7 on/ 7 off Nocturnist - Northwestern Medicine - Chicago

Northshore Shifts/Job Duties

HNI is seeking BE/BC internal medicine physicians to join teams at Northshore Hospitals in Suburban Chicago locations. 

The opportunities: 

90% of shifts are night shifts, however, we fill day shifts PRN for vacations and high census. Flexible schedule, excellent moonlighting opportunities. 

Night shifts (6,10, 13 hours) 

Shifts:
90% of our shifts are night shifts, however we fill in day shifts for vacations and when census is very high

Flexible hours Night shifts (6,10, 13 hours)  Day shifts (11 hours) 

Evanston (ICU) 6p - 4a, 6p - 7a - $130 per hour
Glenbrook (ICU) - 5p - 11p, 6p-4a, and 9p-7a - $160 per hour
Highland Park (open ICU) - 2p-2a, 6p - 7a, 9p-7a - $145 per hour 
Skokie (open ICU) - 4p - 10p, 5p-11p, 6p - 7a, 9p - 7a - $145 per hour

 7a - 6p - $140 per hour @ Highland Park/Skokie
 7a - 6p - $130 per hour @ Evanston/Glenbrook   
 Procedures- Not Required, will be privileged to run central/arterial line placement
 Codes and Rapids but do not manage the codes - more site specific information below

 EMR:     Epic
  Online Epic Modules required to be completed 48 hours prior to orientation
  At orientation, Physician will meet with Epic trainer for an hour to make sure can access the system, review the dashboard/patient lists

Duties and hospital highlights:

Nights: The Nocturnist reports to hospitalist office and will begin with any pending admissions, cross-cover hospitalist patients, potentially non-hospitalist patients and the ICU. No procedures are required at any site but physicians will be credentialed to run lines. 

NPP (Non-physician providers) work the same shift as physicians and have similar responsibilities. NPPs are expected to do MOST of the cross coverage, diagnose and treat patients and to independently manage their patients, and physicians are expected to oversee that care. 

Candidate Qualifications:

Candidates must have successfully completed an Internal Medicine Residency to be eligible to work at North Shore - They do not allow for Family Medicine or Surgery residents to moonlight

 Physician may be board eligible if recently completed residency otherwise physician must be board certified 

Code Blue Procedures for IM Hospitalists 

Evanston Hospital 

•  The on call floor house staff team is first responder to RRT, day or night. 
   The ICU house staff team/floor house staff team/intensivist are the first responders to code blues, day or night. attend code blues on any patient to offer assistance, day or night. 
   Hospitalists are definitely expected to go to RRT/code blues on our own patients, day or night. 

Glenbrook Hospital 
 
Code blue and rapid response teams are multidisciplinary, including ICU team and floor house staff. 
Hospitalists are alerted when the code is on one of our patients and the covering hospitalist is expected to attend such cases. 

Highland Park Hospital 

 Nights, weekends, and holidays - the hospitalist responds to all RRT and code blue (even private non-hospitalist patients) and go to the adolescent psych unit for emergencies 

    The intensivist is in the hospital from 7:30 AM-5:30 PM Monday-Friday and will go to codes during that time. 
    An EPIC note should be written; you can bill for critical care time, and if it is a private patient, call the PCP to discuss/update the PCP. If a private patient is transferred to the ICU, the private PCP should be responsible for the follow up care of the patient (unless they ask to transfer the patient to hospitalist service (which really doesnt happen). 
    The intensivists are available to contact and come into the hospital if you need assistance. 

Skokie Hospital 
    Skokie nocturnists run all RRTs and Codes for all patients. Once the transfer to ICU occurs, the private physician is supposed to assume care with the intensivists as consultants but in reality the immediate care even after ICU transfer is done by the nocturnists. If the transferred patient is one of ours, then nocturnist takes care of the patient in the ICU. 

    During the day, the pager person responds to all codes and RRTs in the hospital. If we arrive at the code and Intensivist is already running the code, etc., then we can leave but this policy was set so that there is a physician always present during these events. 

    Usually the intensivist is in house from 7am to 5pm weekdays.