Emergency Room Physicians - VAMC, Biloxi, MS400 Veterans Ave, Biloxi, MS 39531 Board Certified/Board Eligible Physicians (Emergency Medicine (strongly preferred) or Internal Medicine or Family Practice, with prior significant experience in working in an Emergency Department) Must have BLS, ACLS, DEA18 months experience in ER setting Job Description: Evaluation, Emergent Treatment and Management: Employment of the principles of emergency care for life/limb threats, resuscitation and stabilization, triage, diagnosis and disposition. Initial evaluation, emergent treatment and management of minor wound care, respiratory illness, gastrointestinal illness, burns, musculoskeletal trauma, dermatological illness, ENT, eye and urological problems. Initial evaluation, emergent treatment and management of minor procedures such as local infiltration anesthesia, incision and drainage, simple laceration repair, nail trephination, electro-coagulation, nasal cautery, gastric lavage, bladder catheterization, peripheral venous line insertion, and spinal immobilization. Initial evaluation, emergent treatment and management of emergent disorders of the hematopoietic system such as anemia, coagulopathy and management of acute neoplastic disease complication. Initial evaluation, emergent treatment and management of emergent disorders of endocrine, metabolic and nutritional natures relating to acid-base disturbances, adrenal, parathyroid and thyroid disturbances. Initial evaluation, emergent treatment and management of emergent disorders of the head and neck (including trauma) involving the ears, nose, oral cavity, larynx/trachea, face and vestibular system. Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the eye involving the lids and lachrymal apparatus conjunctiva, cornea, sclera, internal aspects of the globe and orbit. Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the musculoskeletal system involving shoulder girdle, upper extremity and hand, lower extremity and foot, thorax and vertebrae and arthropathies. Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the nervous system including cerebral edema, coma, cranial nerve disease, cerebro-vascular disease and infection. Initial evaluation, emergent treatment and management of emergent disorders of psychiatric origin including depression, anxiety reactions, suicide and psychosis. Initial evaluation, emergent treatment and management of emergent respiratory disorders including pulmonary, infection, trauma, neoplasia, metabolic and complications of cardiovascular disease. Initial evaluation, emergent treatment and management of emergent renal and urologic disorders including acute/chronic renal failure, infections, obstructive uropathy and hematuria and trauma. Initial evaluation, emergent treatment and management of emergent OB/GYN disorders such as trauma, infection and pregnancy (ectopic and intra-uterine). Suture minor lacerations. Major procedures shall be performed in the VAMC emergency department when safe and appropriate to do so for procedures such as central venous line placement, arterial catheter placement, emergency chest tube or needle thoracostomy to relieve tension pneumothorax, peritoneal lavage, defibrillation and synchronized cardioversion, endotracheal intubation, lumbar puncture, proctoscopy/anoscope, pericardiocentesis, simple closed fracture and dislocation reduction, arthrocentesis, local/regional anesthesia, moderate and/or deep procedural sedation, pericardiocentesis, temporary pacemaker placement, chest tube thoracostomy, cricothyroidotomy, and any such procedures that are necessary to stabilize an immediately life- or limb- threatening condition. Stabilization and transfer: As per 38 USC 1784A, when ED patients require a level of care higher than can be reasonably provided within the capabilities of the VAMC, the contractor's physicians shall provide appropriate stabilization prior to, or in concert with, transfer to a medical facility able to provide the level of care required. Inpatient Admissions: Contractors physician (s) shall review all admissions to inpatient hospital care recommended by Mid-level (Physician Assistant or Nurse Practitioner) provider. Every admission to inpatient care shall have a person-to-person hand-off/hand-over from the admitting Provider to a responsible member of the admitting team. Consultation and Referral Responsibilities: Contractors physician (s) shall provide consultation with and instruction to referring physicians regarding appropriate indications for procedures so that the most expeditious and clinically appropriate work-up can be done. Contractors physician (s) shall determine the appropriate course of treatment and communicate in person or by phone with the referring clinicians. Contractors physician (s) shall initiate appropriate social work referrals for all identified homeless veterans and for patients who do not have primary care providers, but who appear regularly in the ED. Orthopedic devices: Contractors physician (s) shall apply, or directly supervise the correct application of, orthopedic devices such as splints and braces to stabilize orthopedic injuries. Medications: Contractors physician (s) shall follow all established medication policies and procedures. No sample medications shall be provided to patients. Discharge education: Contractors physician (s) shall provide discharge education and follow up instructions that are coordinated with the next care setting for all emergency department patients. :
