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Physician - Medical Officer of the Day
5 months ago
VA New Jersey Health Care System Lyons campus is large and covers one of the largest CLC and many Mental health units, acute mental health unit and so at no time the campus should be without physician coverage. This 24-hour per day coverage will be achieved by the use of all VANJHCS full time, part time staff physicians, and non-VA physicians assigned to this duty on a contractual basis. The evening and weekend coverage is provided by Fee Basis providers.
Duties
General Description of Assigned Duties: The Medical Officer of the Day (MOD) provides physician coverage to the Lyons Campus during weekends, holidays, evenings and nights.
Scope of Assigned Duties: Oversees the health care provided to all veterans residing on the Lyons Campus on the off-tours, when attending medical teams are not on duty. MOD carries a pager and is paged whenever any unit requires physician assistance and for any and all emergencies. The Lyons Campus includes the Community Living Center, Mental Health and Behavioral Science inpatient units, the Domiciliary, Community Hope and employee health functions. The MOD performs all necessary medical duties during this time, including but not limited to:
- Provide medical diagnoses, workups and treatments within the scope of knowledge, privileges and patient needs for the patients at Lyons
- Admissions and discharges under special circumstances, such as veteran arriving late for planned admission to CLC or emergent admission to acute mental health or if veteran wants to sign out AMA. They write all notes as needed along with diet, medications for veterans.
- Complete ASIH readmission note, medication reconciliation, diet orders.
- Transfer patients to other bed services as necessary when acute care is needed
- Complete minor procedures
- examining employees who may become sick or injured on the job, and completing necessary employee health paperwork
- examining patients after falls,
- ordering constant observation or restraints,
- pain management, particularly for hospice and palliative care patients,
- Treat, including prescribing/administering medications, within the scope of the ECS and coexisting conditions
- Advanced Cardiopulmonary Resuscitation to include endotracheal intubation and cardiac monitoring/interpretation of EKGs
- Venipuncture and phlebotomy
- Insertion of peripheral intravenous catheters
- Insertion of indwelling urinary catheters
- Placement of nasogastric tubes, nasal packing
- Call veteran's families when transferring any veteran to ER or if there is change in veteran's condition, fall etc.
- Pronouncement of death and completing death certificate.
- Completion of Clinical Pertinence forms.
$120/hour and special $150/hour on Federal Holidays
