RMH is a Critical Access Hospital, with a 4-bed Emergency Department in Musselshell County. The City population is 2500, but the Hospital draws from a large surrounding rural area of 4,600 plus residents. My position includes providing outpatient primary care, with an emphasis on Adult and Elderly care to the general population. The clinic is open Monday through Fridays and Saturdays until noon. Services include management of chronic medical conditions; including Diabetes, Hypertension, Chronic Pain, Primary care Orthopedics and injections, Asthma and COPD. Health maintenance management in Men’s and Woman’s health; including Prostate, PAP, Pelvic, Annual and Sports physicals. On-call services are split between the providers, and I cover the ER at least six days a Month. RMH has a 4 bed ER with one trauma bay with a link to Avera E-Emergency. There is a State highway through the Bull Mountains that runs through Roundup and we see a number of critical trauma cases every Month. Acute patients are stabilized at RMH and transferred either via ground or Air-flight to Billings. We have 6 rooms and 8 beds for Acute and Skilled patient care. Each provider is responsible for the Hospitalist duties, along with clinic patients, one week a Month. Patient care includes rehabilitation, Acute care for IV Therapy, Cardiac Monitoring, Wound Care, and Hospice/comfort care.Roundup Memorial has a 30-bed Intermediate Long Term Care unit. Each provider is assigned a number of patients to Manage in this portion of our facility. Additionally, the on-call provider manages any acute issues that come up with our residents, including end of life care, IV therapy, and medication management.