Family Medicine Hospitalist Job Description
Kusko Wards (WK), Yukon Wards (WY): Mon. – Sun. 8 a.m. – 6 p.m.
Gets sign-on from NF at 8 a.m., takes urgent group RMT, rounds on inpatients and OB, admits daytime group patients, covers deliveries, x-covers NF moms and babies and may go on medevacs. May need to pick up NF mom and babies on NF shift transition. Gives sign out to NF at 6 p.m. on North Wing in person. Practitioners are required to attend regular scheduled meetings as clinical duties allow.
Back-Up Call (WY+ & WK+): Mon.–Sun. 6 p.m. – 8 a.m.
Back-up for scheduled NF doc. Will only be used if the NF is otherwise tied up and/or an additional provider is needed for second back-up for OB, medevacs or ER.
Night Float (NF): Mon.–Sun. 6 pm. – 8 a.m.
Gets sign-out from Day Ward Physician at 6 p.m. Responsible for RMT, OB, ER, rounding on their own moms and babies, medevacs, urgent inpatient coverage, admissions as able assisting on C-sections (+ doc will be second call for this if NF is doing the C-section). NF ONLY works at night and is off during the day, NF should sign out any unfinished work to Wards docs.
PRIORITIES for the Night Float – NF (what you should be doing in order of importance)
- Arrive at 6 p.m. sharp to get sign-out
- Active labor patients/truly stable NW admits/emergent RMT
- OB triage patients
- Help in the ER, even if ER is not backed up. Go to the ER as early in the evening as possible to help out the ER by seeing routine ER patients to decompress and prevent backlog.
- Stable NE admissions as able. Stable admissions can be seen by the DW physician if NF is not able to get to them due to other clinical responsibilities. It is acceptable to perform a thorough chart review, complete H&P up to the exam portion if needed and not wake up the patient for the exam, but DW must complete H&P the next day.
- Rounding on OB patients.
Admin (AD): Monday after a Wards Week 8 a.m. – 6 p.m.
Signs out service to next ward provider, helps discharge patients from inpatient and OB service. Completes all documentation if needed, referrals, follow up and patient care administrative duties. Makes sure all orders and results are reviewed and signed in the RAVEN message center. Assists clinic providers and RMT providers as needed and acts as a back-up for personnel shortages. Before leaving for the day, make sure the routine RMT providers are keeping up with RMT by checking the queues in RAVEN. Practitioners are required to attend regular scheduled meetings.