Nurse Practitioner or Physician Assistant

Basic Information

• When does the locum assignment need to begin?: 9/30/2026
• Is the locums need short or long term?: short term (2-6 months)
• What is the reason for needing locum coverage?: schedule change, resignation
• What type of provider is needed?: APC
• Which facility needs coverage?: LOGAN REGIONAL MEDICAL CENTER - EM.LOGAN.WV
• What is the current Staffing Model of this program (MD & APCs)?: 24 MD/24 APC
• Please select all that apply, and provide days and times, as well as number of shifts available below.: night shift, day shift, swing shift
• Please provide days and times below.: 0900-2000 0900-2100 1000-2000 11A-11p/1100-2300 1400-0100 1400-0200
• Please provide the number of shifts that locums will cover per month.: 12
• What EMR system does this facility use?: Medhost

Regions Details

• Will temporary or emergency privileges be granted?: Yes
• Which region requires locum support?: SAG
• What is the annual patient volume?: 24000
• What is the total number of hospital beds?: 132
• How many ED beds?: 22
• What is the patient volume per hour?: 2
• Are scribe services offered?: no
• EM experience : 5 years
• Trauma designation Level: Level 4
• Will the hospital release their application and process pending license?: No
• Acceptable Board Certifications:: NCCNP, NCCPA
• Please select all required life support certifications: ACLS, ATLS, BLS, PALS
• What specialty backup is available?: Anesthesiology, Cardiology, General Surgery, Gastroenterology, Hematology/Oncology, Internal Medicine, OB/GYN, Orthopedics, Radiology, Urology, Wound Care

Requirements & Certifications

• Will temporary or emergency privileges be granted?: Yes
• What is the average time to obtain temporary privileges?: 30 days
• Will the hospital release their application and process pending license?: No
• if not Board Certified, years of eligibility defined by facility?: N/A
• Acceptable Board Certifications:: NCCNP, NCCPA
• Please select all required life support certifications: ACLS, ATLS, BLS, PALS

Additional Information

• What specialty backup is available?: Anesthesiology, Cardiology, General Surgery, Gastroenterology, Hematology/Oncology, Internal Medicine, OB/GYN, Orthopedics, Radiology, Urology, Wound Care
• At what facilities will the provider be cross-credentialed?: RALEIGH GENERAL
• Please provide any additional info regarding the credentialling process or locum need: Backup services also include neurology & pediatrics (both not listed as an option)