The VA Southern Nevada Healthcare System (VASNHS), Las Vegas Nevada, is recruiting to fill the position of Pulmonologist – Intensivist. The Candidate for this position is charged with delivering the best possible Pulmonary/Critical Care services to our Veteran patients. In conjunction with the Surgical or Medical attending physician and other consultants, the Pulmonologist/Intensivist (PI) directs the care of all patients in the Intensive Care Unit. The PI provides continuous vigilance; early intervention and ongoing care with the goal to decrease ICU related morbidity and mortality. In addition, the PI proactively communicates with the other members of the team to assure optimal results.

OUR MISSION: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

Since 1972, VA Southern Nevada Healthcare System (VASNHS) has been improving the health of the men and women who have so proudly served our nation. We consider it our privilege to serve their health care needs in any way we can. Services are available to more than 240,000 Veterans living in our catchment area. Within the sunny Las Vegas valley and surrounding areas, VA Southern Nevada Healthcare System (VASNHS) provides outpatient and inpatient health care services to more than 45,000 patients yearly, exceeding 450,000 outpatient visits per year. This comprehensive VA Medical Center is a 90-bed inpatient facility with state-of-the-art medical, diagnostic and surgical services. Other services provided by VASNHS include a 20-bed inpatient psychiatric treatment ward that opened on April 15, 2013. Several outpatient services are available at the Medical Center. Services provided by VASNHS continue to expand to meet the demands of the dynamic growth.

Overview of Pulmonologist – Intensivist Duties:

• Examine and evaluate each patient soon after admission to the ICU and notify the admitting physician of assessment and recommendations
• Performs and document a Critical Care Medicine consultation on all patients
• Write ICU orders in addition to the admitting physician orders as deemed necessary for optimal care
• Perform and document subsequent evaluation of all patients in the ICU on daily rounds once every twenty-four hours and as needed.
• Coordinate with the admitting physician and consultants to organize diagnostic and treatment plans for all Intensive Care Unit patients.
• Participate in the Rapid Response Team (RRT) per hospital policy.
• Perform and document diagnostic/therapeutic procedures within the scope of individual clinical privileges.
• Respond to all cardiac and respiratory arrests in the ICU, assuming the role of the Code Team Leader.
• Sign out to the oncoming physician to assure an informed transition of care. Complete off-duty summary notes when leaving ICU service.
• Assist in the appropriate transfer of patients within the Medical Center and, as possible, with transfer to other facilities.
• Participate in patient care rounds daily with the charge nurse, pharmacy, dietary, case management, respiratory care, pastoral care ICU nursing staff.

Overview of Pulmonologist Duties: When not scheduled for Intensivist duties, the PI will assume the role of consulting pulmonologist. As such s/he will perform inpatient/outpatient procedures, consultations, and follow-up care.

• Diagnosis, treat and manage patients with pulmonary diseases according to accepted standards of care.
• Perform outpatient Consultations in Pulmonary Clinic (8 to 15 patients per day)
• Provide inpatient Pulmonary Consultations
• Perform invasive procedures for which s/he has been granted privileges
• Perform Compensation and Pension exams and/or reviews as requested
• May admit ICU patients critically ill with pulmonary diseases and/or requiring assisted ventilation
• Interpret pulmonary function tests
• Participate in the educational programs for the critical care unit personnel as well as the medical staff
• Participate in monitoring the quality, safety and appropriateness of patient care
• Attending ICU Committee meetings. Develop/update ICU policies and procedures
• Demonstrate ethical conduct and serve as a positive role model to others at all levels of the organization
• Participate in quality assurance programs and chart reviews
• Attend Medical Service staff meeting and Medical/Dental staff meetings
• Complete medical records in accordance with Bylaws and Rules/Regulations of the Medical Staff
• Participate in Medical Staff committee assignments
• Perform other duties assigned by the Chief of Medicine

Position is an academic position and the candidate must qualify for academic standing and scholarly activities.  Overview of Academic Duties: Physician must participate in the academic affiliation with the University to include education of the medical students, advanced practitioners, residents, and fellows. Responsibilities will include conducting formal multidisciplinary rounds, overseeing the education of trainees with medical assessment and procedural skills, providing feedback and evaluation of trainees, participation in didactics such as grand rounds, morning conference, morbidity/mortality conference, lecture series, and journal club with evidence based medicine. Consideration will be given to candidates who have academic appointments or teaching experience.

Work Schedule: Monday thru Friday 8:00 am to 4:30 pm with on-call duties on the weekend, night and holiday coverage as necessary.

Benefits:

• VA offers a comprehensive benefits package. The VHA Physician Brochure provides an overview of the benefits associated with a VA practice: https://www.vacareers.va.gov/assets/common/print/Physician_Brochure.pdf
• Annual leave shall accrue for full-time physicians at the rate of 26 days per leave year (1 day per pay period).

An exciting job opportunity awaits you at our new, state-of-the-art VA facility in the entertainment capital of the world – Fabulous Las Vegas!  The VASNHS is comprised of a newly constructed 90 bed Medical Center, (4) Primary Care Clinics throughout the Las Vegas Valley, and Community Based Outpatient Clinics (CBOC) in Pahrump and Laughlin, Nevada.  Las Vegas offers no state income tax, a variety of affordable housing options and well-planned residential communities, an international airport, world class dining & entertainment, outdoor recreation and 300 sunny days a year – outdoor recreation and activities include Lake Mead/Hoover Dam, Mt. Charleston/Red Rock Canyon, Death Valley/Valley of Fire – including fishing, hiking, backpacking, water sports, and acres of uninhabited desert landscape for off road enthusiasts to enjoy a nonstop playground.  Click for Las Vegas Community Guide at http://www.lasvegascommunityguide.com/ to learn more about our great City!  Now is a great time to take your career to the next level in beautiful Las Vegas – Join Our VA Healthcare Team Today!

For information and consideration, please email your Cover Letter & Curriculum Vitae to: Dave Aragon, VA National Healthcare Recruitment Consultant, david.aragon@va.gov, (702) 675-5761.