RTC Infusion Center: Escalation Pathway

See PolicyTech Policy ON-209. Ruttenberg Treatment Center Infusion & Oncology Care Unit. Escalation Pathway for Clinical Queries for more details.

Weekdays: Monday to Friday, 8:00am – 5:00pm

1st Call: Infusion APP (where one is designated)

2nd Call: Primary Team APP

3rd Call: Primary Oncologist

4th Call: RTC Medical Director

Weekday Evenings: Monday to Thursday, 5:00pm – 8:00am

1st Call:

i. Primary Team APP 5:00pm – 6:00pm

ii. RTC Infusion Late Provider 6:00pm-7:00pm

iii. OCU APP 7:00pm – 8:00am

2nd Call: Primary Oncologist (all teams except BMT)

2nd Call (BMT only): Call BMT Attending on Call (AMION: Hematology/Oncology – MSH, MSW, MSBI Schedule)

3rd Call: RTC Medical Director

Weekend: Friday 5:00pm to Monday 8:00am AND Holidays: 5:00pm day before Holiday through the morning after the holiday at 8:00am

1st Call: OCU APP

2nd Call: Attending on Call (AMION: Hematology/Oncology – MSH, MSW, MSBI Schedule)

3rd Call: RTC Medical Director

Oncology Care Unit (OCU): Escalation Pathway

Weekdays: Monday to Friday, 8:00am – 5:00pm

1st Call: OCU APP

2nd Call: Primary Team APP

3rd Call: Primary Oncologist

4th Call: RTC Medical Director

Weekday Evenings: Monday to Thursday, 5:00pm – 8:00am

1st Call: OCU APP

2nd Call: Primary Oncologist (all teams except BMT)

2nd Call (BMT only): Call BMT Attending on Call (AMION: Hematology/Oncology – MSH, MSW, MSBI Schedule)

3rd Call: Overnight Oncology Hospitalist (pager 4531)

4th Call: RTC Medical Director

Weekend: Friday 5:00pm to Monday 8:00am AND Holidays: 5:00pm day before Holiday through the morning after the holiday at 8:00am

1st Call: OCU APP

2nd Call: Attending on Call (AMION: Hematology/Oncology – MSH, MSW, MSBI Schedule)

3rd Call (7pm-7am only): Overnight Oncology Hospitalist (pager 4531)

4th Call: RTC Medical Director

Specific Needs Escalation

Unsigned Treatment Plan/Supportive Plan: Queries or Final Signatures for All Hours Defined Above

1st Call: Primary Oncologist

2nd Call: Attending on Call (AMION: Hematology/Oncology – MSH, MSW, MSBI Schedule)

3rd Call: RTC Medical Director

If the on-call attending cannot sign the orders due to patient specifics or does not respond after 60 minutes, the call is escalated to the RTC medical director to determine if the director can sign the order. If all options are exhausted and the total patient wait time exceeds 90 minutes, the treatment is rescheduled for the next earliest available date.

The RN notifies the primary team and infusion nursing leadership to reschedule the visit.

External Physician Practices outside of Mount Sinai Hospital:For patients referred by external physicians outside of Mount Sinai Hospital

1st Call: Referring primary oncologist must be contacted regardless of time or day of the week

2nd Call: RTC Medical Director

Additional Resources

APP MD CONTACT GROUP Contact list for Oncology (MSH use only)

The Tisch Cancer Institute, Division of Hematology and Medical Oncology, Physician Away from Center Coverage Calendar