Cardiology 

The CCU Purple pager is live, it is #6058 (this is used for the daily AM admissions and Swing between the APP/attending team). To see who the CCU fellow overnight is, please go to www.ccupurple.com and see under “Night On-Call” – this is the same fellow for night coverage of CCU and CCU Purple

1. The resident team will keep and continue handing off the #9305 pager amongst themselves. They will admit in the evenings and overnight.

2. This pager receives all of the Epic “Cardiology consults.” However, this pager does not automatically get the “17795” that the ED manually pages. I told the ED to page the “17795” requests to this pager from 0700-1500 hours daily and swing dependent (Mon-Fri swing à www.ccupurple.com). There is no swing on weekends or Holidays.

CARDIOLOGY CLINIC FOLLOW UP

If you need close cardiology clinic follow up:

ED provider identifies a patient that needs urgent Cards clinic follow up

ED provider orders ambulatory referral to cardiology *STAT*

ED provider sends a secure chat to Alicia Rivera who will see the securechat (during clinic hours M-F) and schedule the patient for a follow up appointment

*clinic visit within 3 days if no insurance auth needed

*clinic visit within 7 days if auth needed

OUTPATIENT STRESS TESTING

They can ONLY be treadmill stress tests and only on low-risk patients with no known cardiac disease AND who have a normal EKG.  You can sign people up using the white ED Communication Nurse’s white “follow up” binder in the doc box cabinet.  Follow the instructions to order the outpatient treadmill stress. The patient will be called for an appointment within 72 hours (during business days). 

HEART SCORE

Please document a HEART SCORE for any patient with chest pain in the ED (whether admitted or discharged) for the following ICD-10 codes.

        i.      R07.82: Intercostal pain

                                                            ii.      R07.89: Other chest pain

                                                          iii.      R07.9: Chest pain, unspecified

                                                          iv.      I21.4: Non-ST elevation (NSTEMI) myocardial infarction

                                                            v.      I22.2: Subsequent non-ST elevation (NSTEMI) myocardial infarction

                                                          vi.      I20.0: Unstable angina

                                                        vii.      I20.1: Angina pectoris with documented spasm

                                                      viii.      I20.8: Other forms of angina pectoris

                                                          ix.      I20.9: Angina pectoris, unspecified

                                                            x.      I25.10: Atherosclerotic heart disease of native coronary artery without angina pectoris

                                                          xi.      I25.110: Atherosclerotic heart disease of native coronary artery with unstable angina pectoris

                                                        xii.      I25.111: Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm

                                                      xiii.      I25.700: Atherosclerosis of coronary artery bypass graft (s), unspecified, with unstable angina pectoris

                                                      xiv.      I25.720: Atherosclerosis of autologous artery coronary artery bypass graft (s) with unstable angina pectoris