The ER Physician provides emergency care on a regular and recurring basis to patients in the E.R. including major trauma such as fractures of multiple extremities, stab wounds, open wounds of the chest and abdomen, partial evisceration, concussion, head trauma subdural hematoma, etc. Emergency cases also include suicide attempts and cardiac arrests. Provides care to non-emergent and urgent patients. Manages patients through the continuum of hospital care; orders treatments, tests, and consults with specialty physicians and primary care physician where appropriate.
- Primary assignments include providing comprehensive and continuing health and medical care services for patients
- The health care provided requires the recognition of diseases and injuries, which require referral including those which are difficult to discover or identify.
- Assignments also include providing consultation to others in the same or other specialties.
- Provides expertise and consultation in emergency medicine to other physicians and staff as required.
- Assists in assuring that the requirements of JCAHO and EMTALA regulations are met.
- Actively promote and participate in community education concerning the Emergency Medical Services system.
- Handwriting must be legible and must be willing to use an Electronic Health Record.
- Prepare appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care; dictate discharge summaries and correspondence concerning patients under his/her care to physicians, hospitals and other individuals and facilities.
- Refer patients to appropriate contracted medical or other government facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided here. Coordinate and integrate information obtained into the ongoing health care program at TCRHCC and assure the provision of timely follow-up care as required.
- Work closely with allied health professionals (i.e., Community Health Nurse, Social Workers, Case Managers, Health Educator, etc.) to utilize and coordinate the services of other health care professionals in the management of the patient’s medical, psychological and social problems.
- Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
- Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
- Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.
- Responsible for electronic health records data entry pertinent to patient service role.
- Performs other duties as assigned.
Will use a broad range of diagnostic and therapeutic Emergency Medicine skills as well as social skills to address complex problems associated with rural and cross cultural medicine.
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Must have ability of prolonged walking and maintaining balance, ability to frequently stand, bend, kneel, crouch, maintain balance, reach, and occasionally sit, drive, and climb. Frequent ability to lift, push, and pull up to 34lbs is required, must also be able to occasionally lift, push, and pull over 100lbs as needed. Sensory requirements for position include prolonged ability of far, near, color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have both hand manipulation of continuous simple and firm grasping, fine manipulation and frequent use of keyboards.
Must be able to perform evenings, nights, and weekends on a regular basis and handle the stresses of rural medicine with critically ill patients; must have high degree of judgment and leadership in coordinating emergency services. Must have ability to cope with high level of stress, make decisions under high pressure, concentrate, handle a high degree of flexibility handle multiple priorities in stressful situation, work alone, demonstrate high degree of patience, adapt to shift work, work in areas that are close and crowded, and frequently cope with anger/fear/hostility of others in a calm way, as well as occasionally managing altercations. Must accept a flexible schedule to meet unit needs.
May be exposed to infectious diseases for a prolonged amount of time, frequent exposure to loud noises, and occasional exposure to chemical agents, and hazardous or moving equipment.