EM Physician

ER Physician Lawton OK

Amazing opportunity to work at the Indian Health hospital in Lawton OK

THE SHORT: Need 3 more ER physicians for a longterm Government contract. Full time needed but facility will also accept part time. Pay $270/hr. Any state license. ABEM certified.

LOCATION: Lawton Indian Hospital (right by Fort Sill OK). 1515 N. Lawrie Tatum Road Lawton OK

WHEN: Start asap after credentialing (can take 24 weeks). Can schedule start date based on your schedule as well.

COMPENSATION:

• $270/hr. as 1099
• We cover Med Mal (claims made 3yr tail)

SCHEDULE:

• 12hr shifts 070700

MISC DEPARTMENT INFO:

• 1 trauma bay 5 regular beds 6 fast track beds
• NPs/PAs also on staff
• EMR is RPMS
• Consultation Transfer Admissions Process: Once the ER physician determines that the patient needs admission or transfer they then call the hospitalist if they feel the patient may be able to be admitted at our facility. If in doubt the ER physician should call the hospitalist as we want to admit as much at our facility as we can. If the hospitalist has concerns the patient may require higher level of care than what we can provider or the patient clearly needs a service we dont have (i.e. cardiology) then the ER physician contacts surrounding facilities to arrange transfer. The hospitalists are in the hospital 24/7 so it is typically calling them to come down and look at the patient.
• Average Acuity: ER physicians located in the main ER during the day primarily see level 3 patients (a few level 2s). When there are beds open the ER physician is expected to assist the ER fast track seeing level 4s and 5s.ER physicians at night dont have a Fast track provider so they see everything. The nights tend to be a little heavier on the 4 and 5 side of things with some 3s mixed in.Occasionally we will utilize an ER physician in the ER Fast track where they will primarily see 4s and 5s along with overflow level 3s from the main ER.

QUALIFICATIONS:

• Any state license full and unrestricted
• ABEM certified or eligible
• BLS ACLS PALS ATLS
• DEA
• Must be able to pass the Governments background fingerprint check

IF INTERESTED please send the below to

• CV
• BLS ACLS PALS ATLS
• DEA
• NPDB Self Query (evidence of any malpractice claims)

QUESTIONS:

• Email Gabe Wander (President) at
• Or call direct at

WHY WORK WITH US:

• Founded in 2018 by a retired Army officer/CRNA (Gabe Wander)
• We are not an agency. We dont lock you in claim or present you anywhere or share your information. There is never a noncompete.
• Find out more about us at www.WanderStaffing

ABOUT THE IHS AND THIS CONTRACT:

The Indian Health Service an agency within the Department of Health and Human Services (HHS) is responsible for providing federal health services to American Indians and Alaska Natives. The mission of HIS is to raise the physical mental social and spiritual health of American Indians and Alaska Natives to the highest level and assure that comprehensive culturally acceptable personal and public health services are available and accessible to members of the 566 federally recognized Tribes across the United States.

The purpose of this contract is to obtain contracted Emergency Department/Urgent Care nonpersonal services for the Indian Health Service (IHS) Lawton Indian Hospital. Contracted services encompass the provision of medical services that are emergent and nonemergent.

DETAILED DESCRIPTION OF THE PHYSICIANs REQUIREMENTS:

The contractor shall provide emergency/urgent care physician services to evaluate and treat eligible patients who present themselves to the Emergency Department. The contractor shall furnish services to include but not limited to the following:

1. Maintain a continuous vigil within the immediate confines of the Emergency Department in order that services are readily and immediately available.

2. Obtain a medical history performing a physical exam as appropriate to the presenting problem and formulate a diagnosis of the patients problem and secondary diagnosis as required to treat the patient.

3. Render immediate medical services to those patients determined as emergent.

4. Request and interpret laboratory and radiologic tests as necessary for diagnosis.

5. Provide and order medically indicated treatment.

6. Prescribe medication.

7. Interpret xrays and electrocardiograms.

8. Suture minor lacerations.

9. Treat uncomplicated fractures.

10. Refer patients as appropriate to routinely scheduled clinics of the Outpatient Department.

11. Render initial assessments of which Emergency Department/Urgent Care patients will require transfer to a tertiary care center and consult the appropriate Indian Health Service physician oncall who in turn will render the final decision concerning transfer and arrange transfer if indicated.

12. Render the initial assessment of which emergency/urgent care patients may require admission to the onsite Hospital and consulting the Indian Health Service physician oncall who in turn will render the final decision concerning admissions.

13. Chart record and document complete medical care in the Electronic Health Record system provided by the facility or on any paper forms approved by the facility in case of EHR outage. Medical records shall be completed in a timely manner as determined by the service unit. The physician shall be proficient in electronically documenting services utilizing the appropriate electronic medical record system for patient encounters; complete all required administrative paperwork day of the patient encounter to include electronic consults referrals cosignatures completion of chart or Risk Management Reviews.

14. Consult with appropriate IHS specialist on back up call for all complex cases which while not requiring admission to the hospital or transfer to another facility do require further evaluation by the specialty physician or more than routine follow up.

15. Provide medical advice to patients by telephone when the nurse requests a physician to do so.

16. Respond to inhospital emergencies while on duty.

17. Provide basic life support in a first responder status for patients requiring resuscitation outside of the hospital on hospital grounds.

18. The emergency department physician shall evaluate emergency medical service (EMS) calls i.e. patients enroute to the Emergency Department. If the physician is able to determine that the patient will need a higher level of care then he/she may divert the ambulance to another facility.

19. Contractor shall participate in quality assurance activities that ensure quality patient care as well as efficient use of hospital resources. These activities may include but not limited to chart review and discussion with the Clinical Director or his designee.

20. The contractor shall advise the Clinical Director or designated representative of any problem encountered in connection with meeting the patient care needs as required in the statement of work. The contractor shall perform to a minimum of published National Standard Averages in their delivery of medical care in the Emergency Department.

• Monthly Measured Total Time in the Emergency Department for discharged patients (Turn Around Time): Less than mean time of 123 minutes 2013 National Rural Emergency Department Study Establishing Rural Relevant Benchmarks Ivantage Health Analytics July 25 2013.
• Monthly left without being seen (Left before Treatment completed) rate of less than 2 (Welch SJ Volume Related Differences in Emergency Department Performance. Joint Commission Journal of Quality and Patient Safety September 2012; Vol 38:9
• Monthly average arrival to provider (Door to Physician) time of less than 32 minutes. (Welch SJ Volume Related Differences in Emergency Department Performance. Joint Commission Journal of Quality and Patient Safety September 2012; Vol 38:9