24 hours a day, place bed request prior to calling hospitalist.
5pm to 7am: call hospitalist; If hospitalist does not agree with bed request they change the bed request.
7am to 5pm: do not call hospitalist unless OBS admission or dispo questions; if medicine team disagrees with dispo they change the bed request.
5pm to 7am: place bed request, call hospitalist. give a one line sign-out. medicine team will then call you for full sign out.
7am to 5pm: place bed request, a medicine team will call you; unless OBS, call hospitalist.
at all times, if team disagrees with bed request, that team will change bed request and sign out to team they think is most appropriate, ED not responsible for changing bed request or re-signing out to another team, this includes OBS sign-outs
5pm to 7am: All medicine admissions should be through triage hospitalist who will redirect admissions based on capped services.
7am to 5pm: if CCU, MICU or J service are capped, they will let hospitalist know, hospitalist will inform CWA who will let ED know to follow the below changes in bed requests.
If Capped:
COU admissions to be changed to Medicine with Cardiology c/s
CCU admissions to change to MICU or next available ICU bed
MICU admissions to next available ICU bed
J service admissions to change to Medicine
If ED states “Not appropriate for transfer” but hospitalist or case manager disagree, hospitalist will change this designation. If CM disagrees with ED decision on appropriateness of transfer, they are to call hospitalist, not ED team to discuss.
Evaluation and Treatment Center in Santa Monica: 
1245 16th Street Suite 125 
Direct Line : 310-899-7440 
What is it? Urgent Care Type Center with expanded resources)

How to be seen there? 
Scheduling a patient to be assessed by an MD the following day after an ED Visit can be accomplished by calling the Direct Line above.
1)Patients will be provided an appointment time Monday through Friday from 8:00AM to 5:00PM 
2) Patients may also “walk in”  to the evaluation without an appointment Monday through Friday 5:00PM to 9:00PM; Saturday, Sunday and Holidays walk in patients are seen 9:00AM to 5:00PM                                                                                                                             
3) MD orders are not required for these appointments as the evaluating MD would assess the patient for ongoing medical needs 

Nurses Service ONLY Appointments 
1)      Patients who require care that a registered nurse can provide may be scheduled for RN Services only 
2)      These appointments are also scheduled at the number above, however would require orders from a treating physician 
a)      Care such as IV hydration
b)      IV Antibiotics
RRMC:ED
OVMC:ED
SCVMC:ED
SCVMC:Main
SCVMC:EXC
Harbor Macros: AMA
SCVMC:Onboarding
ADDIE system