•Coordinate with accepting facility and other ER Departments; consult with consultants appropriately utilizing the guidelines of HIPAA. Complete all required paperwork. Obtain and adequate history, physical, assessment and plan in a timely and appropriate manner on each patient and develop treatment plan. Utilize paraprofessional staff as appropriate. Respond to cardiopulmonary arrest as appropriate and arrange appropriate backup from the EMS. Interpret electrocardiograms. Preliminary interpretation of radiographs. Direct medical care through radio communication with an ambulance. Provide discharge instructions and any paperwork. Rapid sentence intubation.
•Examine all eligible military healthcare system beneficiaries for emergency medical care to render a medical assessment of their condition, take appropriate action.
•Provide immediate evaluation and management of emergency patients as they present themselves for care. When treating urgent and non-urgent patients (and sufficient patients are available in these categories), the contract physician shall see no less than an average of two patients per hour.
•Provide definitive medical care to reduce the emergency situation and enable the patient to safely continue care as an outpatient with follow-up care as required. Follow-up of abnormal reports is the responsibility of the ordering physician. However, to assure correct medical follow-up for these patients, all abnormal x-ray and lab reports received on patients seen by the contractor’s physicians shall be reviewed by the contract physician on duty at the time these reports are available for review. Contract physicians shall review laboratory and x-ray reports daily and inform the ordering physician of actions taken.
•Provide emergency medical care to both inpatients, if part of code team response, and outpatients, summon appropriate on-call specialists as necessary, and continue medical management until the arrival of the appropriate specialist.
•Respond to “Code Blue” (cardiac or respiratory arrest) medical emergency alerts within the hospital and provide resuscitation treatment until more specialized treatment arrives. Should resuscitation efforts be unsuccessful, the physician shall pronounce the patient dead, complete necessary records, and notify the next-of-kin, if the next-of-kin is physically present.
•Provide emergency care to patients in the holding area when necessary.
•Prepare appropriate narrative summaries and patient profile changes. Document history, physical examinations, and preoperative diagnosis. Maintain documentation of treatment IAW established procedures.
