Emergency Room Job Description: Difference between revisions
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===E1: 8 a.m. – 8 p.m.=== | |||
Gets sign-out from E2 at 8 a.m., sees ER patients, acts consultant to NP/PA working in the ED and Fast Track. Assumes village-to-Bethel medevac medical control. Notifies and gets acceptance of admissions or ensures the PA/NP does this after reviewing the case with them. Patients being admitted must have an accepting physician and admission orders written before they go to the floor. Expected to attend all required meetings as able (may teleconference from the Emergency Room). | Gets sign-out from E2 at 8 a.m., sees ER patients, acts consultant to NP/PA working in the ED and Fast Track. Assumes village-to-Bethel medevac medical control. Notifies and gets acceptance of admissions or ensures the PA/NP does this after reviewing the case with them. Patients being admitted must have an accepting physician and admission orders written before they go to the floor. Expected to attend all required meetings as able (may teleconference from the Emergency Room). | ||
===E2: 8 p.m. – 8 a.m.=== | |||
Gets sign-out from E1 at 8 p.m., sees ER patients, acts consultant to NP/PA working in the ED and Fast Track. Assumes village medevac medical control. Notifies and gets acceptance of admissions or ensures the ER PA/NP does this after reviewing the case with them. Patients being admitted must have an accepting physician and admission orders written before they go to the floor. Not required to attend daytime meetings, but encouraged to sign out at Thursday morning rounds. | Gets sign-out from E1 at 8 p.m., sees ER patients, acts consultant to NP/PA working in the ED and Fast Track. Assumes village medevac medical control. Notifies and gets acceptance of admissions or ensures the ER PA/NP does this after reviewing the case with them. Patients being admitted must have an accepting physician and admission orders written before they go to the floor. Not required to attend daytime meetings, but encouraged to sign out at Thursday morning rounds. | ||
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# The ER physician may call in the +DW physician only as required for third back up, i.e. true multiple emergencies or if NF goes out on a medevac and a second physician is needed in house. | # The ER physician may call in the +DW physician only as required for third back up, i.e. true multiple emergencies or if NF goes out on a medevac and a second physician is needed in house. | ||
===ER (Second Provider): 10 a.m – 10 p.m.=== | |||
PA/NP/MD/DO sees urgent care and moderately ill ER patients. If second provider is PA/NP, all critical patients, sick admissions and transfers are to be reviewed with the ER physician. Will review admission plan with ER physician and get an accepting inpatient physician to accept and write patient admission orders. Not required to attend regular morning meetings (except medical staff on the first Wednesday of the month). | PA/NP/MD/DO sees urgent care and moderately ill ER patients. If second provider is PA/NP, all critical patients, sick admissions and transfers are to be reviewed with the ER physician. Will review admission plan with ER physician and get an accepting inpatient physician to accept and write patient admission orders. Not required to attend regular morning meetings (except medical staff on the first Wednesday of the month). | ||
===ER2 (Third Provider) : 2 p.m. – 2 a.m.=== | |||
PA/NP/MD/DO sees urgent care and moderately ill ER patients. If second provider is PA/NP, all critical patients, sick admissions and transfers are to be reviewed with the ER physician. Will review admission plan and orders with ER physician and have admitting orders co-signed by the ER physician if the ER second provider is a PA/NP. | PA/NP/MD/DO sees urgent care and moderately ill ER patients. If second provider is PA/NP, all critical patients, sick admissions and transfers are to be reviewed with the ER physician. Will review admission plan and orders with ER physician and have admitting orders co-signed by the ER physician if the ER second provider is a PA/NP. | ||
===Fast Track Provider: 1 p.m. – 11 p.m.=== | |||
NP/PA/MD/DO sees patients triaged at a level 3 or 4 who are appropriate for an urgent care setting. May transfer complex patients back to the main ED for management. May consult with E1 or E2 doc with any questions. | NP/PA/MD/DO sees patients triaged at a level 3 or 4 who are appropriate for an urgent care setting. May transfer complex patients back to the main ED for management. May consult with E1 or E2 doc with any questions. | ||
Revision as of 07:12, 19 September 2019
E1: 8 a.m. – 8 p.m.
Gets sign-out from E2 at 8 a.m., sees ER patients, acts consultant to NP/PA working in the ED and Fast Track. Assumes village-to-Bethel medevac medical control. Notifies and gets acceptance of admissions or ensures the PA/NP does this after reviewing the case with them. Patients being admitted must have an accepting physician and admission orders written before they go to the floor. Expected to attend all required meetings as able (may teleconference from the Emergency Room).
E2: 8 p.m. – 8 a.m.
Gets sign-out from E1 at 8 p.m., sees ER patients, acts consultant to NP/PA working in the ED and Fast Track. Assumes village medevac medical control. Notifies and gets acceptance of admissions or ensures the ER PA/NP does this after reviewing the case with them. Patients being admitted must have an accepting physician and admission orders written before they go to the floor. Not required to attend daytime meetings, but encouraged to sign out at Thursday morning rounds.
NOTE:
- The ER physician can expect Night Float (NF) to help in the ER unless NF has an active labor patient, an unstable NW patient, or emergency RMT that requires their attention.
- The ER physician may call in the +DW physician only as required for third back up, i.e. true multiple emergencies or if NF goes out on a medevac and a second physician is needed in house.
ER (Second Provider): 10 a.m – 10 p.m.
PA/NP/MD/DO sees urgent care and moderately ill ER patients. If second provider is PA/NP, all critical patients, sick admissions and transfers are to be reviewed with the ER physician. Will review admission plan with ER physician and get an accepting inpatient physician to accept and write patient admission orders. Not required to attend regular morning meetings (except medical staff on the first Wednesday of the month).
ER2 (Third Provider) : 2 p.m. – 2 a.m.
PA/NP/MD/DO sees urgent care and moderately ill ER patients. If second provider is PA/NP, all critical patients, sick admissions and transfers are to be reviewed with the ER physician. Will review admission plan and orders with ER physician and have admitting orders co-signed by the ER physician if the ER second provider is a PA/NP.
Fast Track Provider: 1 p.m. – 11 p.m.
NP/PA/MD/DO sees patients triaged at a level 3 or 4 who are appropriate for an urgent care setting. May transfer complex patients back to the main ED for management. May consult with E1 or E2 doc with any questions.
