Pediatric Job Duties
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Outpatient Clinic (C): Monday-Friday 9 a.m. – 5 p.m.
Sees scheduled pediatric and chronic pediatric patients (CPP) for ER follow ups, well child checks, ADHD evaluations, sports physicals etc.…Provides simple hallway pediatric consults from peer providers in the hallway. Proctors pediatric residents, family medicine residents and provide training about pediatric patients for new providers headed out to subregional clinic (SRC).
Peds Inpatient (P): 8 a.m. – 5 p.m.
Turns on beeper and calls night Peds Call doctor at 8 a.m. to get sign out and assume the service. Responsible for all pediatric service inpatients. Rounds on patients in the morning, takes all CPP pediatric and high risk pediatric patient service admissions and covers consults for the ER, Labor & Delivery, Newborn Nursery, Clinics, SRC providers and Health Aide Radio Medical Traffic (RMT). May be asked to go on medevac for possible preterm (less than 36 weeks) or anticipated high risk delivery in the village. Updates the pediatrician assigned to the ER of any pending sick patients that are coming in from the village via medevac or commercial flights. Signs out to Peds Call person at 5 p.m.
Weekends: Often provide day and night coverage for 33 -56 hours at a time (P/P+). Weekend and holiday pediatricians cover all the duties of both inpatient service pediatrician and PEDS CALL pediatrician. Rounds on Pediatric Service patients early enough to arrange any discharges planned that day. Gives complete sign-out to next call and/or PEDS provider.
Peds Call (P+): 5 p.m. – 8 a.m.
Turns on beeper and calls PEDS doc at 5 p.m. to get sign out. Gets a summary of all the inpatients on the peds service plus heads up information any other concerning NW peds patients, patients in the ER, in the village, medevacs in process, L&D potential issues etc.
ER Pediatrician (ER)
Monday-Friday 2 p.m. – 12 p.m. and Sat/Sun/Holidays 10 a.m. – 6 p.m.
Generally sees patients triaged level 3 or sicker and CPP patients, but should be ready to see any level patients to keep the patients being seen as quickly as possible. Often have to resuscitate and stabilize emergency pediatric patients. As in the case of a code it is important that you communicate with your team of ED providers to determine who will “run the code“ in charge of a seriously ill pediatric patient and then help each other out until the patient is stable. Clear communication is critical so that the patient receives the best care possible. If it is a trauma patient, generally the ER physician is the best person to assume primary care of a pediatric patient with pediatrician assistance. For very sick septic, respiratory, seizure, endocrine crisis, metabolic, cardiac etc pediatric patients, it is often best if the pediatricians assume primary care of the patient with the assistance of the ER doctor.
If the patient requires transport it is best that the medevac is activated without delay. For pediatric inpatient transfers to ANMC communication is best facilitated through the pediatrician on call. Again know your limitations and ask for help when needed.
