MSHS Hospital Transfer Central Hospitalist Escalation Protocol:

1. Identify on-call Hospital Medicine Attending (Hospitalist)

2. Contact covering hospital medicine attending via Epic chat (MSSN uses a pager system not Epic chat)

3. If no response within 20 min x 2 attempts, contact Hospitalist via cell phone

4. If no response within 20 min, escalate to either a designated second attending via Epic chat (or pager at MSSN) and start the process again

Central Intensivist (CI)Escalation Protocol:

FROM 7AM-7PM

1. Call on-Call CI via Cell phone listed in AMION

2. If CI unreachable on step 1

2.1. Page RRT (1778) to provide transfer sites/request information to RRT NP to be relayed to CI attending.

2.2. Wait 10 minutes for callback from CI attending after conversation with RRT NP

3. If CI unreachable after step 2-

3.1. Call Dr. Gupta

3.2. Call Dr. Suleiman

3.3. Call Dr. Milekic

3.4. Call Dr. Roopa Kohli-Seth

FROM 7PM-7AM

1. Call on-Call CI via Cell phone listed in AMION

2. If CI unreachable on step 1

2.1. Page RRT (1778) to provide transfer sites/request information to RRT NP to be relayed to CI attending.

2.2. Wait 10 minutes for callback from CI attending after conversation with RRT NP.

3. If CI unreachable after step 2-

3.1. Call NICS attending via Cell phone listed in AMION

3.2. Call Dr. Gupta 607-379-9478

3.3. Call Dr. Suleiman 304-237-8461

3.4. Call Dr. Milekic 434-249-9150

3.5. Call Dr. Gupta

3.6. Call Dr. Roopa Kohli-Seth 917-400-7197

MSQ Endocrine Consult

M-F 8A-5P Contact Dr Navid for endo tele-consults

Urgent After hours: Escalate to MSQ ICU. The ICU will contact command center (CC) if needed.

CC will facilitate Endo system support on AMION for md-to-md call

MSH Neurosurgery Consult line for Transfers

1. Please contact for MSH Neurosurgery transfer consults 347- 931-0387l

1. Call on-call CI via Cell phone listed in AMION

2. Call Dr. Rohit Gupta at 607-379-9478

3. Call Dr. Roopa Kohli-Seth

From 7p-7a

1. Call on-call CI via Cell phone listed in AMION

2. Call NICS attending via Cell phone listed in AMION.

3. Call Dr. Evan Leibner at (516-317-5728)

4. Call Dr. Roopa Kohli-Seth

MSM GYN Tele-consult Coverage of MSBI Escalation Pathway

1. Contact the on-call MSW ED GYN on-call attending.

2. If no response within 20 mins x 2 attempt escalate to Dr. Zoe Rodriguez at 917-679-2327 then to Dr. Ascher-Walsh at 917-880-6591 if no response.

MSBHC (Rivington) Teleconsult Coverage Escalation Pathway

Ophthalmology Consult Backup # 1 Coverage Dr. Tsai at 203-606-5945

Ophthalmology Consult Backup # 2 Coverage Dr. Pasquale at 617-851-4121

Tele-Psych Escalation Pathway

Central Psych (CP) Escalation Protocol:

1. Contact Dr. Jan Schuetz-Muller Associate Professor of Psychiatry at 914-309-9624

Contact Efstathia Tsangalidis Psychiatry Senior Director of Psychiatry Administration at 646-357-6847

Psych Contacts for Escalation

MSH Psych ED attending listed as covering: Contact Dr. Maloutas at 917-364-0160 then Dr. Prameet Singh at 917-892-9340

MSM CPEP attending listed as covering: Contact Dr. Carbonaro at 914-768-3381 then Dr. Prameet Singh at 917-892-9340

MSSN psych attending listed as covering: Contact Dr. Stanley Reddy at 516-510-3504 then Dr. Alan Wong 516-359-1685

MSSN tele-psych off hours:

1.If you are you are unable to reach MSSN ITP psych please contact the ITP crisis coordinators at (844) 487-4524 or via email at CrisisCoordinators@integratedtelehealth.com

2. If you the issue has not been resolved or is in need of additional escalation, contact Madyun Manager of Crisis Services (641)757-1918:

3. If there's no response or additional escalation is needed, please contact Becky Shelton, Director of Hospital Services 641-203-3831.

Urology Transfers

MSH Urology Inpt Transfers(7a-7p)

Adult contact on-call Adult Urology Attending

- Pediatrics contact Peds Urology Attending

Breast Surgery

Contact 212-241-3300 opt#1

Pediatric Emergency Medicine

1st Call: Tele-PEM (All sites/All hours) 646-861-4498

2nd Call: MSBI Pediatric ED 212-420-2860

3rd Call: C. Anthoney Lim 646-271-9577

Pediatric Surgery Consults

For Pediatric Surgery Consults contact 212-241-1608

MSM/MSW Ophthalmology Escalation Pathway:

1. 1st escalation step: Trisha Mor MD (MSM Medical director) 217-390-1433

2. 2nd escalation step: James Tsai MD (Ophthalmology chairman) 203-606-5943

Derm Tele-Consults:

Contact the Dermatology Resident for Tele-derm consults

MSH/MSW Peds Hem Onc:

1st Call: Hem-Onc Attending

2nd Call: Answering Service 212-241-7022

MSB Cardiology (STEMI) to The Brooklyn Hospital Center Escalation:

The Brooklyn Hospital Emergency Department Contacts:

1. Main ED Phone – 718-250-8075

2. Backup (Charge Nurse) – 718-250-8000 (press 1 after prompt) ext. 2430

3. Nurse Managers:

Days: Rob Davis - 347-563-4002

Evenings: Graham MacDonald – 929-675-0927

ICARE HOTLINE:

MSH: 212-241-8989

MSM: 212-523-7825

MSW: 212-523-2158

NYEE: 212-979-4357

MSBI: 212-420-4343

MSQ: 718-808-7779

MSB: 718-951-9427