discussed with the preceptor. Preceptors do not have to sign or addend the RMT if this is done		*For RMTs, residents must include documentation in their RMT response stating that the case and plan was discussed with the preceptor. Preceptors do not have to sign or addend the RMT if this is done
	*Review Pediatric residency precepting guide expectations in the peds residency folder \\vault1\Qemagvvik\Ykhosp\DEPTS\Pediatrics\Residency or in the [[:Category:Residents\|WIKI Residents section]]. Clarify any precepting or specific resident questions with residency site director		*Review Pediatric residency precepting guide expectations in the peds residency folder \\vault1\Qemagvvik\Ykhosp\DEPTS\Pediatrics\Residency or in the [[:Category:Residents\|WIKI Residents section]]. Clarify any precepting or specific resident questions with residency site director

JenniferH: /* ER Pediatrician */

2020-11-20T05:42:27Z

ER Pediatrician

← Older revision		Revision as of 05:42, 20 November 2020
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	*Based in ER. Sees pediatric patients in the ER and in Urgent Care/Fast Track as needed.		*Based in ER. Sees pediatric patients in the ER and in Urgent Care/Fast Track as needed.
	*Checks in with day pediatrician at beginning of shift and gets sign out about medevacs, pending ER admissions, recent ER peds consults, etc.		*Checks in with day pediatrician at beginning of shift and gets sign out about medevacs, pending ER admissions, recent ER peds consults, etc.
	*Helps peds hospitalist with emergency pediatric RMT if needed and regular CPP RMT for peds hospitalist as able.		*Helps peds hospitalist with [[Emergency RMT Scenarios and Responses\|emergency pediatric RMT]] if needed and regular CPP RMT for peds hospitalist as able.
	*Provides pediatric consultation for ER and Fast Track providers.		*Provides [[:Category:Consults#Internal (Bethel) Consult Services\|pediatric consultation]] for ER and Fast Track providers.
	*May assume medical control of sick pediatric patients from ER doc or inpatient pediatrician if needed.		*May assume medical control of sick pediatric patients from ER doc or inpatient pediatrician if needed.
	*Responds to all Code Blue and Rapid Responses, regardless of age of patient.		*Responds to all Code Blue and Rapid Responses, regardless of age of patient.

JenniferH: /* Peds Hospitalists */

2020-11-20T05:41:25Z

Peds Hospitalists

← Older revision		Revision as of 05:41, 20 November 2020
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	*Additional duties of the night hospitalist:		*Additional duties of the night hospitalist:
	**Checks proxy boxes for absent providers.		**Checks proxy boxes for absent providers.
	**Reviews dictations and specialty notes, [[Updating Problem Lists\|updating problem list]]/med lists and making referrals, etc.		**Reviews dictations and specialty notes, [[Updating Problem Lists\|updating problem list]]/med lists and making [[Specialty Referrals#Pediatric Referrals\|referrals]], etc.
	**For admitted patients with complex PMH, the night hospitalist should do a full chart review to ensure that all medical needs are being met, as able. This is often the only time that these complex patients encounter the medical system, so this opportunity must not be missed.		**For admitted patients with complex PMH, the night hospitalist should do a full chart review to ensure that all medical needs are being met, as able. This is often the only time that these complex patients encounter the medical system, so this opportunity must not be missed.
	**Helps with pharmacy medication orders or case manager requests as needed.		**Helps with pharmacy medication orders or case manager requests as needed.
	**Dental Pre-ops as requested and able		**[[OR for Peds#Procedure for Dental Pre-ops in OR suite\|Dental Pre-ops]] as requested and able
	**See detailed Night Float Priority Consensus 9.29.20 in the Pediatric Job Duties and Priorities folder \\vault1\DEPTS\Pediatrics\Job Duties and Priorities		**See detailed Night Float Priority Consensus 9.29.20 in the Pediatric Job Duties and Priorities folder \\vault1\DEPTS\Pediatrics\Job Duties and Priorities

JenniferH: /* Peds Hospitalists */

2020-11-20T05:39:57Z

Peds Hospitalists

JenniferH: /* ER Pediatrician */

2020-11-20T05:22:36Z

ER Pediatrician

← Older revision		Revision as of 05:22, 20 November 2020
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	*Responds to all Code Blue and Rapid Responses, regardless of age of patient.		*Responds to all Code Blue and Rapid Responses, regardless of age of patient.
	**(Pediatricians can be helpful at adult codes by placing orders, taking notes, making calls, completing paperwork, talking with family, etc.)		**(Pediatricians can be helpful at adult codes by placing orders, taking notes, making calls, completing paperwork, talking with family, etc.)
	*May assume ~~Hospitalist~~ role if pediatric hospitalist goes out on a medevac, if appropriate and able.		*May assume "Peds Wards on Duty" role if pediatric hospitalist goes out on a medevac, if appropriate and able.
	*May do clinic consults if required and able		*May do clinic consults if required and able
	*This position can be flexible to meet the needs of the ER or Urgent Care depending on volume, acuity, resource, etc.		*This position can be flexible to meet the needs of the ER or Urgent Care depending on volume, acuity, resource, etc.

JenniferH: /* ER Pediatrician */

2020-11-20T05:21:52Z

ER Pediatrician

← Older revision		Revision as of 05:21, 20 November 2020
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	*May assume medical control of sick pediatric patients from ER doc or inpatient pediatrician if needed.		*May assume medical control of sick pediatric patients from ER doc or inpatient pediatrician if needed.
	*Responds to all Code Blue and Rapid Responses, regardless of age of patient.		*Responds to all Code Blue and Rapid Responses, regardless of age of patient.
	~~<br/>~~(Pediatricians can be helpful at adult codes by placing orders, taking notes, making calls, completing paperwork, talking with family, etc.)		**(Pediatricians can be helpful at adult codes by placing orders, taking notes, making calls, completing paperwork, talking with family, etc.)
	*May assume Hospitalist role if pediatric hospitalist goes out on a medevac, if appropriate and able.		*May assume Hospitalist role if pediatric hospitalist goes out on a medevac, if appropriate and able.
	*May do clinic consults if required and able		*May do clinic consults if required and able

JenniferH: /* Peds Hospitalists */

2020-11-20T05:19:37Z

Peds Hospitalists

← Older revision		Revision as of 05:19, 20 November 2020
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	*Follows-up on patients listed on Peds Alert List. These are generally patients who live in villages who need regular follow-up and have a history of falling through the cracks. All patients on the Peds Alert List should have a “sticky note” with a brief description of what needs to happen.		*Follows-up on patients listed on Peds Alert List. These are generally patients who live in villages who need regular follow-up and have a history of falling through the cracks. All patients on the Peds Alert List should have a “sticky note” with a brief description of what needs to happen.
	*Responds to all Code Blue and Rapid Responses, regardless of age of patient.		*Responds to all Code Blue and Rapid Responses, regardless of age of patient.
	Pediatricians can be helpful at adult codes by placing orders, taking notes, making calls, completing paperwork, talking with family, etc.		**Pediatricians can be helpful at adult codes by placing orders, taking notes, making calls, completing paperwork, talking with family, etc.
	*When requested, and if acute priorities have been fulfilled, sees pediatric patients in the ER; does routine newborn admit exams and note for FM hospitalist; and helps in whatever capacity that is needed, as a team member, for any emergencies.		*When requested, and if acute priorities have been fulfilled, sees pediatric patients in the ER; does routine newborn admit exams and note for FM hospitalist; and helps in whatever capacity that is needed, as a team member, for any emergencies.
	*Additional duties of the night hospitalist:		*Additional duties of the night hospitalist:

JenniferH: /* Peds Hospitalists */

2020-11-20T05:15:14Z

Peds Hospitalists

← Older revision		Revision as of 05:39, 20 November 2020
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	'''Labeled P for 8am-6pm shift and P+ for 6pm-8am shift on the ‘Peds Scheduling Spreadsheet '''		'''Labeled P for 8am-6pm shift and P+ for 6pm-8am shift on the ‘Peds Scheduling Spreadsheet '''

	*Assumes the pediatric service and opts into Tiger Connect role for ‘Peds Wards On Duty’ at or before 8am/6pm.		*Assumes the pediatric service and opts into [[Tiger Connect]] role for ‘Peds Wards On Duty’ at or before 8am/6pm.
	*Gets peds sign out and summary of all the patients on the peds service plus information about any other concerning pediatric patients on NW, OB, ER, in the villages, coming in on medevacs, etc.		*Gets peds sign out and summary of all the patients on the peds service plus information about any other concerning pediatric patients on NW, OB, ER, in the villages, coming in on medevacs, etc.
	**'''Day to Night hospitalist sign out may include a list of tasks that the day hospitalist could not complete. This may include chart reviews, case manager requests, further conversations with families of admitted patients, etc. The transition should be seamless. Day and night hospitalist should take equal responsibility for patient care tasks even if the tasks were initially sent to the day hospitalist.'''		**'''Day to Night hospitalist sign out may include a list of tasks that the day hospitalist could not complete. This may include chart reviews, case manager requests, further conversations with families of admitted patients, etc. The transition should be seamless. Day and night hospitalist should take equal responsibility for patient care tasks even if the tasks were initially sent to the day hospitalist.'''
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	*Rounds on peds service patients as early in the morning or evening as possible to arrange for any discharges by noon and to provide time for needed patient assessment, counseling of parents, and education/support of staff. Examines patients, reviews meds and care plans, and makes changes as needed.		*Rounds on peds service patients as early in the morning or evening as possible to arrange for any discharges by noon and to provide time for needed patient assessment, counseling of parents, and education/support of staff. Examines patients, reviews meds and care plans, and makes changes as needed.
	*Documents all significant changes to care plan or patient status in a progress, an event note, or an addendum to the daily progress note.		*Documents all significant changes to care plan or patient status in a progress, an event note, or an addendum to the daily progress note.
	*Is responsible for all chronic pediatric Radio Medical Traffic (RMT) and helps with any urgent/emergency pediatric RMT as requested.		*Is responsible for all [[Chronic Pediatric RMT\|chronic pediatric Radio Medical Traffic (RMT)]] and helps with any [[Urgent RMT\|urgent]]/[[ Emergency RMT Scenarios and Responses\|emergency]] pediatric RMT as requested.
	*Checks in with ER (or ER pediatrician, if present) about possible pediatric admissions and/or medevacs to Anchorage or from the village.		*Checks in with ER (or ER pediatrician, if present) about possible pediatric [[INTRA and INTERhospital Transfers\|admissions]] and/or [[:Category:Medevacs and Transport\|medevacs]] to Anchorage or from the village.
	*Admits CPP patients. May also admit Non-CPP patients to peds service if requested and the peds service is able to accept the patient. Family Medicine generally admits all non-CPP patients unless they request the peds service take the admission. Pediatricians must ensure that the FM Hospitalist has had the right of first refusal prior to the peds service accepting a patient.		*Admits [[Chronic Pediatric Patient Definition\|CPP patients]]. May also admit Non-CPP patients to peds service if requested and the peds service is able to accept the patient. Family Medicine generally admits all non-CPP patients unless they request the peds service take the admission. Pediatricians must ensure that the FM Hospitalist has had the right of first refusal prior to the peds service accepting a patient.
	**''NOTE: If there is a question about whether any patient should be admitted or not, the inpatient provider will discuss patient with provider requesting admission and evaluate the patient in person. If admission is determined NOT to be necessary or appropriate, the inpatient provider will write a note documenting why admission was not accepted (ie needs higher level of care, can be managed outpatient, etc.).''		**''NOTE: If there is a question about whether any patient should be admitted or not, the inpatient provider will discuss patient with provider requesting admission and evaluate the patient in person. If admission is determined NOT to be necessary or appropriate, the inpatient provider will write a note documenting why admission was not accepted (ie needs higher level of care, can be managed outpatient, etc.).''
	*Performs detailed chart reviews and helps get as much primary and chronic care arranged for admitted CPP patients or other peds service patients, who do not get to clinic much. This will be done by both day and night hospitalist as a joint effort, but the night peds hospitalists generally have more time to do this.		*Performs detailed chart reviews and helps get as much primary and chronic care arranged for admitted CPP patients or other peds service patients, who do not get to clinic much. This will be done by both day and night hospitalist as a joint effort, but the night peds hospitalists generally have more time to do this.
	*Provides consultation and/or help stabilizing pediatric patients in the ER, Labor & Delivery, Newborn Nursery, Outpatient Clinics/SRCs/villages, and on the inpatient unit. Must document, in a note or an addendum, any advice given with all consultations.		*Provides consultation and/or help stabilizing pediatric patients in the ER, Labor & Delivery, Newborn Nursery, Outpatient Clinics/SRCs/villages, and on the inpatient unit. Must document, in a note or an addendum, any advice given with all consultations.
	*Goes on medevacs for possible preterm (less than 36 weeks) or anticipated high-risk deliveries in villages.		*Goes on [[Pediatric Village Delivery Orientation\|medevacs for possible preterm]] (less than 36 weeks) or anticipated high-risk deliveries in villages.
	**''The Peds day physician is responsible for going on any medevac which requires a pediatrician during their 8am to 6pm shift.''		**''The Peds day physician is responsible for going on any medevac which requires a pediatrician during their 8am to 6pm shift.''
	**''The Peds day physician is also responsible for going on any morning “shift-change” medevacs occurring between 7am to 8am. This is to spare the night shift person from having to work more than 14 hours at a time. If you end up on a medevac outside your regularly scheduled shift hours, notify the peds scheduler of the extra hours worked.''		**''The Peds day physician is also responsible for going on any morning “shift-change” medevacs occurring between 7am to 8am. This is to spare the night shift person from having to work more than 14 hours at a time. If you end up on a medevac outside your regularly scheduled shift hours, notify the peds scheduler of the extra hours worked.''
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	*Additional duties of the night hospitalist:		*Additional duties of the night hospitalist:
	**Checks proxy boxes for absent providers.		**Checks proxy boxes for absent providers.
	**Reviews dictations and specialty notes, updating problem list/med lists and making referrals, etc.		**Reviews dictations and specialty notes, [[Updating Problem Lists\|updating problem list]]/med lists and making referrals, etc.
	**For admitted patients with complex PMH, the night hospitalist should do a full chart review to ensure that all medical needs are being met, as able. This is often the only time that these complex patients encounter the medical system, so this opportunity must not be missed.		**For admitted patients with complex PMH, the night hospitalist should do a full chart review to ensure that all medical needs are being met, as able. This is often the only time that these complex patients encounter the medical system, so this opportunity must not be missed.
	**Helps with pharmacy medication orders or case manager requests as needed.		**Helps with pharmacy medication orders or case manager requests as needed.

← Older revision		Revision as of 05:15, 20 November 2020
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	*Assumes the pediatric service and opts into Tiger Connect role for ‘Peds Wards On Duty’ at or before 8am/6pm.		*Assumes the pediatric service and opts into Tiger Connect role for ‘Peds Wards On Duty’ at or before 8am/6pm.
	*Gets peds sign out and summary of all the patients on the peds service plus information about any other concerning pediatric patients on NW, OB, ER, in the villages, coming in on medevacs, etc.		*Gets peds sign out and summary of all the patients on the peds service plus information about any other concerning pediatric patients on NW, OB, ER, in the villages, coming in on medevacs, etc.
	~~<br/>~~'''Day to Night hospitalist sign out may include a list of tasks that the day hospitalist could not complete. This may include chart reviews, case manager requests, further conversations with families of admitted patients, etc. The transition should be seamless. Day and night hospitalist should take equal responsibility for patient care tasks even if the tasks were initially sent to the day hospitalist.'''		**'''Day to Night hospitalist sign out may include a list of tasks that the day hospitalist could not complete. This may include chart reviews, case manager requests, further conversations with families of admitted patients, etc. The transition should be seamless. Day and night hospitalist should take equal responsibility for patient care tasks even if the tasks were initially sent to the day hospitalist.'''
	*Checks in with Family Medicine hospitalist and peds nurses about concerning peds patients.		*Checks in with Family Medicine hospitalist and peds nurses about concerning peds patients.
	*Rounds on peds service patients as early in the morning or evening as possible to arrange for any discharges by noon and to provide time for needed patient assessment, counseling of parents, and education/support of staff. Examines patients, reviews meds and care plans, and makes changes as needed.		*Rounds on peds service patients as early in the morning or evening as possible to arrange for any discharges by noon and to provide time for needed patient assessment, counseling of parents, and education/support of staff. Examines patients, reviews meds and care plans, and makes changes as needed.
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	*Checks in with ER (or ER pediatrician, if present) about possible pediatric admissions and/or medevacs to Anchorage or from the village.		*Checks in with ER (or ER pediatrician, if present) about possible pediatric admissions and/or medevacs to Anchorage or from the village.
	*Admits CPP patients. May also admit Non-CPP patients to peds service if requested and the peds service is able to accept the patient. Family Medicine generally admits all non-CPP patients unless they request the peds service take the admission. Pediatricians must ensure that the FM Hospitalist has had the right of first refusal prior to the peds service accepting a patient.		*Admits CPP patients. May also admit Non-CPP patients to peds service if requested and the peds service is able to accept the patient. Family Medicine generally admits all non-CPP patients unless they request the peds service take the admission. Pediatricians must ensure that the FM Hospitalist has had the right of first refusal prior to the peds service accepting a patient.
	~~<br/>~~''NOTE: If there is a question about whether any patient should be admitted or not, the inpatient provider will discuss patient with provider requesting admission and evaluate the patient in person. If admission is determined NOT to be necessary or appropriate, the inpatient provider will write a note documenting why admission was not accepted (ie needs higher level of care, can be managed outpatient, etc.).''		**''NOTE: If there is a question about whether any patient should be admitted or not, the inpatient provider will discuss patient with provider requesting admission and evaluate the patient in person. If admission is determined NOT to be necessary or appropriate, the inpatient provider will write a note documenting why admission was not accepted (ie needs higher level of care, can be managed outpatient, etc.).''
	*Performs detailed chart reviews and helps get as much primary and chronic care arranged for admitted CPP patients or other peds service patients, who do not get to clinic much. This will be done by both day and night hospitalist as a joint effort, but the night peds hospitalists generally have more time to do this.		*Performs detailed chart reviews and helps get as much primary and chronic care arranged for admitted CPP patients or other peds service patients, who do not get to clinic much. This will be done by both day and night hospitalist as a joint effort, but the night peds hospitalists generally have more time to do this.
	*Provides consultation and/or help stabilizing pediatric patients in the ER, Labor & Delivery, Newborn Nursery, Outpatient Clinics/SRCs/villages, and on the inpatient unit. Must document, in a note or an addendum, any advice given with all consultations.		*Provides consultation and/or help stabilizing pediatric patients in the ER, Labor & Delivery, Newborn Nursery, Outpatient Clinics/SRCs/villages, and on the inpatient unit. Must document, in a note or an addendum, any advice given with all consultations.
	*Goes on medevacs for possible preterm (less than 36 weeks) or anticipated high-risk deliveries in villages.		*Goes on medevacs for possible preterm (less than 36 weeks) or anticipated high-risk deliveries in villages.
	**~~'''''NOTES:'''''~~		**''The Peds day physician is responsible for going on any medevac which requires a pediatrician during their 8am to 6pm shift.''
	**#''The Peds day physician is responsible for going on any medevac which requires a pediatrician during their 8am to 6pm shift.''		**''The Peds day physician is also responsible for going on any morning “shift-change” medevacs occurring between 7am to 8am. This is to spare the night shift person from having to work more than 14 hours at a time. If you end up on a medevac outside your regularly scheduled shift hours, notify the peds scheduler of the extra hours worked.''
	**#''The Peds day physician is also responsible for going on any morning “shift-change” medevacs occurring between 7am to 8am. This is to spare the night shift person from having to work more than 14 hours at a time. If you end up on a medevac outside your regularly scheduled shift hours, notify the peds scheduler of the extra hours worked.''		**''If the Peds hospitalist has to go on a medevac the Tiger Connect role for ‘Peds Wards On Duty’ is assumed by a FM hospitalist until the pediatrician returns.''
	**#''If the Peds hospitalist has to go on a medevac the Tiger Connect role for ‘Peds Wards On Duty’ is assumed by a FM hospitalist until the pediatrician returns.''
	*Keeps the ER physician updated on any pending medevacs from villages or to Anchorage.		*Keeps the ER physician updated on any pending medevacs from villages or to Anchorage.
	*Follows-up on patients listed on Peds Alert List. These are generally patients who live in villages who need regular follow-up and have a history of falling through the cracks. All patients on the Peds Alert List should have a “sticky note” with a brief description of what needs to happen.		*Follows-up on patients listed on Peds Alert List. These are generally patients who live in villages who need regular follow-up and have a history of falling through the cracks. All patients on the Peds Alert List should have a “sticky note” with a brief description of what needs to happen.
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	**Helps with pharmacy medication orders or case manager requests as needed.		**Helps with pharmacy medication orders or case manager requests as needed.
	**Dental Pre-ops as requested and able		**Dental Pre-ops as requested and able
	**See detailed Night Float Priority Consensus 9.29.20 in the Pediatric Job Duties and Priorities folder \\vault1\DEPTS\Pediatrics\Job Duties and Priorities		**See detailed Night Float Priority Consensus 9.29.20 in the Pediatric Job Duties and Priorities folder \\vault1\DEPTS\Pediatrics\Job Duties and Priorities

	==ER Pediatrician==		==ER Pediatrician==