Harbor:CORE - Revision history

Bchap23: /* Who to call */

2023-07-02T20:42:16Z

Who to call

← Older revision		Revision as of 20:42, 2 July 2023
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	===Who to call===		===Who to call===
	* 7a-8a - hold for CORE NP at 8a		* 7a-8a - hold for CORE NP at 8a
	* 8a-4:30p - CORE NP - Orchid autopage (p1687)		* 8a-8p (M-R; 4:30p Friday) - CORE NP - Orchid autopage (p1687)
	* 4:30-5:30 - CORE Fellow - p0135		* 4:30-5:30 - CORE Fellow - p0135
	* Signout time ~5:30p-6p - signout from CORE to ED Hospitalist		* Signout time ~5:30p-6p - signout from CORE to ED Hospitalist

Andreawu at 16:27, 21 October 2021

2021-10-21T16:27:22Z

← Older revision		Revision as of 16:27, 21 October 2021
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	* Signout time ~5:30p-6p - signout from CORE to ED Hospitalist		* Signout time ~5:30p-6p - signout from CORE to ED Hospitalist
	* Night 6p - 7a: ED Hospitalist; p204-9753 ... CORE attending available for questions 24/7		* Night 6p - 7a: ED Hospitalist; p204-9753 ... CORE attending available for questions 24/7


	Kaji/Bui, 4/15/2021		Kaji/Bui, 4/15/2021

	===Background===		===Background===
	*Any OOP patients needing observation or CORE services should be transferred to an in-network hospital if they are stable ~~- Peterson 5/2016~~		*Any OOP patients needing observation or CORE services should be transferred to an in-network hospital if they are stable
	*~~Only~~ patients ~~with internal medicine (or family medicine) covered illness can be placed on obs. All other services require admission (or transfer) - Lewis 5/2016~~		*Admit CORE patients to Cardiology during day time hours, or the covering ED hospitalist after hours.
	*If the hospitalist is capped (cap is 20 if single overnight hospitalist coverage, which includes Obs and CORE leftover from dayshift, new Obs or CORE, and new admissions), and you have a patient you’d like to ~~place in Observation, CORE~~, or ~~an admission:~~
	**Do not place the order for obs placement, CORE, or the ‘request for admit’ order. This becomes confusing for nursing who is actually managing the patient. Only place this order when you have discussed the patient and the care officially transfers to the inpatient/obs/CORE physician.
	**Continue to manage the patient until the next hospitalist shift starts (typically 7:30am) or the next medicine slot is available.
	**Do put in an Attending Admit Note at the time of the actual admit decision but document in your notes that patient is being held in the ED ~~due to lack of~~ hospitalist~~/Medicine capacity~~.

	* ~~Core idiosyncrasies~~		* COREidiosyncrasies
	** Admit for non-CHF edema, anasarca (abdominal or scrotal edema), or requiring significant diuresis (>10kg)		** Admit for non-CHF edema, anasarca (abdominal or scrotal edema), or requiring significant diuresis (>10kg)
	** Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance		** Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance



	{{Harbor CHF disposition}}		{{Harbor CHF disposition}}

Bchap23: /* Who to call */

2021-05-17T17:22:00Z

Who to call

← Older revision		Revision as of 17:22, 17 May 2021
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	===Who to call===		===Who to call===
	* ~~Daytime ~~~8a-5:30p - CORE NP~~/Fellow~~ - Orchid autopage (p1687)		* 7a-8a - hold for CORE NP at 8a
			* 8a-4:30p - CORE NP - Orchid autopage (p1687)
			* 4:30-5:30 - CORE Fellow - p0135
	* Signout time ~5:30p-6p - signout from CORE to ED Hospitalist		* Signout time ~5:30p-6p - signout from CORE to ED Hospitalist
	* Night 6p - 8a: ED Hospitalist; p204-9753 ... CORE attending available for questions 24/7		* Night 6p - 7a: ED Hospitalist; p204-9753 ... CORE attending available for questions 24/7


	Kaji/Bui, 4/15/2021		Kaji/Bui, 4/15/2021

Bchap23: /* Who to call */

2021-05-17T16:43:45Z

Who to call

← Older revision		Revision as of 16:43, 17 May 2021
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	===Who to call===		===Who to call===
	* Daytime ~8a-4:30p - CORE NP/Fellow - Orchid autopage (p1687)		* Daytime ~8a-5:30p - CORE NP/Fellow - Orchid autopage (p1687)
	* Signout time ~4:30p-6p - CORE ~~Fellow - Orchid autopage (p1687)~~		* Signout time ~5:30p-6p - signout from CORE to ED Hospitalist
	* ~~After~~ 6p - ~~Third Call Fellow~~ - ~~Orchid autopage (p6534)~~		* Night 6p - 8a: ED Hospitalist; p204-9753 ... CORE attending available for questions 24/7

	~~Chappell~~, 2/2021		Kaji/Bui, 4/15/2021

	===Background===		===Background===

Bchap23: /* Background */

2021-02-02T18:20:06Z

Background

← Older revision		Revision as of 18:20, 2 February 2021
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	==Background==		===Who to call===
			* Daytime ~8a-4:30p - CORE NP/Fellow - Orchid autopage (p1687)
			* Signout time ~4:30p-6p - CORE Fellow - Orchid autopage (p1687)
			* After 6p - Third Call Fellow - Orchid autopage (p6534)

			Chappell, 2/2021

			===Background===
	*Any OOP patients needing observation or CORE services should be transferred to an in-network hospital if they are stable - Peterson 5/2016		*Any OOP patients needing observation or CORE services should be transferred to an in-network hospital if they are stable - Peterson 5/2016
	*Only patients with internal medicine (or family medicine) covered illness can be placed on obs. All other services require admission (or transfer) - Lewis 5/2016		*Only patients with internal medicine (or family medicine) covered illness can be placed on obs. All other services require admission (or transfer) - Lewis 5/2016
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	**Continue to manage the patient until the next hospitalist shift starts (typically 7:30am) or the next medicine slot is available.		**Continue to manage the patient until the next hospitalist shift starts (typically 7:30am) or the next medicine slot is available.
	**Do put in an Attending Admit Note at the time of the actual admit decision but document in your notes that patient is being held in the ED due to lack of hospitalist/Medicine capacity.		**Do put in an Attending Admit Note at the time of the actual admit decision but document in your notes that patient is being held in the ED due to lack of hospitalist/Medicine capacity.

	~~===CORE===~~
	* Who do you call?
	** Daytime ~8a-4:30p - CORE NP/Fellow - Orchid autopage (p1687)
	** Signout time ~4:30p-6p - CORE Fellow - Orchid autopage (p1687)
	** After 6p - Third Call Fellow - Orchid autopage (p6534)

	* Core idiosyncrasies		* Core idiosyncrasies
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	** Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance		** Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance

	~~Chappell, 2/2021~~

	{{Harbor CHF disposition}}		{{Harbor CHF disposition}}

Bchap23: /* CORE */

2021-02-02T18:13:41Z

CORE

← Older revision		Revision as of 18:13, 2 February 2021
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	===CORE===		===CORE===
	*Daytime ~8a-4:30p - CORE NP/Fellow - Orchid autopage (p1687)		* Who do you call?
	*Signout time ~4:30p-6p - CORE Fellow - Orchid autopage (p1687)		** Daytime ~8a-4:30p - CORE NP/Fellow - Orchid autopage (p1687)
	*After 6p - Third Call Fellow - Orchid autopage (p6534)		** Signout time ~4:30p-6p - CORE Fellow - Orchid autopage (p1687)
			** After 6p - Third Call Fellow - Orchid autopage (p6534)

	* Admit for non-CHF edema, anasarca (abdominal or scrotal edema), or requiring significant diuresis (>10kg)		* Core idiosyncrasies
	* Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance		** Admit for non-CHF edema, anasarca (abdominal or scrotal edema), or requiring significant diuresis (>10kg)
			** Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance

	Chappell, 2/2021		Chappell, 2/2021

Bchap23: /* CORE */

2021-02-02T18:12:53Z

CORE

← Older revision		Revision as of 18:12, 2 February 2021
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	===CORE===		===CORE===
			*Daytime ~8a-4:30p - CORE NP/Fellow - Orchid autopage (p1687)
			*Signout time ~4:30p-6p - CORE Fellow - Orchid autopage (p1687)
			*After 6p - Third Call Fellow - Orchid autopage (p6534)

	* Admit for non-CHF edema, anasarca (abdominal or scrotal edema), or requiring significant diuresis (>10kg)		* Admit for non-CHF edema, anasarca (abdominal or scrotal edema), or requiring significant diuresis (>10kg)
	* Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance		* Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance

	Chappell, 8/~~2017~~		Chappell, 2/2021

	{{Harbor CHF disposition}}		{{Harbor CHF disposition}}

Bchap23: /* CORE */

2019-08-30T00:08:38Z

CORE

← Older revision		Revision as of 00:08, 30 August 2019
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	===CORE===		===CORE===
	* Admit for non-CHF edema, anasarca, or requiring significant diuresis (>10kg)		* Admit for non-CHF edema, anasarca (abdominal or scrotal edema), or requiring significant diuresis (>10kg)
	* Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance		* Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance

Rossdonaldson1 at 21:32, 1 July 2019

2019-07-01T21:32:27Z

← Older revision		Revision as of 21:32, 1 July 2019
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	* Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance		* Psych can consult in CORE, or patient can be discharged from CORE to psych ED on patients requiring cardiac clearance

			Chappell, 8/2017

	~~Chappell, 8/2017~~		{{Harbor CHF disposition}}

	==See Also==		==See Also==

Rossdonaldson1: Text replacement - "Harbor:Operations manual" to "Harbor:Main"

2019-01-31T08:23:11Z

Text replacement - "Harbor:Operations manual" to "Harbor:Main"

← Older revision		Revision as of 08:23, 31 January 2019
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	==See Also==		==See Also==
	*[[Harbor:~~Operations manual~~]]		*[[Harbor:Main]]

	==References==		==References==