Hospitalist- Buchanan General Hospital (Virginia)
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Job at a glance
Job description
OVP Health is actively seeking qualified Internal Medicine trained Hospitalist to help grow our inpatient program at Buchanan General Hospital in Grundy, VA
OVP is a family-owned physician group practice company focused on the delivery of hospitalist and emergency department physicians. OVP's physicians and affiliated providers practice in hospitals and other inpatient facilities. The current opportunities are provided by OVP as contracted by OhioHealth
Buchanan General Hospital
- Physician-led organization
- Collegial work environment with emphasis on quality patient care
- Census Avg- 10-12
- Avg Night Admissions- 1-2
- Day rounds/Night call
- Avg 1-2 ICU patients Hospitalist service
- 8 hours/day (Mon-Fri) of APP coverage (7a-3p)
- EMR- CPSI
- Full-Time Employee (FTE) or Independent Contractor (IC)
- Competitive rates
- On-site administrative support
- Specialty coverage includes: General Surgery, Cardiology, Urology, Pulmonology
EEO STATEMENT
OVP Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, OVP Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfers, leaves of absence, compensation, and training.
OVP Health expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper inference with the ability of OVP Health employees to perform their job duties may result in discipline up to and including discharge.
Job Responsibilities
-Evaluate ED admissions referred to hospital medicine.
-Perform initial history and physical (H&P).
-Place admission orders (labs, imaging, medications, diet, monitoring).
-Determine appropriate level of care:
- Floor
- Step-down/intermediate unit
- ICU
-Communicate plan with ED physicians, consultants, and nursing staff.
2. Cross-Coverage for Admitted Patients
- Respond to pages from nurses for active floor patients.
Address:
-Pain control
-Nausea/vomiting
-Sleep medications
-Electrolyte abnormalities
-Abnormal labs
-Changes in vital signs
-Evaluate patients in person when clinical status changes.
3. Rapid Response / Deteriorating Patients
-Respond to rapid response calls.
-Perform bedside assessment and stabilization.
-Initiate management such as:
-Oxygen escalation
-IV fluids
-Vasopressors
-Antibiotics
-Determine whether patient requires transfer to ICU.
4. Code Blue Response
-Lead cardiac arrest resuscitations.
-Follow ACLS protocols.
-Coordinate with ICU, anesthesia, respiratory therapy, and nursing.
5. ICU Patient Management (Open ICU)
Responsibilities may include:
-Respond to ICU pages and bedside issues.
-Evaluate acute decompensation.
-Place orders for:
-Vasopressors
-Sedation
-Ventilator adjustments (sometimes with RT guidance)
-Antibiotics
-Communicate with on-call intensivist by phone if available.
-Perform procedures
Common procedures sometimes performed by night hospitalists:
-Central line placement
-Arterial line placement
-Intubation (RT will also intubate)
-Paracentesis (not required)
-Thoracentesis (not required)
-Lumbar puncture (not required)
6. Handle Overnight Consults and place consults w/specialist:
7. Family Communication
-Provide overnight updates when clinical status changes.
Discuss:
-ICU transfer
-Code status
-Goals of care
-End-of-life decisions if deterioration occurs.
8. Documentation
Complete necessary documentation such as:
-Admission H&P
-Cross-cover notes
-Event notes (rapid responses, codes)
-Procedure notes
-Death notes when applicable.
9. Coordinate Care With ICU and ED
Work closely with:
-Emergency physicians
-ICU staff
-Respiratory therapists
-Nursing supervisors
-Facilitate bed placement and patient flow.
11. Stabilization Until Day Team Arrives
-Provide short-term management overnight.
-Leave clear handoff to the day hospitalist team regarding:
-New admissions
-Unresolved issues
-Pending labs or imaging.
Qualifications
MD or DO from an accredited medical school.
2. Residency Training
Most hospitals require completion of one of the following residencies:
Internal Medicine
Family Medicine (sometimes accepted)
Additional training in:
Med-Peds
Internal Medicine–Critical Care (optional but helpful)
3. Board Certification or Eligibility
Board Certified or Board Eligible in Internal Medicine
through the American Board of Internal Medicine.
Family medicine hospitalists may be certified through the American Board of Family Medicine.
4. Medical License
Active unrestricted medical license in the state where the hospital is located.
Ability to obtain hospital privileges.
5. ACLS Certification
ACLS (Advanced Cardiovascular Life Support)
because night hospitalists respond to codes and rapid responses.
BLS
6. Hospitalist Experience (Preferred)
1–2 years hospitalist experience
Comfort with independent overnight decision making
8. Communication & Team Skills
Night hospitalists must work closely with:
ED physicians
ICU staff
Consultants
Nurses
Respiratory therapists
Strong communication and triage skills are essential.
9. Ability to Work Overnight Schedule
Typical nocturnist schedules include:
7-on / 7-off
12-hour shifts (7 PM – 7 AM)
Ability to manage high admissions and cross-cover volume overnight.