Pediatric Hospitalist Job Description (PEDS/CALL)
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A hospitalist pediatrician is available in house 24/7. The hospitalist pediatrician is available for assisting or assuming care of sick patients and providing consults link to pediatric consultations on the inpatient unit, OB, ER or to go on medevacs if needed. The pediatrician admits all Chronic Pediatric Patients (chronically ill or complex care patients-CPP) link to CPP Definition and some family medicine pediatric patients. They do radio medical traffic for all CPP patients, pediatric pre-op travel authorization, emergency RMT and pediatric second opinions. The pediatric hospitalist also attends C-sections and high risk deliveries; stabilizes and transports out sick neonates and critical pediatric patients and goes with a family medicine physician on Medevacs for preterm/high risk village deliveries. Additionally the pediatric hospitalists
- Obtain sign out from Anchorage pediatricians and specialists about sick or complicated patient discharges and those needing follow up. Arranges needed f/u, updates problem list and forwards information to care managers and appropriate pediatrician/s any needed patient information or requests.
- Assist the peds care managers with urgent care management referrals and issues for inpatients and other CPP patients as needed.
- Provides CPP care management liaison between primary care pediatricians, care managers and outside specialists for issues that arise or are picked up on RMT (as able).
- Acts as village to Bethel medevac medical control assistance when the ER is too busy or not comfortable with a pediatric patient.
- Responsible for reviewing discharge and specialty care notes, updating problem lists and assisting with care management, referrals, med refills and new medication orders for assigned villages. May assist outpatient providers with their assigned villages as needed and able as well.
See Pediatric Job Description for more details. Link to Pediatric JD here
Pediatric Consults: both formal hospitalists consultation requests and “quick questions” occur throughout the day. When providing a pediatric consult, please use and refer to the YKHC guidelines whenever available and appropriate. It is important to remain as consistent as possible in our pediatric recommendations between providers. If a patient is complex or you are not sure what to do—check with a more experienced pediatrician. When an official consult is requested, talk with the provider requesting the consult and ascertain whether you are being asked to assume care of the patient or if they are asking for a consult only. The most common pediatric consult requests, from the inpatient providers, are for murmurs or congenital anomalies of the newborn. Outpatient consult requests are usually for unusual cases needing a second opinion or about sicker kids and their disposition ie admission, transfer to the ER or possible outpatient follow up plans. If there is a sick patient in the nursery or ER who will need care and transport, it can be done by the FM doc if they have time, are comfortable doing it and can get advice and direction from a pediatrician. BUT, if the FM physician is uncomfortable caring for the patient and setting up the transport or if the baby is unstable, then the pediatrician should assume care of the patient. If you are acting solely as the consulting physician, do not write orders on the patient or direct care unless specifically asked to do so by the primary provider. Be sure to make the patient/family aware that ‘their doctor is in charge’ and that you are their consultant only. Work to instill confidence in their Family Physician/provider or ER physician.
When performing any formal consult, make sure that an order is placed for this consultation (for billing purposes). Write a consult history and physical-type note (for communication and billing purposes) with your full assessment and recommendations and place a charge in the chart for this service.
