Wednesday, September 13, 2017

Gallbladder (Cholecystitis, Pancreatitis) Patient Allocation (GSH vs Chandler)


·   
All outside Gallbladder Referrals and patients who present to Chandler ED will be considered for transfer to Good Samaritan
·       Blue Surgery Chief will take the outside call and will notify Good Sam of the transfer.
·       Blue Surgery Chief will make determination if Chandler ED patient is appropriate for transfer and will notify Capacity Command and Good Samaritan MD
·       Starting Friday at noon through Sunday at 5:00pm patients will be accepted to Chandler only
·       Any patient that is pregnant or is exhibiting signs of SIRS will be accepted to Chandler
·       SIRS is defined by having 2 or more of the following
o   Temp >38 C (100.4 F) or <36 C ( 96.8 F)
o   HR >90
o   RR >20 or PaCO2 <32mm HG

o   WBC >12.000/mm3, <4000/mm3 or >10% bands