Harbor:CORE

Who to call

• 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
• Night 6p - 7a: ED Hospitalist; p204-9753 ... CORE attending available for questions 24/7

Kaji/Bui, 4/15/2021

Background

• Any OOP patients needing observation or CORE services should be transferred to an in-network hospital if they are stable
• Admit CORE patients to Cardiology during day time hours, or the covering ED hospitalist after hours.

• COREidiosyncrasies
  • 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

CHF

• If estimated <2 midnight stay, place in CORE
  • Admit any patients with anasarca (including abdominal or scrotal edema)
• If estimated >2 midnight stay:
  • Admit to IM/FM (tele/PCU) if all of the following are met:
    • Low suspicion for ACS (as determined by ED attending)
    • HR < 110
    • BP > 110
    • Creatinine <2.0 (unless ESRD on HD)
    • No BiPAP required at any time in the ED
  • Admit to C-team if the above criteria are not met or the patient needs ICU care

See Also

• Harbor:Main