This position is going to be 100% Emergency Medicine, consisting of 12-hour in-house shifts. The hospital has a 9 Bed ED + 1 triage room. All rooms have telemetry and there are monitors in the physician area that is right around the corner. Each provider has 2 nurses, a head unit clerk and a tech to assist during the shift. The hospital has 18 inpatient beds, 2 L & D suites and 2 ICU Beds.
The ED has 24/7 X-Ray, MRI is only available during the day, no nights or weekends. They do have an excellent Radiology Night Hawk service that is always available. The pharmacy is also onsite, and available during the day.
This position must be comfortable with Adults and Kids, as there will be a mix of both on a daily basis. Our Emergency Medicine team sees very little trauma, most of the patients are basic breaks from falls, septic patients and basic health related issues. Most Mental health is out of the ED within 24-hours, and either gets discharged or transferred out. There is a great team of OBGYNs (and Midwives), General Surgeons who do most Central Lines & intubations, Orthopedic Surgeons and 24/7 CRNA coverage. Ideally, our ED providers would be comfortable with basic procedures, though this is not a requirement.
The hospital gets 4-5 Strokes/ STEMIs a month and they are all stabilized and shipped up to Anchorage. The hospital has both a fixed wing plane and Helicopter to help with patient transportation. Most admissions are done by the hospitalist team which provides coverage 24/7, on occasion the ED might need to admit a patient though.
Volumes
The entire hospital sees around 6,500 ED visits per year and is really broken down into two seasons. Winter is the slow time of the year and averages 10-12 patients a day, 3-4 for the night shift. During the summer, it gets much busier and the daily volume increases to 20-24 patients a day, with 6-8 patients for the night shift.
Schedule
There will be a mix of day and night, and Dr. Landess tries to make sure everyone gets an equal distribution of both. They normally have a minimum of 3 days on in a row, no more than 4 at a time. They really try to get a block of 6-7 days a month off so providers can spend time with their family and enjoy all that Alaska has to offer.
The schedule is made 3-6 months in advance, and they try to get everyone the days off they request each month, but it is not guaranteed.
Holidays are all equally divided and everyone will rotate which holidays they work every year.