ICU (Notify Fellow or Chief):
Persistent Hypoxia
Arrhythmia with Hypotension
Persistent or Worsening Lactic Acidosis
New and Unresponsive Oliguria / Anuria
Increasing Ventilator Needs
Significant Worsening of Physical Exam, Laboratory / Radiographic Test, Vital Signs
Consideration of Another Service Consult
Floor (Notify Chief):
All of the above for ICU, plus:
Requests for AMA
Rapid Response Calls
Persistent Nursing Calls on a Single Patient
Difficult Family Interaction
All (Notify Attending):
Call: Major Family Conflict
Transfer to ICU
Missed Injury
Change in disposition from OR/ED (planned to ICU but now PACU)
New Admissions / Consults
Conflicts with Consult Services
Procedure Complications
New, Refractory Organ Failure
Code
Death (if not DNR, WOC)
Text: Death (if DNR/WOC)
Consult Service procedures/operations
Before Invasive Procedures
Pt leaving AMA
Transfer from Floor to Progressive Care
If no answer with notifications to chiefs or chief unavailable, call the attending.
